Derbyshire Healthcare NHS Foundation Trust

Derbyshire Healthcare NHS Foundation Trust was established on 1 February 2011 when Monitor, the Independent Regulator of NHS Foundation Trusts, authorised Derbyshire Mental Health Services NHS Trust to become a Foundation Trust. In April 2011 we became the provider of Children’s Universal and Specialist Services for Derby city following a successful tender process. In addition as part of the Transforming Community Services (TCS) programme, Community Paediatric Services and Substance Misuse Services from NHS Derby City were transferred into the organisation. We are the largest provider of mental health and substance misuse services in Derbyshire, primarily serving the people of Derbyshire and Derby city which has a combined population of approximately 1 million.

Updated:
28 October 2014
Location:
East Midlands
Sectors:
Health, Hospitals and Hospital Trusts
Local Alliances:
Derbyshire 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?

 Derbyshire Healthcare Foundation NHS Trust provides the full range of multidisciplinary dementia health services across Derbyshire; in the north of the county in collaboration with Derbyshire Community Healthcare Services NHS Trust. We provide dedicated inpatient beds and day hospital places in the south of Derbyshire. Across Derbyshire consultant led out-patient clinics and specialist Community Mental Health Teams assess and support patients and carers across Derbyshire supplemented by a multidisciplinary Memory Assessment Service focussing on the needs of those presenting with milder dementia. In liaison with Derby Royal Hospital we provide a Rapid Assessment, Interface and Discharge (RAID) service. Our Trust has an extensive research program supported by the governance structures of the Research and Development Unit and our ambition is to increase the amount of research in Dementia.

 Our strategic objectives include:

  • Accreditation of our Memory Services via Memory Services National Accreditation Program
  • Working with Primary Care to develop a flexible model of delivery of Memory Assessment Services
  • Development of a Memory Assessment Manual to assist in providing quality and a consistent service
  • Maintaining improved prescribing of antipsychotics in Dementia
  • Evaluation of the RAID service in South Derbyshire
  • Improved engagement in research in Dementia

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

  • Ensuring we have the necessary skills and resources to achieve MSNAP accreditation.
  • There are several potential Memory Assessment Service models each of which have advantages and disadvantages. We are currently working with commissioners to finalise a final preferred model. The development of the MAS Service has taken resources from other parts of the service.
  • The Manual is already in development. It is difficult for a single manual to meet the needs of a range of clinicians with different levels of experience.
  • There has been good progress made against Prescribing Observatory for Mental Health UK audit standards for antipsychotics in dementia. We need to ensure we maintain the attention of clinicians to prescribing quality standards.
  • We need establish expected outcome measures in order to evaluate the RAID service.
  • Clinical time needs to be backfilled to enable clinicians’ involvement in research.

 

2. Actions

  • We will develop a work plan to lead MSNAP accrediation. We will report progress

    .

    Status:
    Implementation

    2013 - Fourth Quarter update

    In progress

    2013 - Third Quarter update

    New member

  • Having shared Memory Assessment models with commissioners we will now work with them to develop a strategy to implement the preferred model

    We will report progress by March 2014.

    Status:
    Implementation

    2013 - Fourth Quarter update

    In progress

    2013 - Third Quarter update

    New member

  • Having developed a draft Memory Assessment Manual we will refine it and when the final version is approved by our Dementia Board we will disseminate and seek feedback from a wider range of clinicians

    We will report back by December 2013

    Status:
    Implementation

    2013 - Fourth Quarter update

    In progress

    2013 - Third Quarter update

    New member

  • We will monitor compliance with use of the antipsychotic prescribing care plan with a view to replication of POMH-UK audit methodology within agreed timescales

    This will be agreed by December 2013

    Status:
    Implementation

    2013 - Fourth Quarter update

    In progress

    2013 - Third Quarter update

    In progress

  • Through our dementia board we will maintain an overview and report on the development of research activity in dementia within our Trust

    We will report on this by March 2014

    Status:
    Implementation

    2013 - Fourth Quarter update

    In progress

    2013 - Third Quarter update

    New member

  • We will audit the Dementia component of the RAID service against the agreed criteria

    This will be achieved by July 2014

    Status:
    Implementation

    2013 - Fourth Quarter update

    In progress

    2013 - Third Quarter update

    In progress