The Rotherham NHS Foundation Trust
Awarded Foundation Trust status in 2005, we provide a wide range of health services to the people of Rotherham (population approximately 252,000) and to an increasing number of patients from further afield. The Rotherham NHS Foundation Trust was developed from the Rotherham General Hospitals NHS Trust. One of the first 35 Trusts in England and Wales to achieve NHS Foundation Trust status. The Rotherham NHS Foundation Trust is an innovative organisation which continues to develop and grow at pace. On 1 April 2011, we integrated with primary care services in Rotherham and with a number of Dental Services in Doncaster. We aim to build a healthier future for our patients, their carers and families, our staff, and for anyone we care for. We are committed to implementing a vision that integrates hospital and community services and empowers our clinicians and managers to deliver real benefits to patients and their carers. We'll do this by providing healthcare services where they are most convenient and best suit our patients' needs. Rotherham Hospital is the Trust's main site but the Trust also operates from a large number of other sites in the community.
- 7 December 2016
- Hospitals and Hospital Trusts, Health
- Local Alliances:
- Rotherham 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?
Our role here at The Rotherham NHS Foundation Trust (TRFT) is to find ways to support local people accessing our many different services, who may also be experiencing dementia, to receive appropriate high quality care that is safe and effective.
We can help by encouraging a timely diagnosis, providing care by staff that are dementia aware and supporting people through the health and social care pathways.
As health providers we support people with a range of needs and whilst dementia may not be the overriding reason for accessing our many services, the treatment we offer will need to be tailored to the individual – this could be in the community – through district nurses and community matrons, and therapy teams or audiology. It could also be whilst the person is in hospital in an acute stage of illness.
An area where we want to support is by the meaningful engagement and involvement of people living with dementia, and their carers. Especially the practical engagement in decision making whilst in hospital and the planning of effective and timely hospital discharges.
What are the challenges to delivering these outcomes from the perspective of your organisation
2. What are the challenges to delivering these outcomes from the perspective of your organisation?
The evidence suggests that:
Up to 70% of acute hospitals are occupied by older people and up to 25% of these are people with cognitive impairment including those with dementia and people with dementia in general hospitals have worse outcomes in terms of length of stay, mortality and institutionalisation (‘the National Dementia Strategy’ 2009).
Our challenges include:
How to find ways to help individuals and their carers once admitted into an acute hospital to be supported to contribute to decision making and helped to navigate through the pathways towards discharge in safe and effective manner.
How to support the move to reduce the stigma that can be attached to dementia, towards high quality services delivered by staff that are dementia aware.
How to find ways to support individuals and their carers to access a timely diagnosis, and the opportunity for support locally that follows the diagnosis to prevent isolation.
The Rotherham NHS Foundation Trust 'Forget me Not' Scheme
To introduce a support pathway for people, who are admitted to Rotherham Hospital, aged over 65 years old, who may be experiencing memory issues as part of the acute illness, which may, along with their carers, benefit from extra support.
With the added goal of encouraging meaningful engagement with the person and their carers in decision making process throughout their acute stay.
- The Forget me not scheme wants to ensure high-quality care and support is given to
People living with dementia and their carers, throughout their contact with TRFT services, regardless of clinical need.
- ‘Forget me not’ is a Trust-wide scheme that supports staff in recognising that some older people may need extra help due to cognitive problems, caused by ill health and a combination of delirium, memory loss, frailty or dementia.
- The forget me not flower will become increasingly visible in the hospital, on wards and on the staff members’ uniforms who have received specific training around good practice in dementia care.
- Access to the forget me not scheme is via the Trusts reviewed holistic screening and assessments processes.
- We aim to identify those people who may benefit from being offered enrolment on the Trusts the TRFT” Forget me not “scheme, to support the needs of people living with dementia and their carers.
- The Forget-Me-Not campaign aims to improve awareness of dementia amongst the general public and staff.
- To review the forget me not scheme at regular intervals, using audit processes, and feedback, checking for the effectiveness in supporting people.
- Being implemented
The further training and development of TRFT staff.
