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The Whittington Hospital NHS Trust (Whittington Health)

Updated:
13 March 2014
Location:
London
Sectors:
Health, Care, Medical, 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?  

 Whittington Health is strongly committed to improving the experience of people with dementia and their families who receive care services within our Trust. By making the development of integrated community and acute dementia services a primary goal for the organisation we can ensure continuity of care. With funding received from the Burdett Trust, we are implementing a project to improve the health and wellbeing of people with dementia across acute and community settings. The project focuses on increasing staff knowledge and skills about dementia through education and teaching, developing a clinical toolkit for staff to improve the quality of care delivered to patients with dementia and establishing local dementia care pathways.  The benefits of the project include ensuring that family and carers are seen and treated as partners in care, creating person-centred, individualised integrated dementia care pathways based on best practice and evidence, enabling early assessment and identification of dementia and thus early intervention and providing dementia friendly environments that allow staff to provide care more effectively. At Whittington Health, our programme of quality improvements aims to continually develop our services and enhance the experiences of our patients and their families.

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

At Whittington Health, the challenges facing our organisation include the recognition that our staff need to become more skilled and confident in identifying and addressing the needs of people who are living with dementia, and their families.  Historically, the interface between the community and acute services has not always been effective. Nursing and other healthcare professionals with the relevant skills and knowledge mainly work in specific areas, such as care of older people’s wards or older person’s mental health services, but people living with dementia are cared for across the full range of hospital and community health services. Health professionals have not had the necessary knowledge, skills, confidence or toolkit to identify the possibility that a person has dementia and respond appropriately. We would like to make improvements in the care of people with dementia by increasing the knowledge skills and awareness of our staff in all areas of our organisation

        

 

2. Actions

  • Making the hospital environment dementia friendly

    • Introducing a dementia identifier scheme e.g. Forget-me-not, Butterfly scheme.
    • Continuing to provide flexible visiting times for carers and families of people with dementia.
    Status:
    Initial Scoping, Implementation

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Improve the skills of the workforce in responding to the needs of people with dementia and their families

    • Developing a dementia competency based framework for increasing awareness, education, training and skills development in dementia care across the workforce, and agree the level of training required (essential, enhanced, specialist) for each staff group relevant to their role and responsibilities.
    • Identifying and agreeing the level of  mandatory training required for the workforce to have an awareness and knowledge of dementia  and  skills
    • Establish new specialist roles for nurses across the dementia care
    Status:
    Initial Scoping

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Improve staff ability to identify and assess cognitive impairment

    • Develop a standardised toolkit to support nurses across inpatient and community services
    • Implementation of the Dementia CQUIN
    • Submit a business case to appoint an older persons specialist to undertake comprehensive geriatric assessments within 24 hours of admission
    Status:
    Initial Scoping, Implementation, Completed

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Reduce inappropriate or premature admissions, reduce bed occupancy and length of stay, reduce long term social care placements and provide better care at home

    • Open an enhanced ambulatory service (in Sept 2013), to fully assess patients and avoid admissions where possible
    • Develop the older person’s psychiatric liaison service across emergency and inpatient services
    • Provide reablement services to people with dementia to facilitate safe and effective discharges home
    Status:
    Planning, Implementation

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Involve older people living with dementia and their families in every aspect of transforming services, developing staff, new roles and care pathways

    • Develop an integrated dementia care pathway for older people living with dementia and their families
    • Introduce “patient passports” to facilitate prompt assessment and care delivery, improve health professionals knowledge and understanding of the particular patient and family.
    • Introduce electronic patient records across the integrated care organisation to provide one fully integrated care plan accessed by both community and acute providers.
    Status:
    Initial Scoping, Planning

    Update - First Quarter

    Nothing to report - New DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A