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National Dementia and Antipsychotic Prescribing Audit

The National Dementia and Antipsychotic Prescribing Audit (DAP) gathers information from GP practices to give a national picture of prescribing antipsychotic medication for people with dementia.

People with dementia often experience symptoms that affect their behaviour, causing aggression, agitation and psychotic symptoms like delusions and hallucinations. Some people with dementia are prescribed drugs to treat these symptoms called 'antipsychotics'. In some cases, antipsychotic drugs are the right treatment. But for many people with dementia they are not the best treatment and they can lead to serious side effects. The government has therefore committed to reduce their use for people with dementia.


What does it measure?

The National Dementia and Antipsychotic Prescribing Audit collects demographic and prescribing information on people with dementia from GP practices in England. The audit aims to provide a national picture of prescribing antipsychotic medication in people with dementia.

The data items collected include:

  • NHS number
  • patient date of birth
  • patient sex
  • patient postcode
  • GP practice code
  • diagnosis code
  • diagnosis date
  • prescribed drug (from the specified drug list)
  • prescribed drug start date
  • prescribed drug end date

The NHS number is essential for linking prescribing and complication data and allows the removal of duplicate records.


Benefits

  • provides publicly available information on the current prescribing of antipsychotic medication for people with dementia and their carers
  • supports the government's commitment to reduce the inappropriate prescribing of antipsychotic medication
  • helps GP practices identify where services can be improved.

Who manages the audit?

In 2010, the Department of Health (DH) commissioned the NHS Information Centre to carry out a pilot DAP audit to generate data on the use of antipsychotic medication for people with dementia in each primary care trust in England.  Following the successful pilot, the audit was rolled out nationally in 2012.  In 2013 DH commissioned the Health and Social Care Information Centre to re-run the national data collection in 2014. 


The DAP Audit is supported by the National Clinical Director for Dementia, Alistair Burns.


How is the data collected?

The 2012 national data collection used an automated data extract function to reduce the burden of participation.  Automated data extraction is planned for the 2014 data collection.


Audit results

The 2012 National Summary and PCT level reports can all be accessed online by following the link at the top of the page.  Results from the 2014 data collection will also be published online in a National Summary and CCG level reports.


The HSCIC has developed an online GP registration system to enable GPs to easily access all of their GP Practice level analytical reports across all audits (for example, the National Diabetes Audit).  Any GP or Practice Manager with an nhs.net email address will be able to register GPs at their practice.  The 2012 reports will be available soon via this route.  To express an interest email: dementiaaudit@hscic.gov.uk


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