There are approximately 4,300 staff employed by The Rotherham NHS Foundation Trust (TRFT)
We now have 72% of staff at The Rotherham NHS Foundation Trust training in dementia awareness with an intention of all staff to be dementia aware by 2018. An expansion of the existing Dementia Champions roles within the Trust- specifically relating to the roles of the Dementia Champions within the Forget me not scheme for supporting and delivering training. ( Silver and Gold level ) Dementia awareness training is offered to all colleagues irrespective of grade and role. For example: porters, matrons, ward clerks, pharmacists, junior doctors, administrative staff, nurses and therapists. In line with the Governments declaration of all NHS colleagues having access to dementia awareness training by 2018.
Meaningful engagement of people living with dementia and their carers.
Participation in a series of events and projects, with partners, to explore and learn from engagement of people living with Dementia and their carers, and put findings into practice. An expansion of the Dementia Champions role within the Trust under the Forget me not scheme. The Dementia Champions work both within the Hospital and the Community Services. To actively encourage feedback on the services received, using “You said, we did” approach to implementing change. Completion of the new digital dementia survey which captures patient and carer experience whilst in hospital. Promotion of person centred care and using 'This is Me' as a valuable tool with which to engage and enter into the patients world. The 'Forget Me Not' Carer Passport has been launched and the Trust has signed up to John's Campaign. The passport is available for the primary care giver for a person with dementia. The aim of this Passport is to facilitate extra support for both the patient and carer by removing restrictions on visiting hours, allowing carers to provide assistance with personal care and assist at mealtimes if they so wish,provide support when the patient is having investigations, reduce isolation, anxiety and frustration, signify the value of the carer’s contribution in the dementia patient’s care, identify help that is available to the carer and enable carers to stay overnight at the patients bed side if needed.
To develop new enhanced dementia friendly areas within the hospital, to support and promote wellbeing and healing
- To liaise and consult with the local stakeholders on development opportunities.
- To take the opportunity to bid for additional funding
- To utilise the skills and expertise from local staff within the Trust, local partners, and other networks including the NHS England, and the virtual Kings Fund network from the training courses; Designing care Environments for people with Dementia.
- Being implemented
Forget me not Carer Passports - supporting John's CampaignThe Trust has introduced a ‘Forget me not Carer Passport’ which will be given to the carer of the dementia patient, on admission to hospital. This will introduce the Forget me not scheme, facilitating additional support for both the patient and carer. The Carer Passport is only for the primary care giver of the person with dementia and aims to; • Remove restrictions on visiting hours, allowing 24/7 access • Allow carers to provide assistance with personal care and assist at mealtimes if they so wish • Provide support when the patient is having investigations • Reduce isolation, anxiety and frustration • Signify the value of the carer’s contribution in the dementia patient’s care • Identify help that is available to the carer • Enable carers to stay overnight at the patients bed side if needed • There will also be blue concessionary car parking forms available on each ward for those who have a Carer Passport. These can then be taken to security who will validate their parking ticket at a reduced rate of £1 per day.
- Being implemented
Dementia Friendly Hospital CharterThe Trust has signed up to the Dementia Friendly Hospital Charter launched by the Dementia Action Alliance and supported by the Alzheimer’s Society. The campaign is to improve hospital care for people living with dementia. It will build on the original call to action, the Right Care launched in 2014, which saw over 90% of NHS acute trusts commit to becoming dementia-friendly. The Charter provides both high level principles of what a dementia-friendly hospital should look like and recommended actions that hospitals can take to fulfil them. The intention is then to build a peer to peer support network between trusts based on a self-assessment to enable delivery of the principles of the Charter, including sharing examples of good and best practice.
- Being implemented
Supporting people with dementia with a basic hand muff.The Trust has launched a campaign to provide ‘Twiddlemuffs’ as part of the wide range of work it is doing to support people with dementia. These are a knitted hand muff with interesting bits and bobs attached inside and out. They have been designed and developed to provide simple stimulation for active hands, while promoting increased flexibility and brain stimulation. Many people with dementia have found the Twiddlemuff reassuring and comforting. These muffs will provide our patients with something to sooth restless hands and minimise agitation.
Sign up to Dementia Words Matter - DAA Call to actionImplementation of the correct terminology when referring to dementia through a raised awareness of Dementia Words Matter. The Language we use influences how people with dementia are viewed and how they feel and prefer words and descriptions which are respectful. Through Dementia awareness training the words used to address dementia will be highlighted to ensure that colleagues are enlightened to the effects that words can have on wellbeing in dementia.