Guy's & St Thomas' NHS Foundation Trust

Guy's and St Thomas' is one of the largest NHS Trusts in the UK. Across the two hospitals, the Trust provides 1.6 million patient contacts in acute and specialist hospital services and community services every year. With an annual turnover of £1.1 billion, we employ 12,500 staff. Guy’s and St Thomas’ is part of King’s Health Partners Academic Health Sciences Centre (AHSC), a collaboration between King’s College London, and Guy’s and St Thomas’, King’s College Hospital and South London and Maudsley NHS Foundation Trusts.

Updated:
23 February 2015
Location:
London
Sectors:
Hospitality, Care, Health, Hospitals and Hospital Trusts
Local Alliances:
Southwark 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?

We have 1.6 million patient contacts a year and approximately two thirds of these patients are over the age of 65. We are seeing an increase in patients with a diagnosis of dementia. We have a duty to ensure high quality and safe care is delivered to all our patients.

We will ensure that all staff have an understanding of dementia and the effects that it may have on individuals and how to support patients. Clinical staff will be equipped with the appropriate skills to care for patients with dementia.

The patient must be at the centre of all discussions and we will ensure that people with dementia have the right level of advocacy. We will ensure that carers feel fully involved and supported.

We will screen our older patients and offer support services as early as possible.

We have specialist services available and will ensure that older patients have the support of the specialist older person’s team.

We demonstrate strong leadership in clinical care and pride ourselves in the work that we are doing in striving to provide the best care for people with dementia. We have a very strong local and national role in driving forward dementia care.

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

We have made a clear undertaking that the care we deliver to patients with dementia must be excellent. A challenge is the size of our workforce and making sure that everyone understands what is required of them and the support they need is available to them when they need it.

Our values based behaviour training and the embedding of the Mental Capacity Act 2005 principles are some of the ways to ensure that staff are clear about their duties and obligations. We have also established a Delirium and Dementia team for support and advice.

Another challenge is to make sure that dementia care is everyone’s priority, within and outside of the organisation. We need to ensure that all services are responsive to the needs of the person with a dementia and their carers. We will continue to work with other organisations and services to achieve the best outcomes.

2. Actions

  • A dementia awareness campaign, "Barbara's Story", being delivered to all 12,500 staff across the organisation

    We are committed to delivering dignified and compassionate care to patients with dementia. We have a dementia awareness campaign, "Barbara's Story", being delivered to all 12,500 staff across the organisation to engage staff on the impact of a hospital stay on an elderly patient with dementia. This has been well received by all grades and disciplines of staff.

    Status:
    Implementation
  • Real impact of the Training programme

    The training programme has had a real impact within the Trust and generated considerable external interest. We can influence similar projects by other organisations from the learning and success that we have encountered with this training.

    Status:
    Implementation
  • Developing Barbara’s story

    We will be evaluating and developing Barbara’s story as six further training sessions.

    Status:
    Planning
  • "Forget-me-not" model of care

    We have initiated a "Forget-me-not" model of care to support the recognition of those diagnosed with dementia and therefore ensure staff take extra time and give more support through communication and care activities.

    Status:
    Implementation
  • We have developed a core dementia care plan

    We have developed a core dementia care plan.

    Status:
    Implementation
  • A multidisciplinary Dementia and Delirium team, (DaD) to provide extra specialist support to patients and staff in the Trust

    We have introduced a multidisciplinary Dementia and Delirium team, (DaD) to provide extra specialist support to patients and staff in the Trust. This helps to support the patient experience by ensuring that staff become more confident in understanding and recognising behaviours and communication needs.

    Status:
    Implementation
  • Developing a dementia and delirium care ‘bundle’

    Delirium affects many patients with a diagnosis of dementia, by recognising the difference and managing this swiftly and appropriately the patient experience and outcome can be greatly improved. We are developing a dementia and delirium care ‘bundle’.

    Status:
  • Delirium booklet

    We have produced a Delirium booklet which is given to all carers of the person with dementia to enable understanding of the condition and possible causes.

    Status:
    Implementation
  • Participated in the National and London Dementia CQUIN

    We have also participated in the National and London Dementia CQUIN and are on trajectory to achieve both of these.

    Status:
    Completed
  • A member of Kings Health Partners

    As a member of Kings Health Partners we work closely with KCH and SLaM to run the Southwark and Lambeth Memory service and we are partners of the Southwark and Lambeth Integrated Care Community program, which organises services around the needs of our patients.

    Status:
    Implementation
  • We are developing Community services within King’s Health Partners and working together to prevent readmissions and reduce length of stay

    We are developing Community services within King’s Health Partners and working together to prevent readmissions and reduce length of stay.

    Status:
    Planning
  • Developing a carers information pack

    We are reviewing support for carers; developing a carers information pack and exploring the possibility of a dementia café.

    Status:
    Planning
  • User friendly environment for patients with dementia

    We are reviewing the environment and how we can make this more user friendly for our patients with dementia.

    Status:
    Planning
  • Dementia friendly services

    Directorates are reviewing how they can make their services more dementia friendly.

    Status:
    Planning