anning could be a factor for sub-optimal care and poor clinical outcomes \[[@B8-geriatrics-04-00007]\]. Nursing staff training on geriatric giants have shown to reduce work-related stress and similarly, dementia teaching to medical students and foundation doctors have shown to improve competencies but the impact of such interventions on clinical outcomes has not been studied yet \[[@B22-geriatrics-04-00007],[@B23-geriatrics-04-00007],[@B24-geriatrics-04-00007]\]. Psychiatry Liaison services like Rapid Assessment Interface and Discharge (RAID) have shown improved clinical outcomes for acutely unwell patients with mental health problems \[[@B25-geriatrics-04-00007],[@B26-geriatrics-04-00007],[@B27-geriatrics-04-00007]\]. Further investment and developing more links with the community services could possibly avoid admitting very frail patients to the hospital, particularly those with advanced dementia.

The standard recommendations are to commission dynamic research using a fixed methodology to estimate changes in dementia incidence, prevalence and particularly mortality over time \[[@B28-geriatrics-04-00007]\]. However, there is a dearth of research that tracks all three parameters. Regular evaluation of clinical outcome data to benchmark services for acute older people has been proposed by the NAD \[[@B7-geriatrics-04-00007]\]. Such data could be used to introduce quality improvement initiatives to improve patient-related clinical outcomes in this vulnerable group \[[@B29-geriatrics-04-00007]\].

5. Conclusions {#sec5-geriatrics-04-00007}
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Acute patients with dementia have a higher risk of adverse outcomes and the impact of hospitalisation. Improving safety and quality of care for patients with dementia in acute hospitals will benefit all patients and is a high priority for the NHS. Further similar studies will improve organizational understanding of clinical outcomes for acute dementia patients. This would also facilitate quality improvement initiatives to improve patient care and modernisation of 