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Humber NHS Foundation Trust

Updated:
13 March 2014
Location:
Yorkshire and Humber
Sectors:
Care, Health, 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?

 • Work closely with local NHS and Council, in the delivery of local action plans intended to meet the objectives within the Dementia Strategy.

•Ensure staff are appropriately trained in dementia care to enable an informed and effective workforce.

•Develop an explicit care pathway for the management and care of people with dementia.

•Improve the quality of patient care.

• Improve the end of life care for patients with dementia.

•Patients diagnosed will receive written and verbal information about their condition, treatment and the support options in their local area.

•Ensure that patients with suspected or known dementia have access to a liaison    service that specialises in the diagnosis and management of dementia and older people’s mental health.

•Integrate Dementia Healthcare Services with those supporting people with long term conditions.

•Continually improve our services and our patient, service user and carer experience, as well as reducing the stigma associated with mental illness and learning disability.

•Committed to research and are actively collaborating with others.

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

• Patient activity and volume

• Encouraging others to prioritise implementation of the local Dementia Strategy as well as the Department of Health’s strategy.

• Ensuring dementia is a key local priority.

• Improving services and meeting the increasing demand.

• Competing priorities – internally and externally.

• Delivering on all the NDS objectives whilst prioritising the 4 key areas of Early Diagnosis, Acute care, Home care and Care Homes.

• Disparity of expectations from stakeholders.

• Continue to work collaboratively with local GPs and other health team members on early diagnosis, the reduction in use of anti-psychotic drugs.

• Ensuring that the care of people with dementia becomes more people-centered, including a greater focus on person centered care plans.

 

2. Actions

  • The environment in which care is given:

    •  Improve the physical environment within the Dementia Inpatient Unit including pictorial signage.

    The knowledge, skills and attitudes of the workforce:

    • Training needs analysis for all staff that engage with patients with dementia

    •Inform staff about mental illness and mental health promotion.

    Status:

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

  • The ability to identify and assess cognitive impairment:

    •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.

    Status:

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

  • The ability to support people with dementia to be discharged back home

    • To continue to work closely with voluntary services within the Community and  other local voluntary bodies.

    • Promote safe and early discharge with improved personal and community support.

    • Develop information for clinical areas regarding services available in the    community.

    • Treated in mainstream services if they have mild/moderate mental health difficulties.

    • Treated by specialist services if they have more complex/severe mental health needs.

    • People remain in their homes supported with community care for as long as possible.

    •Have access to alternative accommodation when they can not remain at home.

    •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

    • Employ Admiral Nurses

    Status:

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

  • The use of a person-centered care plan which involves families and carers

    • Extend the use of patient and carer real time satisfaction surveys

    • Identify the current pathway for patients with dementia and develop a recommended pathway.

    •Working with the Volunteer Manager to increase the number of volunteers supporting patients with dementia.

    •Ensure people experience equality of service regardless of ethnic, religious, or demographic profile.

    Status:

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

  • Underpinning actions

    • Having a board level commitment to becoming dementia friendly

    • Dementia lead within the organisation

    • Network of dementia champions

    • To further develop the in-reach Dementia Liaison Service within the Trust.

    • To continue to develop central resources via intranet.

    • Working with wards at protected meal times, visiting times

    Status:

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter