What are cookies?

Our site uses cookies. A cookie is a small text marker stored on your computer that enables us to track the use of our website. We use cookies to help us understand what our users' interests and preferences are to ensure the website is as user friendly as possible.

This site only uses cookies in order to provide a service to visitors. No personal data is stored in cookies and cookies are not used in order to provide advertising. Cookies are used for the following purposes:

Learn more about cookies on aboutcookies.org

If you have any concerns about the processing of your personal data by the Dementia Action Alliance, please contact the Secretariat, c/o Alzheimer's Society, 43-44 Crutched Friars, London, EC3N 2AE.

Accept and continue

York Hospitals NHS Trust

York Teaching Hospital NHS Foundation Trust provides a comprehensive range of acute hospital and specialist healthcare services for approximately 530,000 people living in and around York, North Yorkshire, North East Yorkshire and Ryedale - an area covering 3,400 square miles. In April 2011 we took over the management of community-based services in Selby, York, Scarborough, Whitby and Ryedale and in July 2012 acquired Scarborough and North East Yorkshire Healthcare NHS Trust, bringing Scarborough and Bridlington Hospitals into the organisation.

Updated:
30 April 2018
Location:
Yorkshire and Humber
Sectors:
Medical, Health, Hospitals and Hospital Trusts
Local Alliances:
Yorkshire & Humber Dementia Action Alliance, York Dementia Action Alliance, Scarborough Dementia Action Alliance, Ryedale Dementia Action Alliance, Whitby DAA Collaborative

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?

York Trust Has achieved the requirements of the dementia CQUIN. This demonstrates that the Trust is able to find assess investigate and refer on patients. The trust has piloted a mental health liaison team. This team has been able to support wards across the trust in relation to the management of patients with dementia. They are also ensuring a patient centered approach to care by using This is Me as well as a dementia care plan.

Fifty staff have  been trained to be ward champions   and dementia awareness is part of  statutory and mandatory training .

The Trust runs a joint assessment ward for patients with a physical and mental health problem. Most patients suffer from dementia or some level of cognitive impairment. Plans are in place to remodel the ward to create a suitable environment aimed at alleviating distress. Carers and patients have been consulted with regard to this work. This will be a model for other elderly wards

The Trust has a dementia operational group to ensure achievement of key standards. Trust representatives sit on an external GP led Dementia Implementation group attended by statutory and voluntary agencies.

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

The trust gives a strong executive lead on dementia. Challenges remain around ensuring all patients with dementia follow the dementia care plan, and that all directorates ensure staff are trained. Dementia is one of a number of priorities and the ongoing challenge is to continue to raise the issues and promote good practice across the Trust. The Trust continues to receive complaints from carers of people with dementia though this has reduced since the introduction of the liaison team  

The environment creates a challenge and funding is required to upgrade one ward to create a model of good practice.

Ensuring representation on external groups can be difficult especially during periods of high operational activity. Although strong partnership exists with mental health and community services there are difficulties with facilitating smooth discharges due to lack of beds, lack and delays in home care. This can extend length of stay.

2. Actions

  • Continue with executive lead

    Continue with executive lead and support for services

    Status:
    Implementation

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Training for dementia champions

    Extend training for dementia champions on wards

    Status:
    Implementation

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Improve wards

    Continue to push programme of ward improvement

    Status:
    Planning

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Secure funding

    Secure permanent funding for the mental health liaison team

    Status:
    Planning

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Work in partnerships with other organisatons

    Continue to work in partnership with GP commissioners , providers and partner agencies

    Status:
    Implementation

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Support for carers

    Identify methods of support for carers

    Status:
    Initial Scoping

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Appropriate hospital admissions and discharge

    Continue to ensure that admissions are appropriate and discharge is in place as soon as patients are fit

    Status:
    Implementation

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • CQUIN targets

    Maintain high level of achievement of CQUIN targets

    Status:
    Planning

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A