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County Durham and Darlington NHS Foundation Trust

County Durham and Darlington NHS Foundation Trust is one of the largest integrated care providers in England, serving a population of around 600,000 people. We are a high performing organisation with a track record of success. We have been listed in the CHKS 40 top hospitals for the last five years, and were named as one of Dr Foster's Trusts of the Year in 2009. The Trust has been an integrated acute and community services provider since 2011 and now has a workforce of over 8,000.

Updated:
9 September 2015
Location:
North East
Sectors:
Medical, Health, Care, Hospitals and Hospital Trusts
Local Alliances:
County Durham Dementia Action Alliance, Darlington 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?

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?

County Durham and Darlington Foundation Trust (CDDFT) is committed to improving care, services and outcomes for people with dementia and their carers. We will do this by working in partnership with our patients, their families/carers and Health and Social Care partners to adopt a whole health economy approach to early diagnosis, support to live well with dementia, promote proactive care planning and provide end of life care in a preferred place of choice.

CDDFT is part of the Darlington Dementia Collaborative and has continued to share and spread the excellent work initiated from this partnership. Hospital ward environments for older people now have enhanced way-finding and contrasting colour schemes together with coloured plates and half size water jugs to improve nutrition and hydration. Environmental audits have commenced using the Stirling University Dementia Environmental Audit Tool to identify quick wins and ongoing work which can become established standards through PEAT lifecycle work to ensure that the Trust embraces dementia friendly principles.

We are active members of the North East Dementia Task Group promoting and sharing best practice and County Durham Strategic Health Authority Dementia Group who are working to create a shared vision for dementia across County Durham.

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

Our challenges will include:-

  • Ensuring that dementia remains a high priority across acute and community services
  • Changing the culture of the organization and other service users to one of understanding and awareness of the needs of people with dementia
  • Releasing staff to undertake dementia training 
  • Resourcing the improvements and initiatives identified in the current economic climate

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

Training/education and awaresss for all staff working with the community to ensure dementia friendly enviroments working towards positive patient and carer /staff experience

2. Actions

  • Prime Minister's Challenge

    To work collaboratively to achieve the Prime Ministers Challenge.

    Status:
    Initial Scoping

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Continue to work towards our CQIUN

    Continue to proactively work towards our CQIUN for assessment, referral and early diagnosis for our patients over the age of 75.

    Status:
    Planning

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Acute wards to achieve Quality Mark for Older People

    To facilitate four of our acute medical wards to achieve the Quality Mark for Older People.

    Status:
    Initial Scoping

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Darlington Dementia Collaborative

    To continue to share and spread the good practice initiatives from the Darlington Dementia Collaborative work to other units and departments.

    Status:
    Implementation

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • CDDFT to be dementia friendly

    Embed best design practice into business as usual to ensure we are dementia friendly across the whole of CDDFT

    Status:
    Initial Scoping

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Work with partners to promote a positive dementia profile

    Share the successful work undertaken with our partners in the Darlington Dementia Collaborative and ongoing work with TEWV Mental Health Liaison Teams to support mental health issues across the Trust with both our neighbours and nationally to promote a positive dementia profile.

    Status:
    Implementation

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Embrace partnerships

    Embrace partnership working with our patients and their families/carers.

    Status:
    Implementation

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Continue to train our staff in Dementia awareness

    Continue to train our staff in dementia awareness including students from our partner university in Teesside.

    Status:
    Delivery

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Encourage outreach working

    Encourage outreach working with our nursing and care homes. 

    Status:

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Advanced care plans with 'Deciding Right'

    To introduce advance care plans as part of ‘Deciding Right’.

    Status:
    Implementation

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update - Third Quarter

    Nothing to report - new DAA member

  • Appropriate care options for people with dementia

    To work with our health and social care partners to keep people with dementia out of hospital where appropriate or where it is not in the best interests of the patient. 

    Status:

    Update - First Quarter

    N/A

    Update - Second Quarter

    N/A

    Update -Third Quarter

    Nothing to report - new DAA member

  • Neasham Road Surgery

    To review our environment and consider how we can make it more dementia friendly.

     

    Status: