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Worcestershire Acute Hospitals NHS Trust

We provide hospital-based services from three main sites - the Alexandra Hospital in Redditch, Kidderminster Hospital and Treatment Centre, and Worcestershire Royal Hospital in Worcester. We provide a wide range of services to a population of around 550,000 people in Worcestershire as well as caring for patients from surrounding counties and further afield. Action plan currently being reviewed - Summer 2019

Updated:
10 June 2019
Location:
West Midlands
Sectors:
Health, Medical, Care, Hospitals and Hospital Trusts
Local Alliances:
Malvern Dementia Action Alliance, Redditch and Bromsgrove Dementia Action Alliance, Worcestershire Dementia Action Alliance, Worcester 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?

  • We work closely with all our partners across Worcestershire which includes other local NHS organisations, three Clinical Commissioning Groups, the Health and Care NHS Trust, Primary Care, the County Council, the independent sector, the local University’s Association of Dementia Studies and voluntary organisations who have all signed up to the development and implementation of a local Dementia Strategy which supports the National Dementia Strategy.
  • As an organisation we have a multi-agency Dementia Steering Group which has developed a detailed local action plan.
  • Our staff are currently participating in person centred care dementia training which is being delivered across all of Worcestershire which provides our staff with the skills, knowledge and the opportunity to network with colleagues from other organisations that provide care and support to people with dementia and their carers.
  • We have developed a Dementia / Delirium Care Pathway for individuals with dementia or a cognitive impairment when admitted to the Acute Trust.
  • Our standard is that all people admitted who are aged 75 years and over are screened using the Abbreviated Mental Test Score.
    We are constantly striving to improve the quality of care to all our patients.
  • As an organisation we have ensured that all end of life care includes those people with dementia including Advanced Care Planning.
  • Within the Acute Trust we have a Mental Health Liaison Service which specialises in Older People including the diagnosis and management of dementia.
  • Across Worcestershire we provide integrated healthcare.
  • We have developed delirium guidelines and actively discourage the use of antipsychotics.
  • As an organisation we value feedback from the patients, service users and
    carers to inform improvements in the services we provide and the care we deliver. The current Mental Health Liaison Service and Learning Disability Team work closely with the staff within the Acute Trust.
  • Within Worcestershire there is an Early Intervention Dementia Service for people of all ages.

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

  • Changing the culture regarding dementia.
  • Patient activity and volume.
  • Infection Control and Estates 
  • Greater emphasis on individualised person centred care plans.
  • Ensuring dementia remains high priority on everyone’s agenda.
  • Keeping the profile high in the face of uncertainty, transition, transformation and change.
  • Working across three Clinical Commissioning Groups

2. Actions

  • Analysis of training for all staff

    Training needs analysis for all staff that engage with people with dementia and their carers and continued training

    Status:
    Completed

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    In progress - new DAA member

  • Improving the physical environment

    Improving the physical environment within the Acute Hospital.

    Status:
    Initial Scoping

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    In progress - new DAA member

  • Include dementia in induction

    Ensuring that Dementia is included on induction

     

    Status:
    Delivery

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    In progress - new DAA member

  • Patient information system

    More robust flagging on patient information system

    Status:
    Being implemented

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    In progress - new DAA member

  • Provide information in conjunction with Liaison Psychiatry

    Provide information on dementia to people who are diagnosed with dementia and their carers in conjunction with Liaison Psychiatry

    Status:
    Initial Scoping

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    In progress - new DAA member

  • Implement Dementia Champions

    Implement dementia champions across the organisation.

    Status:
    Delivered

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    In progress - new DAA member

  • Dementia Care Bundle

    Implementation of the Dementia Care Bundle.

    Status:
    Planning

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    In progress - new DAA member

  • Train Dementia buddies

    Develop and train dementia buddies / volunteers

    Status:
    Planning

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    In progress - new DAA member

  • Inclusion of people with dementia/carers in service development

    Ensure that we include people with dementia and / or their carers in ay service development.

    Status:
    Initial Scoping

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    In progress - new DAA member

  • Work closely with our partners within the voluntary sector

    To ensure that as an organisation we continue to work closely with our partners within the voluntary sector to assist us to improve the services we provide

    Status:
    Completed

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    In progress - new DAA member

  • Awareness of services for people with dementia and their carers

    Ensure that our staff are aware of what services are available for people with dementia and their carers when they have received a diagnosis or have been discharged from hospital.

    Status:
    Being implemented

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    In progress - new DAA member

  • Promote the safe and early discharge from the Acute Trust

    Continue to promote the safe and early discharge from the Acute Trust for people with dementia working with Intermediate Care colleagues.

    Status:
    Initial Scoping

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    In progress - new DAA member

  • Ensure correct care of people with dementia in hospital

    Ensure that people with dementia are not inappropriately admitted and are provided with the right support to return home as quickly as possible.

    Status:
    Planning

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    In progress - new DAA member

  • Implent RAID

    Implementation of RAID

    Status:
    Implementation

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    In progress - new DAA member

  • A jointly commissioned Dementia Information Advice and Support Service (DIASS)

     This will combine the features of both a dementia adviser service and also offer people with dementia and their carers opportunities for peer support.

    Status:
    Planning