Bradford Teaching Hospitals NHS Foundation Trust

Bradford Teaching Hospitals NHS Foundation’s mission is to provide the best quality safe healthcare to the people of Bradford and West Yorkshire.

Updated:
9 July 2015
Location:
Yorkshire and Humber
Sectors:
Health, Care, Hospitals and Hospital Trusts
Local Alliances:
Yorkshire & Humber Dementia Action Alliance, Bradford District 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? 

Bradford Teaching Hospitals NHS Foundation Trust have committed to changing the Hospitals environments, Nursing, Allied professional, Medical and Non-clinical Care and Practice to patients who have dementia, this will be done by way of Education and awareness of dementia care to Bradford Hospitals staff, design and delivery of communication tools aiding patient identification of dementia patients, implementing dementia care pathways, assessment tools and person-centered care across all in patient wards, signposting and promoting support services and groups for patients and their carers, collaboration with Multi-Disciplinary Teams for discharge advice and support and liaising with local and national research groups, helping to advance knowledge around dementia.    

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

Bradford Teaching Hospitals NHS Foundation Trusts main challenge is ensuring we give the same amount of time and workforce to each objective, the goals have to remain realistic in coordination with other projects that are ongoing. We want to deliver researched quality care, which comes with a time frame being delivered across the trust, we need to ensure consistency in care and delivery is spread across all inpatient wards.

2. Actions

  • Report to a Dementia Project Board

    Report to a Dementia Project board Bi Monthly.

    Status:
    Being implemented

    Update – First Quarter

    Completed

    Update – Second Quarter

    completed

    Update – Third Quarter

    completed

    We have an established Dementia steering group that meets every month, soon to change to bi montly. Quite recently , we have amalgamated our 4 work stream groups into 1. This group reports into the dementia steering group. For governance and assurance , the demnetia steering group feeds into our Patients first group, who reports to the executive board.

  • Educate All Staff

    Education of all BTHFT staff.

    Status:
    Being implemented

    Update – First Quarter

    Completed

    Update – Second Quarter

    Completed

    Update – Third Quarter

    Completed

    We have an established eduaction programme covering tier1-3 dementia awarness training. All training includes face to face sessions faciliated by interactive and simulation training.
  • Develop Sustainable Care Packages

    Develop sustainable care packages and pathways for patient s with Dementia.

    Status:
    Being implemented

    Update – First Quarter

    Initial scoping

    Update – Second Quarter

    Initial scoping

    Update – Third Quarter

    Implemented

    Over the past two years BTHFT have tried many avenues to improve the flow and transition of care. On refelection, paper documents have been found not to be productive, our model involves an awareness of how best to use existing documents and practices improving the patient and carers experience, living with a dementia whilst an inpatient or visiting our hospitals. We have implemented the 'forget me not' scheme as our patient identifier, aiding more effective communication, recognising our patients un met needs.
  • Incorporate Dementia Care

    Incorporate dementia care in future building projects and Ward refurbishments.

    Status:
    Being implemented

    Update – First Quarter

    Being Implemented

    Update – Second Quarter

    Being implemented

    Update – Third Quarter

    Being Implemented

    We have an establised policy which states any ward refurbishment or new builds have to follow the dementia friendly environment principles. We were fortunatate to secure funding from the PrimeMinsiters challange funding for enhancing environments. We were given £513:000 pounds to refurb two major corridors at our sister hospital, St Lukes. This was a major project including general public spaces. Our project was completed in May 2014.
  • Develop Dementia Lead Nurse Role

    Develop a Dementia Lead Nurse Role.

    Status:
    Completed

    Update – First Quarter

    In Progress

    Update – Second Quarter

    Initial scoping

    Update – Third Quarter

    completed

    We have been successful in the employment of a full time Lead Nurse role for Dementia.
  • Develop Service User Group

    Develop a service user group for advice and support on future and continuing dementia projects.

    Status:
    Initial Scoping

    Update – First Quarter

    In Progress

    Update – Second Quarter

    In Progress

    Update – Third Quarter

    Initial scoping

    BTHFT have not set up their own focus group but has attended focus groups around the Bradford district. The reason for not setting up our own focus group was to prevent carers overload/stress. Recently we have had an initial scoping exercise to look at hosting a well being cafe.
  • Collaborate with Other Project Groups

    Collaborate with other project groups working within the trust.

    Status:
    Being implemented

    Update – First Quarter

    In Progress

    Update – Second Quarter

    In implementation

    Update – Third Quarter

    being implemented

    The dementia steering group feeds into the patient first group and executive board, there are several other working groups for example pain, nutrition, end of life that feed into the dementia steering group. The lead nurse for dementia attends local governance meetings, bradford district steering groups, Yorkshire and Humber acute care champions group supported by the SCN , is part of the local, regional DAA looking at developing a dementia friendly city and supporting local dementia friendly communities.
  • Collaborate with the Community

    Collaborate with the community dementia alliance groups.

    Status:
    Being implemented

    Update – First Quarter

    In Progress

    Update – Second Quarter

    initial scoping

    Update – Third Quarter

    being implemented

    BTHFT have established working partnership with our community and voluntary organisations. The lead nurse attends local, regional meetings and attends local focus group meetings. Recently BDCT have employed a lead nurse for dementia, both leads work closley together to look at ways care pathways, care practices , commuinication can be improved.
  • Drive Dementia CQUIN Project

    Drive the dementia CQUIN project throughout the Bradford Hospitals.

    Status:
    Being implemented

    Update – First Quarter

    In Progress

    Update – Second Quarter

    In Progress

    Update – Third Quarter

    being implemented

    This is a continual action. BTHFT have an established model for screening people for dementia and delirium. Currently , BTHFT are investigating ways of using a joint communication template for documenting care planning.
  • Develop Newsletter and Website

    Develop a communication newsletter and website for staff, patients and carers.

    Status:
    Implementation

    Update – First Quarter

    In Progress

    Update – Second Quarter

    In Progress

    Update – Third Quarter

    planning

    Over the last two years we have produced newsletters for carers, patients and staff. We have not yet developed our web site.
  • Work with Regional Trusts

    Work with regional trusts to help develop local goals and objectives promoting continuity in delivery of care and services across the region.

    Status:
    Being implemented

    Update – First Quarter

    In Progress

    Update – Second Quarter

    Implemented

    Update – Third Quarter

    being implemented

    The lead nurse is a member of the Yorkshire and Humber acute care champions group. This group is responsible for discussing the wider issues relating to caring for people and carers living with a dementia. The objective is to provide consistency across the region in the care and services provided, share knowledge and develop working partnerships.