Sherwood Forest Hospitals NHS Foundation Trust

Sherwood Forest Hospitals NHS Foundation Trust - Quality for All

Updated:
21 March 2017
Location:
East Midlands
Sectors:
Communication, Finance, Pharmaceutical, Health, Care, Hospitals and Hospital Trusts, Transport Sector
Local Alliances:
Nottinghamshire Dementia Action Alliance , Ashfield and Mansfield Dementia Action Alliance

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?

At Sherwood Forest Hospitals NHS Foundation Trust, we are committed to the improvement of care that we deliver for people with dementia, as well as the support we provide for their families and carers. This improvement will be Trust wide, across all specialities and disciplines. It will encompass raising awareness, education, screening and assessment, improved environments, increased communication, improved collaborative working, and more transparent processes. The care and support we deliver can impact massively on the lives of people with dementia, their families, and carers. By utilising our Quality For All approach, we aim to get it right, first time, every time.

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

Ensuring dementia care initiatives are sustainable and business as usual for patient care delivery, needs to be at the heart of our strategy. We need to acknowledge that implementation of change across an acute hospital is influenced by many internal and external health care priorities and goals. Our aim is the development and implementation of realistic and achievable goals that will make real, noticeable and measurable improvements to the care and support we deliver for people with dementia. There are a number of challenges that have been identified and mitigated against during the development of our work streams.

Current challenges include: 

Securing investment to provide more dementia friendly environments. 

Integration of dementia agenda across a large organisation with many specialities. 

Embedding of new practices into organisational culture takes both time and education.

Member website

www.sfh-tr.nhs.uk

2. Actions

  • Dementia screening

    Dementia screening for patients admitted to the trust.

    Status:
    Delivery

    2014 - First Quarter Update

    Since November 2013 we have sucessfully achieved our target to screen over 90% of patients aged 75 and over for the early signs of dementia and refer to specialist services as appropriate. This work continues thanks to the dedication and committment shown by our staff working in our admission units and across the wards.

    Updated June 2014

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    Screening programmes continue. An electronic solution is being investigated.

  • Partnership working

    Partnership working with educational providers to develop training packages through a structured annual training needs analysis.

    Status:
    Implementation

    2014 - First Quarter Update

    We continue to work with the wider health education community, both regionally and nationally to develop and deliver better educational programmes around dementia care. Our latest programme is funded thanks to the Nottinghamshire Local Education Training Council and it entitled 'Meaningful Activities'. We are currenlty working to develop a more robust method of evaluation and analysis of improvements in the care delivered to people living with dementia as a result of training recieved.

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    Training needs analysis has been completed. 90% of staff received dementia awareness training in 2012/13. We are looking to build on this and introduce an e-learning package for 'hard to reach' staff groups.

  • Becoming a dementia resource centre

    Becoming a dementia resource centre and signpost for the local community.

    Status:
    Implementation

    2014 - First Quarter Update

    Our Dementia Carer Information Packs are a great success and our Reading about Dementia library resource has recieved national recognition. We continue to work closely with our Library and Knowledge Service colleagues to develop new and innovative ways to develop our resources

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    Working in conjunction with local and regional health and public libraries, we are introducing ground-breaking initiatives to provide information for people living with dementia, their carers and family.

  • Driving the dementia CQUIN project throughout the Trust

    We continue to raise the profile of dementia across the Trust and within the wider community.

    Status:
    Implementation

    2014 - First Quarter Update

    Since November 2013 we have achieved our Demetnia CQuIN and continue to do so. The introduction of new technologies (VitalPac) will further streamline and improve this service.

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    In progress

  • Working with regional groups and neighbouring Trusts

    Working with regional groups and neighbouring trusts to deliver ‘joined up’ services and share excellence in practice.

    Status:
    Implementation

    2014 - First Quarter Update

    Our Trust continues to have a presence in local, regional and national groups for dementia.

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    We are working with Age UK and the Alzheimer's Society to deliver support for people living with dementia, their carers and family directly on our clinical areas. We are also forging better links with neighbouring Trusts.

  • Improved discharge communication

    Improved discharge communication through the development and implementation of more detailed electronic discharge summaries.

    Status:
    Completed

    2014 - First Quarter Update

    In progress

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    Discharge summaries now include dementia specific information for our colleagues in Primary Care.

  • Development and implementation

    Development and implementation of patient information leaflets and ‘who I am’ pack.

    Status:
    Implementation

    2014 - First Quarter Update

    Sherwood Forest Hospitals has adopted the This is Me leaflet across the Trust. This has been very well recieved by staff, patients and carers alike. We plan to continue to reinforce the importance of it's use.

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    This is Me has been launched at the Trust. The challenge ahead is to embed its use in practice.

  • Review and advice

    Review and advice for prescribers in relation to antipsychotic drug use.

    Status:
    Completed

    2014 - First Quarter Update

    In progress

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    This information is now included on discharge summaries for Primary Care Colleagues. We have an anti-psychotic specific pharmacist.

  • Network of skilled volunteers

    Development of a network of skilled volunteers to support people with dementia who come into contact with the trust.

    Status:
    Planning

    2014 - First Quarter Update

    Our network of Dementia Befriending Volunteers are in place and are providing a fantastic service on our wards. The positive impact that our dedicated volunteers has can not be overstated. Nothing is too much for them with patients, carers and staff all singing their praises!

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    We continue to drive this project forward at the Trust.

  • Evaluation of current provision and implementation of alterations to care environments, making them more dementia friendly

    New dementia friendly signs are being trialled on wards in the Trust. The Trust is scoping further initiatives to make clinical areas more dementia friendly.

    Status:
    Implementation

    2014 - First Quarter Update

    5 wards currently have dementia friendly signage with another 10 wards on order at Kings Mill Hospital. Signs are also on order for Newark Hospital and Mansfield Community Hospital. We are also in the planning stages of developing a dedicated dementia friendly care environment. We aim to provide the very best quality care in the very beast quality environment.

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    In progress