The Irish National Audit of Dementia Care in Acute Hospitals (INAD)

The first Irish National Audit of Dementia Care in Acute Hospitals (INAD) was published in January 2014. The audit, kindly funded by Atlantic Philanthropies and The Meath Foundation, was carried out in all 35 acute public hospitals that admit adults with known/suspected dementia.

National and international research confirms that an admission to an acute hospital can be distressing and disorientating for a person with dementia, and is often associated with a decline in their cognitive ability and levels of functioning around activities of daily living. 

In response to the need for more Irish data on dementia care in acute hospitals, the first Irish National Audit of Dementia care in acute hospitals was undertaken in 2013 to measure criteria relating to care delivery known to impact on people with dementia admitted to hospital. 

INAD highlighted how Ireland does not yet have standardised care for people with dementia in acute hospitals. The results of the audit showed differences in the access to dementia-relevant services between hospitals, with poor access to many diagnostic and support services. 

The results also highlighted inadequate assessment of cognition, delirium, mood, and behavioural and psychological symptoms in people with dementia during their admission, and where assessed and discovered, issues were not highlighted on discharge. 

The results and recommendations from this audit have fed into the development of the Irish National Dementia Strategy.

Please see the INAD website for further information about the audit Media coverage of the INAD report can be found at

INAD is a joint initiative between The Centre for Gerontology and Rehabilitation, University College Cork, The Centre for Ageing, Neuroscience and the Humanities, Trinity Centre for Health Sciences, Tallaght Hospital Dublin, and the HSE Quality and Patient Safety Directorate.