Nottinghamshire Healthcare NHS Trust

Nottinghamshire Healthcare Trust is the major provider of Mental Health Services for Older People to the populations served by Nottinghamshire County, Nottingham City and Bassetlaw Primary Care Trusts. The service caters to the needs of all people suffering from dementia, regardless of age, and those presenting with functional illnesses who are over the age of 65 years. Our services have won awards within the Trust and have been nominated for a number of awards including “Best Innovation in Practice” at the National Dementia Congress

Updated:
1 June 2017
Location:
East Midlands
Sectors:
Pharmaceutical, Health, Care, Hospitals and Hospital Trusts
Local Alliances:
Nottinghamshire Dementia Action Alliance

1. Action Plan

1. The National Dementia Declaration lists a number of outcomes that we 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? 

Nottinghamshire Healthcare Trust is the major provider of Mental Health Services for Older People to the populations served by Nottinghamshire County, Nottingham City and Bassetlaw Primary Care Trusts. The service caters to the needs of all people suffering from dementia, regardless of age, and those presenting with functional illnesses who are over the age of 65 years. Our services have won awards within the Trust and have been nominated for a number of awards including “Best Innovation in Practice” at the National Dementia Congress. 

Nottinghamshire Healthcare is positive about providing integrated healthcare services, including mental health, learning disability and community health services.  

We will continually improve our services and our patient, service user and carer experience, as well as reducing the stigma associated with mental illness and learning disability. In conjunction with primary care and the County Health Partnership we will improve services for people across the County of Nottinghamshire. We are developing a tertiary service in collaboration with an independent partner to provide services for patients Working Age dementia, Alcohol related Brain Injury and Huntingdon’s disease.  

We are committed to research and are actively collaborating with the Institute of Mental Health (IMH) and the Collaboration for Leadership in Applied Health Research and Care (CLAHRC). We are committed to being recognised as the leading national integrated healthcare provider – nationally important, locally relevant and personally valued. 

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

To continue to work collaboratively with local GPs and other health team members on early diagnosis, the reduction in use of anti-psychotic drugs in people with dementia. 

Ensuring that the care of people with dementia becomes more people-centred, including a greater focus on person centred care plans. 

  • Ensuring that people with dementia receive care that meets essential standards of safety and quality.
  • Improving the commissioning of services for people with dementia.

A further challenge is to encourage and support localities to prioritise implementation of the National Dementia Strategy. The revised NHS Operating Framework for 2010/11 issued on 22 June 2010 confirmed dementia as a key area for local prioritisation. The Framework states that people with dementia and their families need information that helps them understand their local services and the level of quality and outcomes that they can expect, and that localities should publish how they are implementing the Strategy to increase local accountability for prioritisation.  

In a difficult economic climate we need to clearly make the case for action on dementia to achieve better outcomes in a cost effective way.

2. Actions

  • Mental illness and mental health promotion

    Are informed about mental illness and mental health promotion. 

    Status:
    Delivery

    2017 - Second Quarter Update

    The Diversity within Dementia Community of Interest continues to meet on a regular basis.  Their information stand will be taken to events during June 2017.

    Together with one of our Consultant Psychiatrists information sessions on mental health wellbeing have been provided at two community venues.

    2016 - Fourth Quarter Update

    The Diversity within Dementia Community of Interest continues to take an information stand to raise awareness of dementia to a number of events.

    Mental Health Services for Older People who provide services for people with dementia of all ages have recently undertaken a number of engagement events about their services with service users and carers.  This is to look at how services might be transformed and improved.

    2016 - Fourth Quarter Update

    The Diversity within Dementia Community of Interest continues to take an information stand to raise awareness of dementia to a number of events.

    Mental Health Services for Older People who provide services for people with dementia of all ages have recently undertaken a number of engagement events about their services with service users and carers.  This is to look at how services might be transformed and improved.

    2015 - Fourth Quarter Update

    2015 - Fourth Quarter Update

    The new Nottinghamshire Healthcare NHS Foundation Trust website is now available on the internet.  This contains information about Mental Health Services for Older People and also has information for carers, families and friends.

    The Diversity within Dementia Community of Interest has recently posted a blog on the Trust Involvement blog to encourage increased membership of the group and has taken their information stand to a number of the Carer's Roadshows across Nottingham City and County.

    2015 - Third Quarter Update

    The new Trust website continues to be in process to provide accurate information in an easily accessible format.  The Trust is starting to use social media to inform and interact with the public, for example twitter. 

    The Diversity within Dementia Community of Interest continues to take out an information stand to raise awareness of dementia and this has recently been taken to the Deaf Partnership Event to identify appropriate formats for providing information and to raise awareness of dementia.

    Staff Teams have also been participating in events to raise awareness of dementia e.g. at the Rushcliffe Asian Community Association health event and a stand at Asda in Sutton-in-Ashfield.

    2015 - Third Quarter Update

    The new Trust website continues to be in process to provide accurate information in an easily accessible format.  The Trust is starting to use social media to inform and interact with the public, for example twitter. 

