Heart of England NHS Foundation Trust

Updated:
30 June 2014
Location:
West Midlands
Sectors:
Care, Health, Medical, Hospitals and Hospital Trusts
Local Alliances:
Solihull Dementia Action Alliance, Birmingham 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? For example other hospital trusts have stated.

  • Work closely with local NHS and Council, in the delivery of local action plans intended to meet the objectives within the Dementia Strategy.
  • A local multi-agency Dementia Strategy Steering Group is responsible for delivering the objective related to acute hospital care. Areas for development form part of a three year work plan detailing how the experiences of patients will be improved in hospital.
  • Developed a Dementia Care Action Committee which has created an action plan.
  • Ensure staff are appropriately trained in dementia care to enable an informed and effective workforce.
  • Develop an explicit care pathway for the management and care of people with dementia.
  • Improve the quality of patient care.
  • Improve the end of life care for patients with dementia.
  • Patients diagnosed will receive written and verbal information about their condition, treatment and the support options in their local area.
  • Ensure that patients with suspected or known dementia have access to a liaison service that specialises in the diagnosis and management of dementia and older people’s mental health.
  • Positive about providing integrated healthcare services.
  • Continually improve our services and our patient, service user and carer experience, as well as reducing the stigma associated with mental illness and learning disability.
  • Developing a tertiary service in collaboration with an independent partner to provide services for patients with Working Age dementia.
  • Committed to research and are actively collaborating with others.

2.      What are the challenges to delivering these outcomes from the perspective of your organisation? For example other hospital trusts have stated:

  • Infection control, patient activity and volume
  • Encouraging others to prioritise implementation of the local Dementia Strategy as well as the Department of Health’s strategy.
  • Ensuring dementia is a key local priority.
  • Ensuring patient profiles are completed.
  • Addressing nutritional issues for patients in the most acceptable way for catering and dietetic services.
  • Improving services and meeting the increasing demand.
  • Competing priorities – internally and externally.
  • Delivering on all the NDS objectives whilst prioritising the 4 key areas of Early Diagnosis, Acute care, Home care and Care Homes.
  • Disparity of expectations from stakeholders.
  • Keeping the profile high in an atmosphere of uncertainty and transition.
  • Continue to work collaboratively with local GPs and other health team members on early diagnosis, the reduction in use of anti-psychotic drugs.
  • Ensuring that the care of people with dementia becomes more people-centred, including a greater focus on person centred care plans.
  • Ensure that people receive care meeting essential safety & quality standards.
  • Improving the commissioning of services for people with dementia.
  • Encourage and support localities to prioritise implementation of the National Dementia Strategy.
  • In a difficult economic climate we need to clearly make the case for action on dementia to achieve better outcomes in a cost effective way.

2. Actions

  • The environment in which care is given

    Improve the physical environment within the Hospital including pictorial signage. Introduce activity and memory boxes.

    Status:
    Initial Scoping

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • The knowledge, skills and attitudes of the workforce

    • Training needs analysis for all staff that engage with patients with dementia
    • Develop anti-delirium guidelines.
    • Development of a policy for use of anti-psychotic drugs.
    • Inform staff about mental illness and mental health promotion.

     

    Status:
    Implementation

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • The ability to identify and assess cognitive impairment

    • Promote early diagnosis of dementia by developing pathways for dementia/delirium care.
    • To develop improved assessment processes and care planning involving the person with dementia, their relatives/carers.
    • Introduce guidelines on the completion of the mini mental test on patients admitted over the age of 75.
    Status:
    Initial Scoping

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • The ability to support people with dementia to be discharged back home

    • To continue to work closely with voluntary services within the hospital and other local voluntary bodies.
    • Promote safe and early discharge with improved personal and community support.
    • Develop information for clinical areas regarding services available in the community.
    • Treated in mainstream services if they have mild/moderate mental health difficulties.
    • Treated by specialist services if they have more complex/severe mental health needs.
    • People remain in their homes supported with community care for as long as possible.
    • Have access to alternative accommodation when they can not remain at home.
    • Ensure that people are not inappropriately admitted and are supported to return home as quickly as possible.
    • Work with Commissioners to influence the development of services in line with the recommendations of the National Dementia Strategy
    • Employ Admiral Nurses
    Status:
    Implementation

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • The use of a person-centred care plan which involves families and carers:

    • To develop a local personalised information booklet based on best practices across the region.
    • Introduce the ‘Butterfly Scheme’.
    • Introduce ‘This is me’
    • Identify the current pathway for patients with dementia and develop a recommended pathway.
    • Launch activity of the Dementia Care Action Plan and promotion of the plan during Dementia Awareness week
    • Working with the Volunteer Manager to increase the number of volunteers supporting patients with dementia
    • Ensure people experience equality of service regardless of ethnic, religious, or demographic profile.
    • Signing-up to the Think Local Act Personal’s “Making it Real” personalisation campaign - www.thinklocalact personal.org.uk/MIR.

     

    Status:
    Initial Scoping

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Underpinning actions

    • Having a board level commitment to becoming dementia friendly
    • Dementia lead within the organisation
    • Network of dementia champions
    • Implement ‘dementia care mapping’ courses across the organisation.
    • To commence an in-reach Dementia Liaison Service within the Trust.
    • To continue to develop central resources via intranet.
    • Working with wards at protected meal times, visiting times, coloured trays etc.

     

    Status:

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A