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East and North Hertfordshire NHS Trust

East and North Hertfordshire NHS Trust provides secondary and limited tertiary care services from four sites: The Lister Hospital, Stevenage, The Queen Elizabeth II (QEII) Hospital, Welwyn Garden Citey, Hertford County Hospital, Hertford, Mount Vernon Cancer Centre, Northwood Middlesex The area served by the Trust for acute hospital care covers a population of around 600,000 people and includes south, east and north Hertfordshire, as well as parts of south Bedfordshire. The Mount Vernon Cancer Centre provides specialist cancer services to two million people. We currently have 809 beds (including 68 maternity beds and 28 cots in NICU) in our three Hertfordshire hospitals, and 79 in the Mount Vernon Cancer Centre. Our Trust values underpin everything we do: • We put patients first • We strive for excellence and continuous improvement • We value everybody • We are open and honest • We work as a team

Updated:
22 November 2016
Location:
East of England
Sectors:
Medical, Health, Hospitals and Hospital Trusts, Emergency Services Sector
Local Alliances:
Dementia Friendly East Herts Action group, North Hertfordshire District Dementia Action Alliance , Welwyn Hatfield 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?

At East and North Hertfordshire NHS Trust (ENHT) we are committed to improving the care of patients with dementia.  This is demonstrated in a number of different service strategies but in particular in our Older Persons Strategy, our strategy for patients with a Learning disability and our strategy for stroke services. 

ENHT is Hertfordshire’s first Carer Friendly Hospital and has appointed a Carers lead post, which is pilot project funded by Herts County Council.  The project will initially run for a year from March 2013, with the potential for long term funding if the benefits of supporting carers in their caring role are demonstrated across health and social care in economic and health outcome measures.   

As a Trust we work collaboratively with Health and Community Services in a number of different ways both for improving care for patients with dementia and also in support of carers across the spectrum of care requirements.  This includes working as a multi-agency partners on the National Dementia Strategy, carer friendly support initiatives with Herts County Council and Carers in Herts, improving care for people with a learning disability, with the Hertfordshire Health Liaison team and service developments with representatives from the Alzheimer’s Society, Age UK and the Stroke Association. 

We have senior clinical dementia leads within the organisation in Medical and Nursing practice. 

We are a member of the Eastern Academic Health Sciences Network with one of the clinical priorities being improvement care of patients with dementia. 

Across the organisation we have already trained 150 dementia champions and continue to recruit staff to become dementia champions and to train Trust staff on dementia awareness. 

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

  • To continue training all staff in dementia awareness and understanding of dementia to improve the experience of patients with dementia and their carers right across their patient/carer journey when using our services
  • To have effective screening for dementia in place in the community in order to be able to offer earlier interventions and identification of people who need additional support
  • To develop referral pathways for memory clinics and to have access to appropriate services in mental health for onward referral

2. Actions

  • Develop referral pathways for memory clinics

    To develop referral pathways for memory clinics with Hertfordshire Partnership Foundation Trust in 2013/14

    Status:
    Initial Scoping

    2014 - First Quarter Update

    In progress

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    New member

  • Staff training in dementia awareness

    To continue training all staff in dementia awareness

    Status:
    Implementation

    2014 - First Quarter Update

    In progress

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    New member

  • Develop clinical roles

    To develop specific clinical roles with responsibility for patients with dementia 201/14

    Status:
    Initial Scoping

    2014 - First Quarter Update

    In progress

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    New member

  • Recruiting dementia champions

    To continue recruiting staff to be dementia champions

    Status:
    Delivery

    2014 - First Quarter Update

    In progress

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    New member

  • Work with health and social care agencies

    Continue working collaboratively with health and social care agencies and the voluntary sector to continuously improve services for people with dementia

    Status:
    Implementation

    2014 - First Quarter Update

    In progress

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    New member

  • Seek capital funding for dementia friendly environments

    Seek capital funding for improving in-patient ward areas to ensure dementia friendly environments

    Status:
    Initial Scoping

    2014 - First Quarter Update

    In progress

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    New member