Doncaster and Bassetlaw NHS FT

The Trust is committed to improving the care of people with dementia, whilst providing a listening ear and a high level of support for carers.

Updated:
3 March 2014
Location:
East Midlands
Sectors:
Health
Local Alliances:
Nottinghamshire Dementia Action Alliance , Yorkshire & Humber Dementia Action Alliance, Doncaster 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?

The Trust has developed a detailed Dementia Strategy for the care and support of patients with Dementia, their relatives and carers. The strategy covers all aspects of care for patients suffering from Dementia during their interactions with the acute Trust, whether as an inpatient, an outpatient or attending the A&E department. And across all Trust sites. Work is underway to make our wards Dementia friendly – in the first instance this is being addressed within the specific Care of the Elderly clinical ward areas, with a plan to roll out all the main principles to other wards where people with Dementia use our services.

The Care of the Elderly Clinical Service Unit is also responsible for End of Life Care, and works closely with a neighboring provider Trust on palliative care services for dementia patients.

The Trust’s Lead for Dementia is Dr Rod Kersch, he has commenced the strategy is currently in draft form, prior to wider consultation with all stakeholders across the communities which the Trust serves. There is an Older People’s Mental Health Strategy Group with representation from different service providers beyond the Trust and across the communities, who are also working with this strategic development. Staff education work is ongoing to raise general awareness on dementia and provide further education across the trust, including the recent dementia awareness cards. Focused continuing education for clinical staff continues, not just on clinical care, but we are also now addressing core care values, attitudes, behaviours and above all compassionate care.  

The Trust has a Nutrition Steering Group and nutritional support strategy. Work on hydration is being considered for inclusion within this group.

Open ward access for relatives and carers to encourage and support the patient with eating and drinking is offered in wards where some dementia patients receive care. We are working to encourage the expansion of this approach on all wards and all sites.

Working relationships between the Trust’s Care of the Elderly services and mental health teams, have been significantly developed thorough the Older People Mental Health Strategy Group.

The launch of an Older People’s Mental Health liaison team for patients with dementia, delirium or depression commenced in January 2012. This has been recently evaluated and the feedback of patients, carers, and staff a has been very positive, the service does not operate on the Bassetlaw site yet, but it is our hope that this will be possible in the future

The appointment of RMN qualified liaison nurses has brought different skills into acute care for patients with dementia. It has also progressed better ways of engaging with patients to support their care, clinical pathways, discharge decisions, and post discharge care management. This has had a significant effect on the care of patients, support to carers and staff, and overall outcomes for people with dementia in the trust. The pilot continues across DRI and it is hoped will be a service which can be provided across Bassetlaw also in time.

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

This question is to allow you to set out some of the key challenges to delivering for people with dementia from your organisation’s perspective. For example, a Royal College might state the challenge on its members understanding about dementia. A training body might say that there is no agreement on what a core curricula should be.  

The greatest challenge at this time is the dissemination of the good practice we have identified as effective, by creating Dementia friendly wards for patients, endeavouring to always hear and include relatives and carers in the patient’s care and any decision making and rolling out the work of the Older People’s Mental Health liaison team for patients with dementia across all our sites

Where people with dementia use general wards and out patient departments, ensuring their needs are understood and accommodated is key.

We recognise the need for sustained and more widespread Staff education – the challenge is in informing and embedding good practice across all Trust areas where patients with dementia receive their care. Work to raise general awareness on dementia is now being built upon with focused education for clinical staff not just on clinical care, but also now addressing core care values and compassion.

 

 

 

 

2. Actions

  • The Trust’s Strategy to provide the right care for patients with Dementia

    We will be progressing the education of staff and the Trust’s Strategy to provide the right care for patients with Dementia and their carers across all sites and all departments including any ward, out patients or A&E department where patients may attend.

    Status:
    Implementation

    2013 - Fourth Quarter update

    In progress

    2013 - Third Quarter update

    In progress

    2013 - Second Quarter update

    New member

  • To listen to and respond appropriately to the needs and rights of carers

    We will also be working to listen to and respond appropriately to the needs and rights of carers.

    Status:
    Implementation

    2013 - Fourth Quarter update

    In progress

    2013 - Third Quarter update

    In progress

    2013 - Second Quarter update

    New member

  • Working with health and social care providers

    We will be working with health and social care providers, and seeking to fully appreciate the role and function of the third sector and how in acute healthcare we can work effectively with all agencies providing care and support to dementia patients.

    Status:
    Initial Scoping

    2013 - Fourth Quarter update

    In progress

    2013 - Third Quarter update

    In progress

    2013 - Second Quarter update

    New member

  • To design care pathways around the patient and service users

    We will be working together with the other agencies to design care pathways around the patient and service users and do this in balance with the needs of carers.

    Status:
    Initial Scoping

    2013 - Fourth Quarter update

    In progress

    2013 - Third Quarter update

    In progress

    2013 - Second Quarter update

    New member