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Weston Area Health Trust

Weston Area Health NHS Trust was established in April 1991 being one of the first wave of 57 NHS Trusts created following the enactment of the NHS and Community Care Act 1990. The Trust is based at Weston General Hospital, built in 1986 near Uphill in the south of Weston-super-Mare. The Trust provides a wide range of acute and rehabilitation hospital services, as well as some community health services primarily to residents of the North Somerset area. Services are provided on a contractual basis to local health bodies that are responsible for purchasing health care for the resident population. The Trust serves a resident population of around 212,000 people in North Somerset with over 70% of people living in the four main towns of Weston, Clevedon, Portishead and Nailsea. A further 3.3 million day trippers and 375,000 staying visitors increase this base population each year. The majority of clinical activity is commissioned by North Somerset Clinical Commissioning Group and Somerset Clinical Commissioning Group. The Trust provides clinical services from three sites. The General Hospital is located in the main town of Weston super Mare and there are two children’s centres providing community children’s services located in Weston super Mare and Clevedon. The Trust provides a wide range of acute health services to the population of North Somerset and Sedgemoor and works closely with other hospitals in Bristol as part of ‘clinical networks’ including, for example, cancer, pathology and cardiology. The Trust is registered without conditions with the Care Quality Commission (CQC), the independent regulator of health and social care in England.

Updated:
11 April 2016
Sectors:
Hospitals and Hospital Trusts
Local Alliances:
North Somerset 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?

  • Weston Area Health Trust works very closely with our local NHS and Council, in the delivery of local action plans intended to meet the objectives within the National and local North Somerset Dementia Strategy.
  • A local multi-agency Dementia Strategy Steering Group and Workforce steering Group is responsible for delivering objective 8 relating to acute hospital care. Areas for development form part of a work plan detailing how the experiences of patients will be improved in hospital.
  • All nursing staff and Allied Health Professionals are appropriately trained in dementia care to enable an informed and effective workforce. All new staff have Dementia awareness training on induction.
  • Plans to develop an explicit care pathway for the management and care of people with dementia in an acute episode of care are planned for the coming year.
  • Staff are attending specific training to improve the end of life care for patients with dementia.
  • Continually improve our services and our patient, service user and carer experience.
  • Committed to research and are actively collaborating with others (South West Dementia Brain Bank).
  • Promote early diagnosis of dementia by developing pathways for dementia/delirium care.
  • To develop improved assessment processes and care planning involving the person with dementia, their relatives/carers.
  • To investigate an in-reach Dementia Liaison Service within the Trust.
  • To continue to work closely with voluntary services within the hospital and other local voluntary bodies.
  • Development of a policy for use of anti-psychotic drugs.
  • To continue to develop central resources via intranet.
  • Identify the current pathway for patients with dementia and develop a recommended pathway.
  • Working with wards at protected meal times, visiting times, coloured trays etc.
  • Working with the Volunteer Manager to increase the number of volunteers supporting patients with dementia.
  • Develop information for clinical areas regarding services available in the community for patients and carers.
  • Ensure that people are not inappropriately admitted and are supported to return home as quickly as possible.
  • Work with Commissioners to influence the development of services in line with the recommendations of the National Dementia Strategy.

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

  • Infection control, patient activity and volume.
  • Addressing nutritional issues for patients.
  • Improving services and meeting the increasing demand.
  • Competing priorities – internally and externally.
  • Ensuring that the care of people with dementia becomes more people-centred, including a greater focus on person centred care plans.
  • Ensure that people receive care, meeting essential safety & quality standards.
  • In a difficult economic climate we need to clearly make the case for action on dementia to achieve better outcomes in a cost effective way.

Member website

www.waht.nhs.uk

2. Actions

  • Improve patient journey

    To provide a specific care pathway for the management and care of people with dementia in an acute episode of care minimising ward moves where possible

    Ensure that people are not inappropriately admitted and are supported to return home as quickly as possible.

    Work in collaboration with our mental health partners to provide an in-reach Dementia Liaison Service within the Trust.

    Status:
    Being implemented

    2016 - First Quarter Update

    Work is underway with our mental health partners to provide a cohesive pathway for people with a Dementia who enter our acute hospital.

  • Continually improve services

    To develop improved assessment processes and care planning involving the person with dementia, their relatives/carers.

    Develop information for clinical areas regarding services available in the community for patients and carers.

    Achieve outcomes through CQUIN.

    Use the DAA environment checklist to improve acute hospital enviroment

    Status:
    Being implemented
  • Development of services

    A local multi-agency Dementia Strategy Steering Group and Workforce steering Group is responsible for delivering objective 8 relating to acute hospital care. Areas for development form part of a work plan detailing how the experiences of patients will be improved in hospital.

    Continue to work with Commissioners to influence the development of services in line with the recommendations of the National Dementia Strategy.

    March 16 we have signed up to DEEP to further support our work with people with a Dementia and language we use to communicate sensitively with

    Status:
    Being implemented