Advancing Quality NHS Advancing Quality Alliance


Dementia is a syndrome (a group of related symptoms) associated with an ongoing decline of the brain and its abilities. This includes problems with: memory loss, thinking speed, mental agility, language, understanding and judgement.

NHS Choices

Through research, clinical input and clinical guidelines Advancing Quality has developed seven measures that, when applied at the appropriate time, can greatly increase the outcomes for patients. Advancing Quality uses these measures to monitor the quality of care given to patients across the North West with the aim of improving standards and reducing variation in care.


1. Functional capacity assessment before leaving hospital

The aim of assessing functional capacity is to identify the unmet needs of you and your carers

2. Cognitive ability checked within 14 days of admission

The cognitive ability assessment will examine any memory problems you may be experiencing.

3. Physical health assessment within 7 days of admission

A physical health assessment will focus on the neurological and cardiovascular system to identify any potentially reversible cognitive problems

4. Patient focused care plan before leaving hospital.

Care planning provides an opportunity to develop relationships with patients and carers, and to ensure that emotional and practical supports are established to meet their needs, now and in the future.

5. Depression assessment within 14 days of admission

Depression and dementia have similar symptoms, being able to differentiate between the two means you will have the most appropriate care interventions

6. Initial pain assessment within 7 days of admission

Untreated pain can delay healing, disturb sleep and activity patterns, reduce function and ultimately reduce quality of life.

7. Nutritional needs assessment within 5 days of admission

Loss of appetite, loss of ability to feed yourself and forgetting meals are some of the issues that lead to malnutrition. This assessment will identify methods of ensure you still receive all the nutrition you require.

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