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St Michaels Hospice, Basingstoke

St. Michael's Hospice provides specialist palliative care in North Hampshire for patients with a life-limiting illness and support to their families and carers.

11 August 2014
South East
Health, Care
Local Alliances:
Hampshire 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?

St. Michael's takes a holistic approach to care as it is important to not only look after a patients physical symptoms but also their emotional and spiritual needs as well.  To achieve this holistic approach Hospice staff work as a multi-professional team, which includes nursing and medical staff, a therapeutic team, family and bereavement support. We have well established links and partnerships with healthcare professionals in the Hospital and community, which means we can respond quickly to patients' needs.

The Hospice is a friendly homelike environment and we provide a range of services that include: -

  • In-Patient care for symptom control (the main reason for referral), rehabilitation and terminal care. 
  • Day Care for patients living at home; offering peer support, a range of activities and access to professional advice and support. Day Care runs every Tuesday and Friday.
  • Additionally we provide a growing range of Out-Patient services, which include:
    • Therapeutic Clinic
    • Complementary Therapy
    • Medical Consultation
  • In the community St. Michael's Hospice at Home Service provides practical and specialist nursing care in people's homes.

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

St Michaels Hospice is a small organisation which only receives 22% of its funding from the NHS. The rest of the funding is from charitable donations. As a result man power is limited (most staff work part-time); this is combined with a significant lack of time and capacity.

Occasionally delivering on action plans can take longer as a result.

2. Actions

  • Identify staff who express an interest in becoming dementia champions

    • 2-3 staff to be identified who express an interest in dementia care
    • Representatives from in-patients & Hospice at Home
    • Consider skill mix of dementia champions
    • Role of champions to spread good practice to all staff through example and on the job demonstration of best practice. Also to advise and support relatives where applicable.
    Being implemented

    2014 - Second Quarter Update

    New member

  • 2. Ensure all staff (including volunteers, particularly those who work in IPU) are up to date with best practice in dementia care

    • Organise training of staff on forthcoming away days in September / October 2014
    • Review training requirements for volunteers and source appropriate trainer
  • Environmental Considerations: Review Signage in the in-patient unit

    • Identify all signs in patient areas that may require re-doing / changing
    • Identify any costs to be put forward for 2014/15 budget
    • Consider other environment improvements i.e. toilet seats, mirror covers etc.
    • Review information available to relatives including those with children.