West Middlesex University Hospital NHS Trust

West Middlesex Hospital is an acute hospital in Isleworth, West London. We serve a local population of around 400,000 people covering the London Boroughs of Hounslow, Richmond upon Thames and surrounding boroughs. Our local commissioners of acute services are Hounslow and Richmond & Twickenham Primary Care Trusts. We also provide services to local residents in association with: The Brompton Hospital, Great Ormond Street Hospital, The Royal Marsden Foundation Trust, Chelsea and Westminster Foundation Trust, North West London Hospitals, Ealing Hospital and the Hammersmith and Charing Cross sites of Imperial Healthcare NHS Trust. Employing some 1,800 people, the hospital has around 400 beds. The Trust has an annual budget in excess of £148 million, and has a rolling programme of investment in the latest equipment and technology. West Middlesex has an impressive record: we perform well in comparative assessments of clinical performance. We recognise that part of the strength of the Trust is the dedication and commitment shown by everyone who works here. As a teaching hospital, we understand that we need to support all members of our staff in their personal development, whether that be through clinical qualifications or otherwise. Above all, West Middlesex is an extremely friendly place to work.

Updated:
8 October 2015
Location:
London
Sectors:
Health, Care, Medical, Emergency Services Sector
Local Alliances:
London Borough of Richmond upon Thames 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?

West Middlesex University Hospital NHS Trust provides a range of both in-patient and out-patient services to the local population and this includes a high percentage of people with dementia.

  • We are striving towards ensuring all staff have received specific training on how to aid a person with dementia at any time they are required to use our services.
  • We ensure patients where appropriate are assessed by the multi-disciplinary team in a timely manner and both the person with dementia and their carers are involved in any decision making process.
  • We are encouraging carers to be involved in key elements of care such as feeding at meal times.
  • We are aiming to improve the care environment for people with dementia by developing a specific space where people with dementia and their carers can spend time away from the busy confusing ward environment.
  • As an organisation we are also committed to ensuring dementia friendly principles are in-corporated into all future environmental projects.
  • We work closely with our community health and social care colleagues to ensure the delivery of seamless services across both hospital and community including the successful delivery of the CQUIN, participation in the Integrated Care pilot which focuses on the Complex Frail elderly and the Tranforming patient flow project.
  • We will continue to work with both national and local networks to ensure future development of dementia services for the local population.

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

The key challenges are as follows:

  • Embedding behaviour and culture change across all levels of the organisation
  • Financial constraints to enable the delivery of key objectives.
  • Competing priorities of both clinical and managerial staff
  • Resourcing of the training programme
  • Delivering the objectives relating to dementia whilst continuing to deliver other organisational performance indicators.
  • Being able to implement dementia friendly principles within the existing infra-structure.
  • Being able to demonstrate change and improvement through objective measures.

2. Actions

  • High profile of dementia

    Ensure dementia has a high profile in all areas of the organisation

    Status:
    Initial Scoping

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Dementia Steering Group

    There is a dementia Steering Group led by the Divisional Manager for Medicine and the Lead consultant for Dementia. This group has member from all areas of the multi-disciplinary team as well as representatives from West London Mental Health Trust.  This group feeds into the Older Peoples Steering Group which includes non-executive members of the trust board.

    Status:
    Implementation

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Designated space for people with Dementia and their Carers

    Aim to provide a specific space for use by people with dementia and their carers

    Status:
    Initial Scoping

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • The introduction of the ‘This is me’ documentation on all wards

    Status:
    Initial Scoping

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Training programme for all staff

    Ensure the continuation of a robust training programme for all staff

    Status:
    Implementation

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Actively encourage carers

    Actively encourage carers to be involved in key elements of care such as  feeding

    Status:
    Implementation

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • The Older People Scrutiny Panel

    Attendance at the Older People Scrutiny  Panel to contribute to the development  of the overall strategy for older people

    Status:
    Completed

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • The Butterfly Scheme

    Introduction of the Butterfly Scheme on to all wards including the implementation of Dementia Champions.

    Status:
    Initial Scoping

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Ensure the overall achievement of the CQUIN.

    To embed the screening, assessment and referral where appropriate for all patients aged 75 years or over and ensure the overall achievement of the CQUIN.

    Status:
    Implementation

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • To work with community partners

    To work with community partners to ensure a seamless patient journey across organisations.

    Status:
    Implementation

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A