Nottingham University Hospitals Trust

Nottingham University Hospitals NHS Trust (NUH) is the fourth largest acute trust in England and provides services to more than 2.5 million residents of Nottingham and its surrounding communities. The trust also provides specialist services to between 3 and 4 million people from neighbouring communities. The Trust is based in the centre of Nottingham across three sites; Queen’s Medical Centre (QMC), Nottingham City Hospital and Ropewalk House. NUH has 87 inpatient wards across both QMC and City campuses. The trust has 88 wards, over 1700 inpatient beds and employs circa 15000 staff. As an organisation we are committed to improving dementia care for our patients and their families and carers’

Updated:
26 October 2017
Location:
East Midlands
Local Alliances:
Nottinghamshire 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?

 

  • A key focus of the Trust in improving dementia care is training and education of staff. We are committed to ensuring all staff have a good understanding of dementia both from the patients perspective as well as family members and carers’
  • The Trust has a dedicated dementia education strategy in which it identifies dementia training for all levels of staff across the Trust. This includes registered and non-registered staff as well as front line non-clinical staff; porters, ward waitresses, cleaners and ward receptionists
  • All staff receives dementia awareness training as part of their hospital induction.
  • We are committed to using ‘About Me’ (booklet designed to gather specific information about individuals who have dementia) to support person centred care.
  • We encourage flexible visiting for relatives and carers of patients with dementia and have recently launched our Carer’s Passport across the Trust
  • The Trust has a Rapid Response Mental Health Liaison team who support the identification and assessment of patients with dementia and on-going referral to required services.
  • We have dementia champion’s network who meet quarterly to share good practice, identify challenges and implement change.
  • We have identified the negative impact the environment of acute hospitals can have on the experience of someone with dementia and are working to improve this

 

 

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

  • Ensuring staff are released for training due to clinical demands
  • Ensuring skills and knowledge from training are embedded into practice
  • Understanding that no two individuals’ experience of dementia is the same and adopting a flexible approach to meet individual need.
  • Ageing population versus available resources.
  • Ensuring we can capture meaningful feedback from those living with dementia and those caring for patients living with dementia
  • Ensuring dementia CQUIN assessment is completed for over 90% of over 75 year olds admitted to the trust
  • Securing capital funding to provide more dementia friendly environments

 

Member website

www.nuh.nhs.uk/

2. Actions

  • Continue to implement dementia education strategy

    There is a dedicated practice development matron (PDM) for dementia and older people who is responsible for the implementation of the trust dementia education strategy. The strategy identifies training requirements for staff at all levels in line with Dementia Core Skills Education and Training Programme. The PDM is responsible for planning and delivering training days as well as building a network of trainers to aid sustainability of on-going training needs

    Status:
    Being implemented

    2016 - Fourth Quarter Update

    New Member

  • Continue to build skills and knowledge of dementia champions group and support implementation of best practice.

    The dementia champions are a growing network of staff who are passionate about improving the care of people with dementia their families and carers. They meet quarterly to update their knowledge and skill and to share good practice. They act as role models and support for other staff across the trust.

     

    Status:
    Being implemented

    2016 - Fourth Quarter Update

    New Member

  • Flexible visiting for families and carers of people with dementia

    We have recently trailed John’s campaign in one of our health care of older people wards. This allows open visiting for an identified carer of a person with dementia. The trail proved very successful and we have just launched this initiative across the organisation.

     

    Status:
    Being implemented

    2016 - Fourth Quarter Update

    New Member