What are cookies?

Our site uses cookies. A cookie is a small text marker stored on your computer that enables us to track the use of our website. We use cookies to help us understand what our users' interests and preferences are to ensure the website is as user friendly as possible.

This site only uses cookies in order to provide a service to visitors. No personal data is stored in cookies and cookies are not used in order to provide advertising. Cookies are used for the following purposes:

Learn more about cookies on aboutcookies.org

If you have any concerns about the processing of your personal data by the Dementia Action Alliance, please contact the Secretariat, c/o Alzheimer's Society, 43-44 Crutched Friars, London, EC3N 2AE.

Accept and continue

Royal Surrey County Hospital

The Royal Surrey County Hospital is a leading General Hospital and specialist tertiary centre for cancer, Oral and Maxillo-facial surgery and pathology. The hospital serves a population of 320,000 for emergency and general hospital services and is the lead specialist centre for cancer patients in Surrey, West Sussex and Hampshire, serving a population of 1.2 million.

Updated:
3 September 2019
Location:
South East
Sectors:
Health, Hospitals and Hospital Trusts
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?

The Royal Surrey County Hospital is committed to providing and delivering a compassionate and dignified approach to caring for dementia patients and their carers throughout their stay/visit to our hospital. The work that is being undertaken in the hospital around dementia overlaps with the objectives outlined by the National Dementia Strategy in 2009 and the Quality outcomes for people with dementia in 2010.

The Royal Surrey County Hospital has an internal work-plan that identifies key initiatives that we are currently working on to improve / enhance the experience of the person living with dementia and their carer. A few examples of our key initiatives are:-

Working towards becoming a dementia friendly hospital. We are constantly updating and changing our hospital environment to make it dementia friendly. Any changes made are in line with PLACE requirements and the Kings fund enhancing the healing environment recommendations. Over the past couple of years three of our ward areas have also gained the Quality Mark.

Education and training of our patient facing staff.  

A variety of dementia training is available to all staff (clinical and non clinical) working within the hospital. The training across the trust has been key to reduce stigma and empower staff working within the clinical areas to provide good quality evidence-based dementia care. The dementia training provided across the trust has also been recognised by the Alzheimer’s society as meeting the requirements for the dementia friends training and thus all staff if they so wish they can become a dementia friend

Type of training 

Tier 1 dementia training – foundation level - Held monthly on clinical induction

Dementia virtual Tour - Experiential training - sessions held regularly during the month.

Tier 2 Dementia Training - 2 days (includes the dementia virtual tour) - Held quarterly

Carer support. Caring for and supporting carers has played a crucial role in improving the experience of the hospital stay for not only the person living with dementia and their carer but all carers across the hospital. As a hospital we have signed up to the Carers Charter and posters highlighting the aims and objectives of the carer charter are displayed across the hospital.

In 2016 our hospital signed up to John’s campaign. John’s campaign added the cement to all the work that we as a hospital have been undertaking around caring for and supporting carers.

A few of our carer support initiatives accross the hospital are outlined below:-

Carer passport for family members - The RSCH implemented a Carer Passport for Family members in 2013 and is in use accross the hospital. The carer passport for family members is an initiative that aims to support carers whilst their loved one is staying in hospital.

Carer support worker - We have two carer support workers working in the RSCH. The carer support worker provides advice and support not only to carers but also staff accross the hospital.

Carer prescription - During 2015 the RSCH has worked closely with the CCG to implement the carer prescription accross the hospital (The carer prescription enables staff to support carers they come into contact with by referring them electronically to a range of support services accross Surrey).

Carer cafe- A dementia carer cafe is held on the first Wednesday of every month. The cafe is informal and provides carers with advice and support. The cafe also signposts people so that they can access on-going support and services in the community

Ensuring that the care provided is patient centred. The RSCH uses a forget me not symbol to identify patients with dementia / delirium and confusion. The document "This is me, my care passport" is also used accross the hospital and supports staff in providing care that is individualised and patient centred.

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

Patients with dementia often present to the acute hospital with complex medical and social care needs. Some examples of the challenges we face as an organisation can be attributed to internal and external priorities / constraints placed on the hospital for example financial, staffing levels and releasing staff for training and patient activity and volume (including seasonal volume).

Member website

www.royalsurrey.nhs.uk/

2. Actions

  • Staff Education and training

    Training for all staff within the Royal Surrey County Hospital (both patient and non patient facing)

    Status:
    Being implemented

    2019 - First Quarter Update

    Current training available 01/2019

    Tier 1 - foundation training - 1 hour

    Tier 2 dementia training - two day training

    Dementia virtual tour - Experiential training - 1.5 hour

    2018 - First Quarter Update

    In Sept 2017 the dementia Nurse Specialist and two colleagues undertook dementia virtual tour facilitator training. The dementia virtual tour is an experiential training which takes away people's primary senses, to let them experience the fear and frustration that people living with dementia go through on a daily basis”.

