Luton & Dunstable University Hospital

The Luton & Dunstable University Hospital is an acute hospital providing a range of general services as well as several specialist services including Trauma Centre, Hyper Acute Stroke services, Corneal grafting and other specialist Eye surgery, Cardiac intervention and IVF fertility. We are working collaboratively with Luton and Bedfordshire Clinical Commissioning Groups to deliver our Dementia strategy which has been developed by a lead consultant and a Dementia specialist nurse. Our Dementia education strategy has been developed to ensure that all of our nursing staff have Dementia awareness training. A Dementia care pathway has been developed in accordance with national and local guidance to ensure the consistency of care across all departments within the organisation. Here at the Luton & Dunstable Hospital we currently screen all elderly patients on admission through our emergency department and make recommendations to GP’s to refer onto memory services for dementia within the community as appropriate.

Updated:
9 June 2016
Location:
East of England
Sectors:
Hospitals and Hospital Trusts
Local Alliances:
Luton 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?

At the heart of the L&D Hospital is a determination to ensure that every patient receives the quality of care and the standard of treatment that we would want our own families to receive, this is achieved through assessment, and by improving awareness and diagnosis of dementia. The acute hospital is also key in supporting carers and signposting them t services and for support on discharge.

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

The hospital delivers acute hospital care and the needs of the person with Dementia are often complex and multiple & because of this patients with dementia present with acute illness and other co-morbidities and will be seen by many professionals across the site during their stay; therefore, having all our staff (including non-clinical staff) knowledgeable and skilled in Dementia care while also delivering the acute aspects of care will be  a significant organizational challenge.

Member website

http://www.ldh.nhs.uk/

2. Actions

  • Raising Dementia awareness among all staff across the organisation adopting various communication formats to meet learning needs and styles of all our employees.

    The Dementia nurse specialist has developed an education strategy to improve on the availability of training within the hospital.  A Proposal to make Dementia awareness training mandatory among nursing staff  and Allied Health Professionals is underway which will meet government strategy for knowledgeable and skilled staff.  The training will be aligned with Health Education England’s Tier 1 foundation training.  Awareness sessions will be available to all other staff (including non clinical staff) within the organisation and through e- learning modules.

    Status:
    Delivered

    2016 - First Quarter Update

    Hospital induction programme now includes a dementia awareness training session aligned to the national knowledge and skills framework teir 1. All staff currently in a substantive post will be offered an education booklet which raises Dementia awareness and customer care across the organisation. The dementia nurse specialist offers an enhanced training day which incorporates; simulation training.

    Alzheimers society 'dementia friends training provided during 2015.

  • We are making improvements in providing support for the carers of the person with Dementia by using local community support services, and working in partnership with the carers in the delivery and management of care of the person with Dementia.

    The hospital dementia steering group has developed an information leaflet explaining to the carer what support can be provided in hospital and how we can work in partnership with the carer to optimize treatment and improve quality and outcomes for all involved.

    We have a new health information point in the Hospitals main reception area where local community support services provide sessions offering support and information giving. Carers in Bedfordshire are setting up a drop in support service for all patient groups.  Alzheimer’s society support staff are available in the hospital every 1st, 3rd, 5th Wednesday. The Dementia nurse specialist is contactable to all carers and  the service is advertised on out hospital webpage & within the leaflet..

    The use of the ‘ this is me’ biography has been launched across the organisation which uses the information provided by the person with dementia  and their carers to enable staff to  deliver a person centred approach in care management.

    Status:
    Implementation

    2016 - First Quarter Update

    The hospital information leaflet for carers is updated regularly. It is offered to all the carers of patients with dementia as part of an information pack. Carer's in bedfordshire have established a hub in one of the main reception areas to offer support for carers. 

    Dementia nurse specialist has met with local authority care providers to work jointly on improving communication between care homes and hospital; use of biographic information and sharing this between services to encourage a person centred approach to care.

  • To create a physical environment, especially on the wards, that is dementia–friendly.

    Work is underway to enhance the environments within the hospital which incorporates a Dementia friendly approach to design and changes. Simple ideas such include; Calendar clocks, distraction boxes with activities are now available on many wards with the introduction of new and trained volunteer support workers visiting with the person with Dementia to improve socialisation and wellbeing.

    We are looking at way-finding and signage in high use areas and the re-introduction of a social environment to promote nutritional intake along with suitable crockery and diet choices.

    Status:
    Being implemented

    2016 - First Quarter Update

    Work continues with the  redevelopment of the hospital site. New ward designs have adopted some Dementia friendly concepts; Calander clocks in most clinical areas visible to patients, all ward areas have access to distraction equipment, signage is being addressed, flooring.

    'twiddle muffs' are being introduced to various wards and are single use only therefore, given to those patients who find them therapuetic.

    Local partnership with schools and buisness to provide latch n lock boards for 3 of our elderly care wards. hoping to extend this partnership with other schools and community groups.