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Portsmouth Hospitals NHS Trust

Portsmouth Hospitals NHS Trust provides a range of acute services at Queen Alexandra Hospital. The Queen Alexandra Hospital site has gone through a major redevelopment to create a modern and 'fit for purpose' hospital, which has been completed in 2009. This work has been done in partnership with 'The Hospital Company', a consortium of Carillion plc and the Royal Bank of Scotland. The majority of the Trust's acute services are now provided at Queen Alexandra following the completion of the redevelopment.

Updated:
8 October 2015
Location:
South West
Sectors:
Medical, Health, Hospitals and Hospital Trusts, Emergency Services Sector

1. Action Plan

1. The National Dementia Declaration lists a number of outcomes that we 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?

The Trust has reviewed consistency of care standards relating to people with dementia

  • Gap analysis undertaken using the NICE dementia standards
  • Demonstrated improvement in National Dementia Audit 2012

Engagement of stakeholders within the Trust, external and third sector organisations.

  • Dementia Steering Group facilitates:
  1. Representation from key clinical areas within the Trust, including:
  2. External partner involvement e.g. Older Person’s Mental Health (OPMH) Team representation
  3. Participation from service users & carers, e.g. Alzheimer’s’ Society

Assess key components of dementia care

  1. Self assessment
  2. Development of dementia champions
  3. Implementation of ‘forget-me-knot’ initiative highlighting patients who have cognitive impairment
  4. Development of a patient and carer information leaflet
  5. OPMH pilot liaison service
  6. Achieving Dementia CQUIN target

Develop comprehensive education and training strategy

  1. Review of all current training provision.
  2. Competencies developed in dementia care.
  3. Trust induction and essential training now include dementia awareness
  4. Worked with Alzheimer’s Society to identify key messages, e.g. dementia awareness sessions in the hospital foyer

 Work to improve ward environments

  • The Trust has undertaken environmental improvement work within older persons’ wards. The Trust has been successful in progressing to the next round of the Department of Health improving environment bids.

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

The Trust is committed to improving the care of patients with dementia across all settings within the organisation. We are also committed to strengthening partnership working with key stakeholders.

Key challenges:

  • Improving environments for patients, visitors and staff
  • Ensuring all staff have the necessary skills, knowledge and competence to provide optimal care for people with dementia
  • Realisation of the health economy’s aspiration to design and implement an effective pathway of care for frail, older patients.

Member contacts

http://www.porthosp.nhs.uk/

2. Actions

  • Development of Dementia Champions

    Wider development of Dementia Champions

    Status:
    Implementation

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Submission of improving environments bid

    Submission of Improving Environments bid to include:

    • Upgrading the remaining three acute wards in line with the recommended dementia friendly environment standards and building on our existing experience. This will include work to improve signage, lighting, flooring and acoustics.
    • Addressing the needs of all visitors by more easily accessing refreshments with the provision of a ‘roving café’. The distances between hospital entrances, restaurant facilities and the ward areas can be extensive. Relatives will also be able to enjoy refreshments with their loved ones thereby encouraging increased intake of food and drink in a more social context.
    • Reflecting our commitment to creating Dementia friendly hospitals by using some of the wall space in associated seating and corridor areas to create "memory walls and walks". The aim is to provide memory and conversation triggers for patients with dementia to encourage meaningful communication and distraction from the institutional environment.
    • Providing daily local papers to the wards.
    • Developing and providing, at each hospital entrance, simple way finding maps for visitors to our wards.
    Status:
    Planning

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Dementia training to all staff

    Extend and expand the provision of Dementia Training to all staff

    Status:
    Planning

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Develop clinical academic posts

    Explore the potential to develop clinical academic posts

    Status:
    Initial Scoping

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Evidence base research regarding care for people with dementia

    Participate in innovative and novel research to contribute to the evidence base regarding the care and management of patients with dementia

    Status:
    Initial Scoping

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A