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University Hospitals of Leicester NHS Trust

The UHL Dementia Strategy Group has Trust wide Multi- professional representation, with members from Alzheimer’s Society and includes patient and public involvement. The group is responsible for improving the quality of care for people with dementia and their carers who are admitted to our hospitals, ensuring recommendations from key national and local policies are implemented.

Updated:
22 August 2016
Location:
East Midlands
Sectors:
Health, Medical, Hospitals and Hospital Trusts
Local Alliances:
Leicester, Leicestershire and Rutland 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 University Hospitals of Leicester NHS Trust in April 2016 has reviewed and updated the Trust’s Dementia Strategy, using the National Audit of Dementia Care in General Hospitals, Dementia Action Alliance, Dementia Friendly Hospital Charter (2014) and Alzheimer’s Society Fix Dementia Care Hospital  (January 2016) as the frame work for structuring development activity over the next three years. 

The Dementia Strategy (2016-19) will focus on transforming the lives of people with dementia, their families and carers from pre admission to discharge and beyond.

Outcomes/Actions for year one (2016/17)

To involve people with dementia and their families to gain feedback of their experiences in hospital.

Participate in the National Dementia Audit for General Hospitals.

Implement a ‘Forget me not’ Scheme for identification and on-going management of people with a known diagnosis of dementia.

To increase the number of Dementia Champions on wards and departments.

Improve early identification and treatment of people with a suspected delirium.

To provide Meaningful Activity Facilities to support people with dementia and their carers during their hospital stay

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

Improving dementia care is a key priority for UHL. We will endeavour to strive forward with our strategy and have identified potential challenges we may encounter:

Ensuring structured meetings and opportunities to gain feedback from people with dementia and their carers whilst in hospital and after discharge.

Ensuring essential resources are available to undertake the national dementia audit.

Providing training that is accessible for all relevant staff to implement the ‘Forget me not’ Scheme across the organisation.

Raising staff awareness of new Delirium guidelines across the organisation

We will ensure there is a process for monitoring progress, sharing information with other Acute Trusts and celebrating our local key achievements.

2. Actions

  • Communicate to staff

    The care pathway documentation is already on the network. To send electronic communications to all staff about the existence of the pathway and its use.

    Status:
    Implementation

    2014 - First Quarter Update

    In progress

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    Dementia care pathway has now been launched within UHL

    2013 - First Quarter Update

    New member

  • Improve screening and diagnosis

    Consultant Geriatrician, specialist sister and an auditor are monitoring and taking necessary steps to improve the uptake. Need long-term posts in place.

    Status:
    Implementation

    2014 - First Quarter Update

    In progress

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    CQUIN targets show we are achieved 2 of the 3 set targets set nationally

    2013 - First Quarter Update

    New member

  • Engage with people with dementia and their carers

    Linking in with Age UK and Alzheimer’s Society to access dementia cafes and carers groups. To undertake further dementia care mapping in the future and support ward teams to carry out basic observations of care in practice to support staff and team development

    Status:
    Implementation

    2014 - First Quarter Update

    In progress

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    Feedback from people with dementia and their carers are being disseminated across relevant focus groups and training Dementia Champion workshop.

    Information and support for Carers is a new CQUIN for 2013/2014 and work is already underway to implement this. Carers’ views from ward are also collected and will be implemented via ‘Dementia care Action group’ at UHL

    2013 - First Quarter Update

    New member

  • Training of staff

    Lead Nurses, Matrons, Managers to receive Dementia training and to support training access for all staff

    Status:
    Implementation

    2014 - First Quarter Update

    In progress

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    Dementia training has been delivered to senior nursing staff and has been incorporated in mandatory training in some areas across the trust. There is now a lead Dementia Educator to take this forward and is now part of 2013 CQUIN.

    2013 - First Quarter Update

    New member

  • Launch of patient profile

    Trust launch of the patient profile. Advertise in wards/departments. To be available via UHL website

    Status:
    Implementation

    2014 - First Quarter Update

    In progress

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    A ‘snap shop’ audit has been under taken across all for 64 inpatient areas for use of patient profile. Actions are in place to increase uptake and educating staff

    2013 - First Quarter Update

    New member

  • Development of the dementia champion network

    Ensure a key Lead is identified and supported to develop the Dementia Champion network which is fully indorsed by Trust Board

    Status:
    Implementation

    2014 - First Quarter Update

    In progress

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    The Dementia Champion Network was launched 20th May 2013. Workshops are now available for staff to attend.

    2013 - First Quarter Update

    New member

  • First to pilot the nursing management plan on one or two wards, then Trust to launch the document

     

    Status:
    Implementation

    2014 - First Quarter Update

    In progress

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    Awaiting persons to pilot the management plan documentation.

    2013 - First Quarter Update

    New member