Lancashire Care NHS Foundation Trust

Lancashire Care NHS Foundation Trust was established in April 2002 and authorised as a Foundation Trust on 1st December 2007. The Trust provides health and wellbeing services for a population of around 1.5million people. The services provided include community nursing, health visiting and a range of therapy services including physiotherapy, podiatry and speech & language. Wellbeing services provided include smoking cessation and healthy lifestyle services. The Trust specialises in inpatient and community mental health services including Memory Assessment Services (MAS) and Dementia inpatient and community services. Lancashire Care NHS Foundation Trust covers the whole of the county and employs around 7,000 members of staff across more than 400 sites. We are a research active Trust

10 June 2016
North West
Medical, Health, Pharmaceutical, Care
Local Alliances:
Blackburn with Darwen Dementia Action Alliance, Untitled, Pendle Dementia Action Alliance, Blackpool Dementia Action Alliance, Fylde and Wyre Dementia Action Alliance , Lancaster and Morecambe Dementia Action Alliance , Lancashire Dementia Action Alliance, West Lancashire Dementia Action Alliance, South Ribble 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?

LCFT through our Older Adult Mental Health Services provide specialist secondary care inpatient, community and Memory Assessment Services. We have recently gone through a modernisation process of our community services, where teams have been realigned to positively embrace new ways of working. This includes the formation of a new Rapid Intervention and treatment Team (RITT) which offers intensive home support seven days a week 8am -8pm which is aimed at supporting people in crisis to remain in their own homes or in the care home where they reside


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

Given the epidemiological changes in our population, we are providing services to an increasing number of people with dementia. Covering such a large geographic area can be challenging in terms of providing standardised services and accounting for local variations.

To ensure community services are able to respond to the increase in demand for services.  The RITT team already operates over 7 days 8am-8pm.

There is an East Lancs pilot re providing MAS services within GP’s surgeries to forge better links with community services. This highlights GP responsibility re long term care of person living with Dementia with support from primary and secondary care services


2. Actions

  • Provide and support education about dementia to all public facing staff including receptionists, communication and engagement teams

    • All public facing staff to become Dementia Friends, we will spread this out to all teams e.g. District Nursing, Corporate, Communications and Clerical.
    • Encourage all LCFT clinicians to complete online Dementia Friends awareness session to gain badge. This is a nationally recognised symbol to the public and helps establish relationships.
    • Dementia Friends Champion in each locality
    Planning, Delivery, Implementation
  • To have a Meet and greet volunteer in all MAS clinics

    Reduce the stigma of dementia by promoting the message of ‘Living well with dementia’ 

    • Volunteer meet and greet for people with dementia/families at MAS clinic. Greeters to have personal experience of dementia e.g. have a diagnosis themselves or be a present or former carer. This is currently happening in one site with exceptionally good feedback. Stemmed from the suggestions of a gentleman with dementia who attended clinics with his wife/carer but who told of how daunting the experience could be particularly for someone attending alone.
    Delivery, Implementation
  • To provide understandable information around diagnoses and ongoing support

    To provide easy read / pictorial information particularly around consent, descriptors of what teams do, community appointment letters should/may include photograph of health professional who will be visiting the person in their home to make those receiving home visits feel safer and less anxious. To develop an Information panel currently under development which will include people with Dementia and those with Learning disability as well as health care professionals including SALTS this panel will convene to translate documents produced by and for teams into understandable information for people with cognition difficulties.

    Delivery, Implementation
  • Hospital admission avoidance

    • Further development of  newly established RITT teams for those in crises for intensive, time limited interventions which are offered seven days a week 8am – 8pm
    • Input from locality RITT for people i long term care requiring Nursing Home Liaison aspect of care and support i.e nursing/care homes to receive advice and training in managing challenging behaviours and person centred holistic approaches to the person living with dementia.
    • Community Mental Health Teams for older people – support to people with dementia in the community e.g. depression, challenging behaviours.
    • Promote reduction of anti-psychotic prescribing, where possible.
    Delivery, Implementation
  • Hospital care

    Harbour design – high quality new inpatient facilities promotes dementia-friendly environments in our local hospitals. Review environments with people affected by dementia, involving people living with Dementia in designing /development sensory gardens

    Delivery, Implementation, Planning
  • Care Planning

    To utilise ‘This is me’ as a passport within the trust as a recognisable indicator that someone has dementia. To encourage and develop a culture where all staff involved in a patients care will check for the passport through patient records. To collaborate with partner agencies across Lancashire and influence a common approach with an already recognised national tool. We aim to relaunch the use of ‘this is me’ to our partner agencies  through an organisational media advertising and awareness raising event.

    Initial Scoping, Planning