Maidstone & Tunbridge Wells NHS Trust

Maidstone and Tunbridge Wells NHS Trust is a large acute hospital trust. We provide a full range of general hospital services to around 500,000 people living in the south of west Kent and parts of north east Sussex.

Updated:
26 March 2014
Location:
South East
Sectors:
Care, Communication, Health, Medical, Hospitals & Hospital Trusts

1. Action Plan

1. The National Dementia Declaration lists seven outcomes that the DAA are seeking to achieve for people with dementia and their carers. How would you describe your organisation’s role in delivering better outcomes for people with dementia and their carers? 

Maidstone & Tunbridge Wells NHS Trust is fully committed to achieving the seven outcomes laid down by the Dementia Action Alliance (DAA).  Our role is pivotal in working within our own teams to:   

  • To promote safety and ensure the privacy and dignity of people with dementia. 
  • To reduce the prescription of antipsychotic drugs whilst the patients are with the acute care setting 
  • To ensure that people with dementia receive adequate nutrition and fluids 
  • To promote the independence of people with dementia, encourage social interaction and support their abilities to undertake activities of daily living 
  • To increase staff awareness of dementia and increased awareness of services available in the community 
  • To promote the contribution of volunteers 

We also believe our role is to work closely with others outside of the acute care setting to achieve the standards in the declaration.  We are fully committed to working closely with carers, family and friends of people living with dementia to ensure they are equipped and supported both practically and from an information perspective so that people with dementia are properly cared for in their own homes, wherever that may be.  This involves working in partnership with external agencies such as our social work colleagues, community liaison teams, charitable and voluntary organisations on a daily basis.  We ensure that all of us work towards shared goals that are person-centred.  This is evidenced through the membership and activities of the Dementia Strategy Steering Group and the individual work streams addressing the above areas. 

2. What are the challenges to delivering these outcomes from the perspective of your organisation? 

The Trust has an active Dementia Strategy Steering Group supported by four main work streams to deliver this strategy that meet the seven standards set out by the DAA.  Challenges for the organisation include: 

  • Seeking adequate funding – both capital and revenue funding is a limited resource within the Trust with departments also required to make savings year on year.  Funding for dementia care can therefore be a challenge.
  • The practicalities of delivering changes in the environment – major building works are required in some areas to deliver the improvements.  Available space to provide some of the planned initiatives is limited and is therefore considered in ‘competition’ with other bids.  Limitations exist within the PFI arrangements that potentially can hinder initiatives. 
  • Releasing staff – to release staff from the clinical areas for an adequate amount of time to deliver the improvements is a potential challenge.  This includes allowing and rostering people time away from their work place for education and training activities.  Balancing this whilst continuing to deliver our core operational business can also be challenging. 

All the above are being carefully managed and addressed within each of the work streams.  This is detailed below.

2. Actions

  • Seeking adequate funding

    Seeking adequate funding – ongoing bids and access to available funding opportunities (internally and externally) are continually sought.  This includes funding to partake in any research and development activities relating to dementia care.

    Status:
    Implementation

    Update - First Quarter

    In progress

    Update - Second Quarter

    In progress

    Update - Third Quarter 

    Nothing to report - new DAA member

  • Practicalities of delivering changes

    The practicalities of delivering changes in the environment – many of the initiatives to improve the environment are easy to implement once procured, such as signage, and adjuncts in, for example, bathroom areas for patients with dementia.  The Trust is currently implementing a refurbishment programme which actively considers and undertakes dementia friendly building works and decoration.  An example is the recently opened Urgent Medical Assessment Unit which has adhered to dementia friendly guidance in its signage, flooring, and colour scheme.  This programme is scheduled to be completed by 2017.

    Status:
    Implementation

    Update - First Quarter

    In Progress

    Update - Second Quarter

    In Progress

    Update - Third Quarter 

    In Progress

  • Releasing staff

    Releasing staff – Training days are advertised well in advance of the date.  A flexible approach has been taken to deliver the training such as e-learning and trainers attending the clinical areas.  A work book (distance learning) is available to staff, and information booklets are being developed.

    Status:
    Implementation

    Update - First Quarter

    In Progress

    Update - Second Quarter

    In Progress

    Update - Third Quarter 

    In Progress