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Salisbury NHS Foundation Trust

Salisbury NHS Foundation Trust – which means local people have a say in helping shape our future.

1 August 2013
South East
Health, Care

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? 

Improving the quality of care of people with dementia throughout their hospital stay is “everyones business” in Salisbury NHS Foundation Trust (SFT).     The SFT dementia work programme is geared to improve the patient experience and to deliver on the eight regional dementia standards developed by the South West Dementia Partnership Group.  It is also mapped to the 10 Dementia NICE Quality Standards.  A baseline assessment has been completed alongside participation in the National Dementia Audit 2012.  

Delivery of the work programme is led by Directorate Management Teams and Quality leads working with leads from the Dementia Steering Group which provides leadership and expert advice crossing organisational boundaries.   55 clinical and non clinical dementia champions across the hospital dementia pathway are supported to progress initiatives based on patient and carer feedback and the Trust dementia education programme.  Achievements include mealtime observation and staff volunteers trained by Speech & Language Therapists as mealtime assistants to support wards in ensuring vulnerable adults are able to safely eat and drink, dementia specific quality indicators monitored and reported to the Trust Board, end of life care training in dementia care, and therapeutic and recreational activities providing social stimulation and reminiscence.   

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

A key challenge is caring for people with dementia in a hospital environment managing a wide range of acute conditions, high activity and patient flow whilst avoiding incidents such as falls, increases in anxiety and agitation, and patient transfers wherever possible.  Dementia specific challenges include achieving 90% compliance with the CQUINs target to achieve early diagnosis of dementia for all patients aged 75 years and over when assessing “unwell” patients in an environment unfamiliar to them, establishing carer assessments in hospital and increasing patient access to mental health liaison services and intermediate care.

2. Actions

  • Keep patient/carer feedback at the heart of all service improvements

  • Maintain and sustain dementia screening to support earlier diagnosis

    Maintain and sustain dementia screening to support earlier diagnosis

  • Environment programme across the Trust

    Progress the Enhancing the Healing Environment programme across the Trust

  • Introduce and evaluate a weekly dementia hospital ward round

    Introduce and evaluate a weekly dementia hospital ward round

  • Introduce a care card

    Introduce a care card alert for patients/carers

  • Continue to raise awareness using Trust screen

    Continue to raise awareness using Trust screen savers and awareness stalls

  • Use empathy and compassion

    Use empathy and compassion as a framework for staff training

  • Introduce coloured crockery

    Introduce coloured crockery and easy read menus

  • Increase recruitment of volunteers

    Increase recruitment of volunteers with support from the local Alzheimers Society

  • Dementia booklet

    Embed the This is me Document and Caring for Someone with Dementia booklet

  • Improve dementia care in outpatients 

    Improve dementia care in outpatients