    In January 2018 we implemented the dementia virtual tour training accross the hospital. The training is available to all clinical and non-clinical staff employed in the hospital.

    2015 - Fourth Quarter Update

    The RSCH provides a variety of tiered dementia training to staff (both patient facing and non patient facing) accross the hospital on a regular basis.

  • Supporting carers

    Supporting and signposting carers to the correct services (both internal and community) during their stay in hospital

    Status:
    Being implemented

    2019 - First Quarter Update

    Current carer initiatives 01/2019

    Carer Passport for family members - embedded accross the hospital. the carer passport for family members support and values the role of carers during the hospitilisation of the person for whom they care.

    Carer prescription - An online tool whereby carers can be quickly referred to a variety of organisations for ongoing  community support / advice. 

    Signed upto and actvely support and endorse the principles the Acute Hospitals Carer Charter (2017). We utilise a carer support symbol accross the trust.

    Dementia Carer cafe - held the first wednesday of the month

    NHS Staff Carer friendly organisation - Occupational health and HR have worked together and rewritten numerous HR policies to identify and support members of staff who are carers.

    2015 - Fourth Quarter Update

    The RSCH has signed upto and embraces the principles underpinning Johns Campaign (2015). The RSCH implemented a Carer Passport for Family members in 2013 and this document is in use accross the hospital. The carer passport for family members is an initiative that aims to support carers whilst their loved one is staying in hospital. In September 2015 we welcomed a carer support worker to our team on the Older persons unit. The carer support worker provides advice and support not only to carers but also staff accross the hospital. During 2015 the RSCH has worked closely with the CCG to implement the carer prescription accross the hospital (The carer prescription enables staff to support carers they come into contact with by referring them electronically to a range of support services accross Surrey). The Dementia Specialist Nurse also provides carer support to carers and obtains feedback regarding the person living with dementia and their carers experience of their stay in our hospital. This information is then fedback to our hospital board on a quarterly basis. In 2016  we are planning on instigating a carer cafe in the RSCH.

  • Patient centred care

    Ensuring all care is compassionate, dignified and patient centred

    Status:
    Being implemented

    2019 - First Quarter Update

    Work is constantly on going around promoting the importance of  patient centred, embedding the document This is me, My care passport and the use of the forget me not symbol.

    All dementia training accross the trust incorporates the above concepts.

    2015 - Fourth Quarter Update

    The RSCH uses a forget me not symbol to identify patients with dementia / delirium and confusion. The document "This is me my care passport" is also used accross the hospital and supports staff in providing care that is individualised and patient centred.

  • Delirium - recognising, diagnosing and treating patients with Delirium

    Develop a Multidisciplinary Delirium Management Tool and poster to raise awareness and consequently diagnosis and treatment of patients with a delirium accross the hospital

    Status:
    Being implemented

    2019 - First Quarter Update

    MDT Delirium management tool and poster devised and awaiting ratification.

    Aiming to launch in March 2019

  • Becoming a dementia friendly hospital

    Looking at environmental changes to improve the patient and carer experience. 

    Status:
    Being implemented

    2019 - First Quarter Update

    Any environmental changes that occur accross the hospital incorporate the principles of  the Kings fund  and the dementia Friendly hospital.

    Lots of work has been undertaken accross the hospital  since 2015 and we are continuously making changes and improvements. A few examples of some of the environmental changes that have taken place are below

    Quiet areas away from the ward baysSeating areas in the corridors (including Bus / train station areas)Communial areas at the end of the bays in Ewhurst & OPU where people are able to socialise, undertake activities and have mealsThrough use of colours making defined areas Using contrasting colours to promote rehabilitation ( for example in toilets and shower areas)Using pictures / images and signs on the ward to create a welcoming, friendly, orientating environment.

    2015 - Fourth Quarter Update

    We are constantly updating and changing our hospital environment to make it dementia friendly. Any changes made are in line with PLACE requirements and the Kings fund enhancing the healing environment recommendations. Over the past couple of years three of our ward areas have also gained the Quality Mark.

  • The provision of a variety of age appropriate activities for patients on the ward.

    The provision of age appropriate activities for patients to use during their stay in hospital.

    Status:
    Completed

    2019 - First Quarter Update

    All areas have age appropriate activity boxes at the RSCH and three areas have activity trolleys. We are currently in the process of purchasing other equipment which will enable and support staff to undertake further activities with patients.

    2015 - Second Quarter Update

    In May 2015 the Dementia Specialist Nurse distributed twenty five activity boxes to wards and departments accross the RSCH. The activity boxes contain a variety of age appropriate activities for patients to use during their stay in hospital.

    In May 2015 numerous activity volunteers, started volunteering on a regular basis on two elderly care wards and an orthopaedic ward at the RSCH. The activity volunteers enhance the patients experience by engaging with patients therapeutically and undertaking a variety of activities that are patient centred.