    The Diversity within Dementia Community of Interest continues to take out an information stand to raise awareness of dementia and this has recently been taken to the Deaf Partnership Event to identify appropriate formats for providing information and to raise awareness of dementia within the Deaf community.

    Staff Teams have also been participating in events to raise awareness of dementia e.g. at the Rushcliffe Asian Community Association health event and a stand at Asda in Sutton-in-Ashfield.

    2015 - First Quarter Update

    A Trust Dementia Friends Champion has recently provided Dementia Friends training to the Nottingham Panthers Ice Hockey Team which was reported on the Panther's website and in the Nottingham Post. 

    The Trust website is currently being renewed which should provide easier access to information for the public.  This will encorporate up to date information about Mental Health Services for Older People and also information for Carers.

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    CST leaflet produced. Dementia Champions - train the trainers event 27th Aug 2013.

    2013 - Second Quarter Update

    Living well with dementia, recovery and risk enablement approaches to service delivery. ELC event with approx 200 senior leaders of the Trust focused event on dementia. Trust Board executives signed up as dementia friends.

    2013 - First Quarter Update

    Leaflets created for new Mental Health Intermediate Care Services. Promotion of new services with GP's.

  • Equality of Service

    Experience equality of service inclusive of ethnic, religious, or demographic profile. 

    Status:
    Implementation

    2017 - Second Quarter Update

    The Diversity within Dementia Community of Interest continues to meet on a regular basis.  Their information stand will be taken to events during June 2017.  Together with one of our Consultant Psychiatrists, information sessions on mental health wellbeing have been provided to two of our communities.

    Specific training for support staff within Mental Health Services for Older People continues to look at how we 'Work Across Cultures.'

    2016 - Fourth Quarter Update

    The Diversity within Dementia Community of Interest continues to meet on a regular basis and the membership remains diverse including the  voluntary sector, volunteers, carers and the public sector.  An information stand about dementia and also the preventative aspects to reduce the risk of getting dementia in later life, has been taken to a number of roadshows and events throughout 2016.  Information sessions about dementia have also been provided to community groups and these have been positively received.  The group also ensures that its membership is aware of materials produced to inform communities about dementia e.g. NHS Health Education England's film 'Finding Patience'.

    2015 - Third Quarter Update

    The Diversity within Dementia Community of Interest continues to meet on a regular basis. This is a partnership group made up of public sector staff, voluntary sector staff, volunteers and carers who wish to raise awareness and reduce the stigma around dementia in all of our diverse communities.  The group hopes to hold an open meeting in October to increase awareness of the group and encourage participation.  The information stand continues to be taken to a number of events and communities have requested information sessions about dementia.

    A training day for Day Unit staff in the north of Nottinghamshire has been held to inform of Transcultural Cognitive Stimulation Therapy and how Cognitive Stimulation Therapy can be adapted to meet the needs and be inclusive across all of the equality characterisitics.

  • Supporting Carers, Families and Friends.

    Nottinghamshire Healthcare NHS Foundation Trust has a renewed Carer's Strategy and is also implementing the Triangle of Care.

    Status:
    Delivery

    2017 - Second Quarter Update

    Nottinghamshire Healthcare NHS Foundation Trust continues to work towards implementing the Triangle of Care within it's services which includes Mental Health Services for Older People.  Inpatient Services' Action plans have been assessed by the Carers Trust and the Trust received a gold award.  The work within inpatient settings continues to be developed and Community Teams are now undertaking the full self assessment of their work with carers and identifying areas for development.  

    2015 - Fourth Quarter Update

    Nottinghamshire Healthcare NHS Foundation Trust has renewed it's Carer's, Families and Friends strategy and is also implementing the Triangle of Care across Services.  Mental Health Services for Older People Inpatient services will be undertaking the Triangle of Care assessment over the coming year and Community Services the following year.

    2015 - Fourth Quarter Update

    Nottinghamshire Healthcare NHS Foundation Trust has renewed it's Carer's, Families and Friends strategy and is also implementing the Triangle of Care across Services.  Mental Health Services for Older People Inpatient services will be undertaking the Triangle of Care assessment over the coming year and Community Services the following year.

  • Actively work with Commissioners

    And we will actively work with Commissioners to influence the development of services in line with the recommendations of the National Dementia Strategy

    Status:
    Implementation

    2015 - Third Quarter Update

    The Directorate continues to work with commissioners to provide appropriate and effective services for people with dementia and older people with mental health issues.

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    On going as above with expansion and development of community teams for older people. Recruitment to substantive posts within Liaison Psychiatry. Staff attendance in support of Bassetlaw Dementia Summit Event.

    2013 - First Quarter Update

    Ongoing including development of memory assessment, Mental Health Intermediate Care Teams, Rapid Response Liaison Psychiatry, expansion of dementia outreach in city, future inpatient provision.

  • Research and Development

    Research and Development

    Status:
    Planning

    2015 - Third Quarter Update

    Mental Health Services for Older People Directorate continues to promote participation in dementia research as appropriate. 

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    New member