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University Hospitals Coventry and Warwickshire NHS Trust

University Hospitals Coventry and Warwickshire NHS Trust is one of the largest acute teaching hospitals in the UK, comprising University Hospital in Coventry and the Hospital of St Cross in Rugby. We offer major advances in patient care, clinical teaching and innovation. We're exceeding the national waiting times targets for our patients, our maternity services were rated as amongst the best in the NHS and we have low incidence of healthcare associated infections such as MRSA and C. difficile.

Updated:
21 September 2015
Location:
West Midlands
Sectors:
Pharmaceutical, Health, Care, Hospitals and Hospital Trusts
Local Alliances:
Coventry and Warwickshire 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?

Ensure staff are appropriately trained in dementia care. Multi-professional staff groups have an introduction to dementia care 

Provision of advanced dementia and delirium training. 

Developed a Forget-me-not champions group to share good practice and to provide a forum to discuss care and management of patients who have dementia 

Improve quality of care to patients who have dementia 

Developed a dementia screening process as part of the CQUIN dementia 

Developed a care pathway for dementia and delirium 

Improve our service for patients and their carers/relatives 

Involving carers/relatives in the patient’s journey 

Implement the ‘Getting to Know me’ tool 

Clinical nurse specialists in dementia care provide support and advice Trust-wide and undertake joint working with the Discharge team, and the mental health outreach team 

The provision of a memory lane and forget-me-not lounge to provide reminiscence and a calm, quiet space for people who have dementia and their carer/relatives 

Activities coordinators provide support and spend time with patients who have dementia. This includes orientation work (time, place, seasonal events, reminiscence, and arts and crafts). 

The development and implementation of a care-bundle into wards/departments, which highlights those patients who require more support with the use of the ‘Getting to know me’ tool. 

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

Improving use of the ‘Getting to know me tool’ and embedding the care bundle
Encouraging a multi-disciplinary approach
Working collaboratively with local GPs and care homes
Ensuring dementia care is person-centred, with the use of person centred care plans
Addressing nutritional and hydration issues
Ensuring patients with dementia are not lost in the system
Keeping the profile high and staying focused to the action plan
Articulate and implement actions to achieve good quality for patients and their relatives/carers in a cost effective way
Reducing ward/department transfers for patients who have dementia
Ensure timely and safe discharge, including the provision of information to relatives and carers about the support available in the local community

2. Actions

  • Forget-me-not

    Implement the forget-me-not care bundle, using a structured and intensive approach, which aims to deliver excellence in dementia care in the acute hospital setting, using the New Cross model.

    Status:

    2013 - First Quarter Update

    New member

  • Implement changes to improve the environment

    Design and implement changes to improve the environment, which are cost effective, using charitable funds and accessing resources from local higher education establishments.

    Status:

    2015 - Third Quarter Update

    We are looking at the environment (Noise, bed moves, clocks and orientation) including improving corridors. We have fiddle blankets and are looking at fiddle boards. We want to implement better brightly coloured crockery. Our frail and older people's team have also introduced activities for wards and sparkle boxes.

    2013 - First Quarter Update

    New member

  • Person centred care plans

    Develop and implement the use of person centred care plans based on the information from the ‘Getting to know me forms’. This will commence in ward 12 CDU where many patients are transferred to on admission 

    Status:

    2013 - First Quarter Update

    New member

  • Engage multidisciplinary teams

    Engage multidisciplinary teams during education to staff groups, and develop a champions groups, with representatives from teams to learn more about dementia, which can then be cascaded back to their own teams.

    Status:

    2013 - First Quarter Update

    New member

  • Dementia steering group

    Develop a dementia steering group to focus on the action plan.

    Status:

    2013 - First Quarter Update

    New member

  • Educate staff on delirium

    Educate staff on delirium.

    Status:

    2013 - First Quarter Update

    New member

  • Promote the discharge policy

    Promote the discharge policy, which advocates safe and timely discharges which take place in the daytime.

    Status:

    2013 - First Quarter Update

    New member

  • Minimal ward/department transfers

    Promote minimal ward/department transfers for patients who have confusion or dementia. Ensure patients with dementia are placed on the correct ward/department for their presenting condition at the time of admission and are not moved unless their clinical condition requires them to move to where they can receive specialist care in another ward/department.  

    Status:

    2013 - First Quarter Update

    New member

  • Support available

    Develop information for areas to provide for carers and relatives relating to dementia and support available outside of the hospital setting

    Status:

    2013 - First Quarter Update

    New member

  • Review complaints

    Review complaints made relating to care of the patients with dementia and identify any themes, creating an action plan for areas for improvement.

    Status:

    2013 - First Quarter Update

    New member