Medway NHS Foundation Trust

Medway NHS Foundation Trust is committed to bringing its patients healthcare services in line with some of the best in the country

Updated:
8 October 2015
Location:
South East
Sectors:
Care, Communication, Health, Finance, Hospitality, Membership Organisations, Pharmaceutical, Utility, Retail, Recreation, Hospitals and Hospital Trusts, Research Sector, Transport Sector

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? 

The Medway NHS FT is a 550 bedded District General Hospital in North Kent.  We are planning to acquire Dartford and Gravesham NHS Trust later this year and are midway through the acquisition process. 

The Trust provides all general medical and surgical services; it has an 85,000 attendance emergency Department, 5,000 birth obstetric unit with level 3 NICU, paediatric unit with a community paediatric service.  The medical unit provides care of the older person specialty, cardiac, respiratory, gastroenterology, stroke care and diabetic and endocrine. 

Medway NHS FT is dedicated to developing excellent pathways of care for patients affected by dementia.  This strategy reflects the national Dementia Strategy, Living Well with Dementia (2009) and will assist the trust with improvements required to ensure first class dementia care is given to the patients of Medway Maritime Hospital. 

We have developed a dementia strategy, based on the national strategy, the objectives of which are listed below in question3.  The projects to improve the care of patients with dementia are high on the trusts agenda.  We are working hard to achieve the national dementia CQUIN which has already shown great improvements in dementia assessment within the trust this year.   We have excellent links with our local partners and commissioners and are fully supportive of any local dementia initiatives. 

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

The challenges are largely environmental currently but the monies from the strategic health authority allocated in 2012 will assist to improve this.  Training is available and staff are working through this training which has proved to be very beneficial.  Another challenge is accessing local community dementia schemes from the acute trust, however,  the trust is working with local commissioners to resolve this.

2. Actions

  • Improving public and professional awareness

    Improving public and professional awareness and understanding of Dementia 

    • Dementia training for nurses, physios via Dementia UK 
    • Consultant training via dementia lead consultant 
    • Butterfly scheme 
    Status:

    First Quarter

    In Progress (not in DAA quarterly report)

    Second Quarter

    In Progress (not in DAA quarterly report)

    Third Quarter 

    In Progress (not in DAA quarterly report)

  • Good quality early diagnosis and interventional

    Good quality early diagnosis and interventional for all 

    • Dementia assessment / CQUIN 
    Status:

    First Quarter

    In Progress (not in DAA quarterly report)

    Second Quarter

    In Progress (not in DAA quarterly report)

    Third Quarter 

    In Progress (not in DAA quarterly report)

  • Good quality information

    Good quality information for those diagnosed with Dementia 

    • Butterfly scheme
    Status:

    First Quarter

    In Progress (not in DAA quarterly report)

    Second Quarter

    In Progress (not in DAA quarterly report)

    Third Quarter 

    In Progress (not in DAA quarterly report)

  • Improved quality of care for people

    Improved quality of care for people with Dementia in general hospitals 

    • Acute medical dementia unit 
    • SHA environment bid 
    • Dementia UL training 
    • Butterfly scheme 
    • Dementia nurse 
    • Dementia Friends 
    Status:

    First Quarter

    In Progress (not in DAA quarterly report)

    Second Quarter

    In Progress (not in DAA quarterly report)

    Third Quarter 

    In Progress (not in DAA quarterly report)

  • Improved end of life care

    Improved end of life care for people with Dementia 

    • My wishes register 
    • LCP care training
    Status:

    First Quarter

    In Progress (not in DAA quarterly report) 

    Second Quarter

    In Progress (not in DAA quarterly report)

    Third Quarter 

    In Progress (not in DAA quarterly report)

  • Workforce development and training in Dementia

    Workforce development and training in Dementia 

    • Dementia training for nurses, physios via Dementia UK 
    • Consultant training via P Diem 
    • Butterfly scheme
    Status:

    First Quarter

    In Progress (not in DAA quarterly report)

    Second Quarter

    In Progress (not in DAA quarterly report)

    Third Quarter 

    In Progress (not in DAA quarterly report)

  • Joint commissioning strategy for Dementia

    Joint commissioning strategy for Dementia 

    • Work with Older People commissioner
    Status:

    First Quarter

    In Progress (not in DAA quarterly report)

    Second Quarter

    In Progress (not in DAA quarterly report)

    Third Quarter 

    In Progress (not in DAA quarterly report)

  • Performance monitoring and evaluation

    Performance monitoring and evaluation including inspection 

    • CQC inspections 
    • PLACE inspections 
    • Governors visits 
    • Enhancing Quality 
    • CQUIN
    Status:

    First Quarter

    In Progress (not in DAA quarterly report)

    Second Quarter

    In Progress (not in DAA quarterly report)

    Third Quarter 

    In Progress (not in DAA quarterly report)

  • A clear picture of research evidence and needs

    A clear picture of research evidence and needs 

    • Dementia nurse to be involved in research agenda
    Status:

    First Quarter

    In Progress (not in DAA quarterly report)

    Second Quarter

    In Progress (not in DAA quarterly report)

    Third Quarter 

    In Progress (not in DAA quarterly report)

  • Effective national and regional support

    Effective national and regional support for implementation of the strategy 

    • Attendance at local and national events to ensure the dissemination of information within the Trust
    Status:

    First Quarter

    In Progress (not in DAA quarterly report)

    Second Quarter

    In Progress (not in DAA quarterly report)

    Third Quarter 

    In Progress (not in DAA quarterly report)

  • Anti-psychotics

    Anti-psychotics 

    • Dementia assessment 
    • EQ audit
    Status:

    First Quarter

    In Progress (not in DAA quarterly report)

    Second Quarter

    In Progress (not in DAA quarterly report)

    Third Quarter 

    In Progress (not in DAA quarterly report)

  • Bid to the department of Health

    We have also submitted a bid to the department of Health for £1 Million project to develop a rehabilitation unit for dementia patients.  Rehabilitation is not currently offered by the local community trusts for dementia.

    Status:

    2012 - First Quarter Update 

    In progress (not in DAA quarterly report).

    2012 - Second Quarter Update

    In progress (not in DAA quarterly report).

    2012 - Third Quarter Update

    In progress (not in DAA quarterly report).