Leeds Teaching Hospitals NHS Trust

Leeds Teaching Hospitals is one of the biggest NHS trusts in the country and offers a full range of specialist and general hospital services with good clinical outcomes for patients. We have an international reputation for excellence in specialist care, research and academic training.

Updated:
20 April 2017
Location:
Yorkshire and Humber
Sectors:
Care, Health, Medical, Hospitals and Hospital Trusts
Local Alliances:
Yorkshire & Humber Dementia Action Alliance, Leeds 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?  

  • The Trust is committed to improving the care of people with dementia and providing support for carers.
  • The Trust sits on the multi-agency Leeds Integrated Dementia Board to improve services and for people with dementia throughout the city and works closely with commissioners, City Council and the third sector to meet the objectives of the National Dementia Strategy. 
  • The Trust appointed a Consultant Geriatrician as its Dementia Champion.
  • The Trust has a Dementia Strategy Steering Group in place to improve care throughout the Trust and a workstream to develop a 'dementia friendly' pilot ward.
  • The Trust and city have excellent palliative care services.
  • The Trust has a nutritional support strategy
  • Working relationships between the Trust’s Medicine for the Elderly services and community mental health teams are excellent.
  • The Trust has a dedicated Mental Health Liaison Team for older people improving the care of patients with delirium and dementia.
  • A Trust Consultant Geriatrician provides a medical liaison service to an acute old-age psychiatry unit to improve care.
  • Delirium and Dementia care pathways are being developed.
  • Anti-psychotic prescribing guidance has been produced, and use of these drugs audited.
  • A dementia education strategy has been developed for Trust employees.
  • A 'Know Who I Am' document is used to improve care and involve carers in care.
  • The Dementia CQUIN has been implemented to improve early diagnosis of dementia.
  • We have Adult Safeguarding policies and procedures in place.
  • We have a Mental Capacity Act Co-ordinator in place to provide advice and training on capacity, consent, including DoLS and related issues. 

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

  • The size of our organisation can make communication about aspects of dementia a challenge.
  • Ensuring dementia has a high priority throughout the entire organisation and that managers and clinical staff recognise that the needs of this client group are different and services need to be tailored for their needs.
  • Training and education for staff.
  • Demographic change and the rising proportion of people with dementia in the population.
  • Ensuring CQUIN is delivered.
  • Ensuring the needs of carers are identified and they receive information and support.
  • Service pressures, large numbers of admissions, meeting growing demands on services.

2. Actions

  • Establishment of Dementia Strategy Group

    The Trust has a Dementia Strategy Group chaired by the Dementia Champion which includes lay carer and Alzheimer’s Society representation and meets every 2 months to address aspects related to dementia care including new developments and innovations.

    Status:
    Delivery

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - New DAA member

  • Participation in the National Audit of Dementia

    The Trust participates in the National Audit of Dementia (organisational checklist and case note audit) and follows up report outcomes.

    Status:
    Delivery

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - New DAA member

  • Raising and maintaing the profile of Dementia

    The Trust continues to raise and maintain the importance and profile of dementia throughout the Trust particularly in areas of the hospital which do not treat or care for people with dementia on a regular basis.

    Status:
    Implementation

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Development of education package for Trust staff on dementia

    The Trust has developed an educational package for Trust staff, this commenced in 2012 but we need to ensure more staff receive training on dementia

    Status:
    Delivery

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Cognitive assessments for dementia early diagnosis

    The Trust is developing a strategy (facilitated by the CQUIN) to ensure all older adults admitted to hospital have a cognitive assessment (eg AMTS) undertaken routinely to help diagnose dementia early.

    Status:
    Planning

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Review of documentation for improvement

    The Trust is reviewing documentation to improve the approach to medical and nurse admission proformas and assessments.

    Status:
    Initial Scoping

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Use of dementia and delirium pathways

    The dementia and delirium care pathways will help the Trust provide better care for people with dementia and we are promoting the use of the ‘Know Who I Am’ document to involve carers in care planning and improve care further.

    Status:
    Implementation

    Update - first Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Weekly CQUIN compliance reports

    CQUIN compliance reports are produced and circulated on a weekly basis to provide feedback to departments and wards on performance

    Status:
    Delivery

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Representation on the Leeds Integrated Dementia Board

    The Trust is represented on the Leeds Integrated Dementia Board to provide a multi-agency view on the development of services for people with dementia and their carers.

    Status:
    Implementation

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Dementia Board's Workstreams

    The Trust also sits on the Dementia Board’s workstreams eg anti-psychotic prescribing with the intention of producing guidance applicable to dementia care throughout the city and in all settings (acute, primary care and mental health).

    Status:
    Implementation

    Update - First Quarter

    N./A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Application for funding for dementia friendly wards

    The Trust has applied for funding to create 2 ‘dementia friendly’ care elderly wards which will act as ‘flagship’ wards to promote could practice throughout the Trust

    Status:
    Implementation

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Audit of anti-psychotics

    The Trust uses audit to improve care and practice and has audited the use of anti-psychotics and compliance with nutritional assessment

    Status:
    Delivery

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Development of palliative care guidance

    Palliative care guidance for people with dementia have been developed within the city.

    Status:
    Delivery

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Examining data to improve the care of people with dementia

    The Trust is examining data relating to falls, feedback, complaints and readmissions to see if there are themes which if addressed will improve the care of people with dementia further.

    Status:
    Implementation

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Examining ways to increase volunteers to assist people living with dementia

    The Trust is examining ways in which the use of volunteers might be increased to provide better assistance for older people (particularly those with dementia) to eat.

    Status:
    Initial Scoping

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member