What are cookies?

Our site uses cookies. A cookie is a small text marker stored on your computer that enables us to track the use of our website. We use cookies to help us understand what our users' interests and preferences are to ensure the website is as user friendly as possible.

This site only uses cookies in order to provide a service to visitors. No personal data is stored in cookies and cookies are not used in order to provide advertising. Cookies are used for the following purposes:

Learn more about cookies on aboutcookies.org

If you have any concerns about the processing of your personal data by the Dementia Action Alliance, please contact the Secretariat, c/o Alzheimer's Society, 43-44 Crutched Friars, London, EC3N 2AE.

Accept and continue

Royal Brompton & Harefield NHS Foundation Trust

Royal Brompton & Harefield NHS Foundation Trust is the largest specialist heart and lung centre in the UK and among the largest in Europe. We work from two sites, Royal Brompton Hospital in Chelsea, West London and Harefield Hospital near Uxbridge. The Royal Brompton & Harefield NHS Foundation Trust is a partnership of two specialist hospitals which are known throughout the world for their expertise, standard of care and research success. As a specialist Trust we only provide treatment for people with heart and lung disease. This means our doctors, nurses and other healthcare staff are experts in their chosen field, and many move to our hospitals from throughout the UK, Europe and beyond, so they can develop their particular skills even further.

Updated:
17 March 2015
Location:
London
Sectors:
Health, Medical, Other, Hospitals and Hospital Trusts

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?

As a Trust we are committed to identifying, assessing and providing the best outcome for people living with dementia and to work in partnership with our community colleagues, statutory and non –statutory, to ensure excellent care is provided not only for our patients but also their carers.

The Trust Lead for Older People has been tasked to look at all aspects of care affecting older people.  A Trust-wide steering group has been implemented to highlight areas that require improvement and as a forum for sharing information for best practice.

Ward-based ‘champions’ will assist with the implementation of new innovations for care.

There is a Trust web-site for older people with information for all staff to access including dementia. 

Staff have been advised the use of ‘This is me’ for patients with dementia, which is accessed from the trust web-site.

The Trust Lead is tasked with implementing the requirements of the dementia CQUIN targets and we are committed to achieving the national CQUIIN target for memory screening and to meet the objectives within the National Dementia Strategy.

As such we screen all patients admitted to the Trust aged 75years plus.

We are providing on-going training to all staff disciplines in the care of patients with dementia as well as providing training sessions for all staff to improve customer care and awareness.

We aim to continually improve our services and the quality of patient care for both patients and their carers and provide enough information for them to ensure they feel confident with the service and to ensure there is a flexible approach.

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

As a specialist Trust the main challenge we face is that we have relatively small numbers of patients with dementia therefore we need to ensure staff feel supported and confident when caring for a patient with dementia.

As we are based across 2 sites the importance of being able to engage all staff across both sites is crucial to the implementation of any changes.

Maintaining the high profile of caring for people with dementia within the Trust is also a challenge as we are competing with many other priorities therefore the challenge is to ensure not only the profile is kept high but to encourage staff to maintain current momentum in order to guarantee we offer high quality care.

Ensuring that the care of people with dementia becomes more people-centered, including a greater focus on person-centered care plans and continuing to improve services to meet an increasing demand.

Member contacts

www.rbht.nhs.uk

2. Actions

  • Training for all staff disciplines in caring for patients with dementia

    Currently we are giving all staff access to increasing their general awareness of patients with dementia by showing a video of a patient with dementia coming into hospital and later reviewing how they felt.

    This has had a hugely strong impact on all staff that have attended so far and the response has been positive with many staff expressing their gratitude to increasing their awareness.  Although this is not mandatory attendance we have actively encouraged all disciplines of staff to attend.  

    Subsequent to this more focused training will be provided to particular staff groups as staff are recruited with the ‘Dementia, Train the Trainer programme’.  This will be on-going training which staff will be encouraged to attend updates yearly.

    Status:
    Delivery

    2015 - First Quarter Update

    Dementia Awareness training ongoing and included in the Trust corporate induction.

    Tier 2 dementia training programme planned for all staff.

    Dementia simulation traijning currently in the planning process.

    2013 - Fourth Quarter Update

    New member

  • Improving the ward environment to make the areas and wards more dementia friendly

    Signage for bathrooms / toilets has been recently changed to ensure it is clearer for patients. Rather than looking at the use of primary coloured crockery which we found was not successful we are now looking at the use of primary colours for non-slip sheets for trays for patients to identify their food / drink easier. We have already worked with our catering department staff to ensure that the nursing staff are informed about patients who do not eat their food. We already use the red tray system and assist patients with meals / drinks. We are looking at the use of clocks calendars in ward areas to assist with orientation starting in the ITU / HDU areas initially and then expanding to include all areas. Patients with a history of confusion / dementia are located in highly visible areas on the wards and we work with the teams to minimise any transfers either inter-or intra-hospital.

    Status:
    Planning

    2015 - First Quarter Update

    All ward areas have picture signage as well as text for clarity.

    'Dementia' clocks sited in patient areas.

    Increased dementia awareness for all staff aids support for patients and their carers with dementia.

    Use of aide memoires to support inpatient stay.

    2013 - Fourth Quarter Update

    New member

  • Implementation of an Older People’s Steering Group in order to share best practice and to disseminate information and develop further initiatives in the care of older people

    An Older People’s Steering Group has been set up which looks at all aspects of older people’s care including dementia, nutrition and hydration, falls and end of life care. This group is attended by all staff disciplines and meets every quarter.

    Currently we are in the process of recruiting ward-based champions to ensure that the staff feel involved and can initiate any new innovation or highlight any problems they may experience and to give staff confidence to feel they have a forum for discussion.

    Status:
    Implementation

    2015 - First Quarter Update

    Older people & falls steering group held quarterly.

    Assists with plan of action to ensure trust is dementia friendly.

    Good source of communication and filtration of all information.

    2013 - Fourth Quarter Update

    New member