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Royal Devon and Exeter NHS Foundation Trust

The Royal Devon and Exeter NHS FT is committed to providing high quality personalized care and treatment to people who attend or who are admitted to the hospital with dementia, delirium or other conditions that cause cognitive difficulty.

13 March 2014
South West
Health, Care, Hospitals and Hospital Trusts

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? 

 We recognize that many people living with dementia attend hospital for other reasons and that hospital attendance may exacerbate their symptoms.  It is therefore important that all of our staff are aware of the needs of this group of people and that we make adjustments to the environment of care wherever practicable.

In order to do this we recognize that we need to work with patients, individual carers and carers’ representatives as well as health, special care and voluntary agencies. By listening to their suggestions, concerns, and expectations we will be in a better position to match the delivery of our services to their specific needs and in their best interest.. This will involve better liaison with community services  to avoid admission to hospital when appropriate to do so, by enabling the right environment for them to stay in their own home.

2) What are the challenges to delivering these outcomes from the perspective of your organisation? (Word limit of 150 words)      

The biggest challenges are associated with delivering the complex health care in a timely way whilst being cognizant of the needs of patients and carers who are living with dementia.  All of this needs to be achieved at a time of significant financial challenge within the public sector 



2. Actions

  • Good leadership role

    To continue to develop the good leadership role of the Consultant Nurse for Older People.

  • Comprehensive training programme for staff

    To continue with the role out of a comprehensive training programme for staff in both clinical and non-clinical areas of the organization.  

  • Dementia champions

    Develop and strengthen the role of ward and department based dementia champions.

  • to produce a ‘Dementia Garden’

    To make reasonable adjustments to the environment and a bid has been developed to produce a ‘Dementia Garden’.

  • A coherent approach to the involvement of carers in care

    To develop a coherent approach to the involvement of carers in care and in developments within the Trust.

  • To develop assessment processes that recognize individuals with cognitive difficulty early in the care process.

    To develop assessment processes that recognize individuals with cognitive difficulty early in the care process.

  • Developing a proposal to have a Geriatrician and multidisciplinary team

    We are developing a proposal to have a Geriatrician and multidisciplinary team, including third sector involvement and onward care services, at the point of admission in the Emergency Department. This will give older patients a comprehensive geriatrician assessment on admission and enable them to be referred or directly transferred to the most appropriate place for their condition to minimize their distress, improve their experience and their clinical outcome.