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Great Western Hospitals NHS Foundation Trust

The Great Western Hospitals NHS Foundation Trust provides acute hospital services (at the Great Western Hospital) and community health and maternity services across Wiltshire and parts of Bath and North East Somerset. These services include community hospitals, community nursing, therapists, children's and young people's services along with hospital based maternity services from the Princess Anne Wing at the Royal United Hospital in Bath.

Updated:
13 March 2014
Location:
South West
Sectors:
Health, Care, Medical, Hospitals and Hospital Trusts

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?

  • There is a Trust Dementia Strategy Group that is chaired by a Consultant Physician and Deputy Chief Nurse. The Group’s membership is multi-professional across healthcare agencies and includes a person with dementia. The Group reports quarterly to the Patient Safety and Quality Committee that is a  sub-committee of the Trust Board and annually to the Trust Board.
  • Dementia Care is part of the Trust Quality Accounts that receives reports on our progress.
  • The work plan of the Dementia Strategy Group includes developing dementia friendly environment; developing a dementia pathway; implementing the national dementia CQUIN, developing a trust Dementia Strategy, supporting the Dementia Champion programme and hosting an annual dementia conference. 
  • The ward refurbishment programme is ongoing and includes making practical changes to improve the environment for people with dementia. 
  • The national dementia CQUIN was initiated in Oct/Nov 2012 on the acute and community hospital sites.  Information booklet explaining the reasons for screening, assessment and referral has been produced.
  • A discrete symbol is visible on wards white board that will alert staff that a patient may have problems with their memory.
  • Dementia Champion appeal launched in October 2012 and the first Trust wide forum took place on 16th November 2012. The programme includes involvement with people with dementia and their carers.
  • A dementia training programme is in place that is delivered by the Trust Academy. Dementia information folder is available on all wards and there is a dementia information section on the Trust internet.
  • Volunteers are enrolled onto the dementia awareness training.
  • The Trust is part of the South West Dementia Champion Programme and participates in peer reviews.
  • The Trust participates in the National Dementia Audit.
  • There is an antipsychotic drug policy that was developed in collaboration with the Mental Health Provider. 
  • The Trust Community Services have agreed a Dementia CQUIN assessing and signposting carers to receive further support and help.
  • The Trust works closely with Carillion to support the Trust ambitions. Carillion network across other hospitals in the UK where they provide services to spread the word.
  • There is good partnership working with Prospect Hospice to support people with dementia at end of life.


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

  • More investment in providing dementia friendly environment. 
  • Supporting people at home for as long as possible that does not require hospital admission.
  • Seamless service with regards to discharge planning. 
  • Delivering education and training for a large staff population.
  • Timely Involvement in Mental Health Services when required. 
  • Embedding the antipsychotic guidelines. 
  • Embedding ‘This is Me’ across the organisation

2. Actions

  • Apply for financial assistance from national dementia fund

    The Trust will submit an application to the national dementia fund to obtain financial assistance towards a dementia friendly environment. The Trust will also achieve this though fund raising.

    Status:
    Planning

    Update - First Quarter

    In progrss

    Update - Second Quarter

    In progress

    Update - Third Quarter

    In progress

  • Use of dementia pathway

    The dementia pathway will assist in supporting patients through their clinical pathway. Involvement in community teams and social services is essential in preventing admissions and timely discharges to a place of choice.

    Status:
    Implementation

    Update - First Quarter

    In progress

    Update - Second Quarter

    In progress

    Update - Third Quarter

    In progress

  • Dementia training to contracted services

    Dementia training is extended to contracted services such as Carillion and retail organisation providing services on behalf of the trust.

    Status:
    Delivery

    Update - First Quarter

    In progress

    Update - Second Quarter

    In progress

    Update - Third Quarter

    In progress

  • Dementia Champions

    Dementia Champions will help to embed good practices locally e.g. the use of ‘This is Me’.

    Status:
    Implementation

    Update - First Quarter

    In progress

    Update - Second Quarter

    In progress

    Update - Third Quarter

    In progress

  • Review and update of Dementia intranet

    Review and update the Dementia Intranet site to ensure all staff have easy access to information.

    Status:
    Implementation

    Update - First Quarter

    In progress

    Update - Second Quarter

    In progress

    Update - Third Quarter

    In progress

  • Focus on key priorities and publish achievements

    Continue to focus on key priorities and publish achievements.

    Status:
    Planning

    Update - First Quarter

    In progress

    Update - Second Quarter

    In progress

    Update - Third Quarter

    In progress

  • Engage with partners in the South West

    Continue to engage with partners in the South West through forums and peer review.

    Status:
    Implementation

    Update - FIrst Quarter

    In progress

    Update - Second Quarter

    In progress

    Update - Third Quarter

    In progress