Burton Hospitals NHS Foundation Trust

Updated:
5 June 2015
Location:
West Midlands
Sectors:
Hospitals and Hospital Trusts
Local Alliances:
Staffordshire and Stoke-on-Trent 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.

Development of an Operational and Strategic Dementia Steering Group

Focus on continually improving the standards of care for patients with dementia, promoting carers and recognising the improvement in early patient carer and family involvement

To improve the Trust’s awareness and understanding of dementia and create a skilled and effective workforce- Involvement of the Alzheimer’s Society to support training and the creation of a staff information leaflet

Provide excellent quality care and treatment for all and enable access to a clear and explicit care pathway linking closely to the frail elderly team

To improve contacts with the wider community to enable safe discharge by providing easy access to care, support and advice

Provide good quality information for patients and carers diagnosed with dementia- development of an information leaflet

Delivery of the CQUIN dementia standards to drive quality improvement and innovation- Screening, assessment and referral

Embed the adapted ‘This is me’ leaflet on all wards

Completion of the adapted ‘Abbey pain scale’ on all ward areas

Ward based information folders which include information on nutrition and hydration, pain, challenging behaviour and Delirium

Development of Abbey Pain scale posters

Development of a Behavioural and Psychological Symptoms of Dementia (BPSD) policy

Development of End of Life Care

Development of Dementia metrics and anti-psychotic metrics

Development of dementia friendly ward areas

Development of a Trust intranet site

Development of a Delirium poster for wards and departments

Involvement in complaints relating to patients with dementia to ensure no common themes and provide ward based support to challenge practice

Review of the discharge policy to include patients with dementia- minimal ward moves, timely discharge

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

Encouraging a multi- disciplinary approach

Ensuring dementia care is person centred 

Improve ward based usage of the adapted ‘This is me’ leaflet

Improve ward based usage of the  Adapted Abbey pain scale

Ward based education to nursing and medical teams on the prescribing of anti-psychotics

Improve completion of 6CIT cognitive assessment                   
Recruitment of volunteers to support ward based activities

Ensure timely and safe discharge and attendance at the Emergency Department

Ensure all staff receive dementia awareness training

2. Actions

  • Strategic Steering Group

    Burton Hospitals NHS Foundation Trust has re-launched their Dementia Strategy and the team have been working tirelessly to ensure this is embedded across the organisation. The Trust alongside this launched their Forget Me Not Care Bundle encompassing hydration and nutrition, pain, This is me document, Communcation and Medication review. The Dementia Operational Group has changed somewhat and is now the Operational Group For older People incorporating Dementia. This feeds into the Strategic Steering Group. 

    Status:
    Delivered

    2015 - Second Quarter Update

    New action

  • Drive to fully implement the resources available to patient’s carers and staff supporting completion.

    Drive to fully implement the resources available to patient’s carers and staff supporting completion.

    Burton Hospitals NHS Foundation Trust has developed a carers survey that is sent out to relatives following discharge. This survey is analysed to ensure we are consistently striving to deliver a high standard of care to our patients.

    Status:
    Delivered
  • Dementia training to all staff

    Improve education and delivery of dementia training to all staff.

    The Trust now has over 72 dementia Champions who have all attended an intensive 2 day training course. Champions are both clinical and non-clinical staff and all wards have identified Dementia Champions. The Trust has also been working in partnership with Wolverhampton University to continue to deliver dementia Champions training asa well as awareness sessions and also Patient First Training (Managing Distress). The Trust delivers training at unduction around our team and the service we provide.

    Status:
    Delivery
  • High standard and consistency of care delivery

    Continue to have involvement in complaints to ensure a high standard and consistency of care delivery.

     

    the dementia Lead Nurse continues to be actively involved with any concerns patients have as well as their carers and often meets with family members on the wards to provide support as required.

    Status:
    Delivery
  • Development patient/ relative information leaflet

    Burton hospitals NHS Foundation Trust has developed a patient/ relative information leaflet with hospital contacts and agencies to support.This is available on the wards to patients and relatives to access. The Trust also has a staff information leaflet.

    Status:
    Delivered
  • Internet link

    TBurton Hospitals NHS Foundation trust is currently updating the internet link for members of the public to access. This will contain information and contact details of the team.

    Status:
    Being implemented