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Shrewsbury and Telford Hospital NHS Trust

The Shrewsbury and Telford Hospital NHS Trust is the main provider of acute hospital services for Shropshire, Telford & Wrekin and mid Wales. Most services are provided at the Princess Royal Hospital and the Royal Shrewsbury Hospital.

Updated:
4 March 2019
Location:
West Midlands
Sectors:
Health, Medical, Care, Emergency Services Sector
Local Alliances:
Shropshire, Telford & Wrekin Dementia Action Alliance

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?

Shrewsbury and Telford Hospital NHS Trust has undertaken a number of initiatives in the last 18 months to improve and enhance the care we provided to people living with dementia and their carers. This work has been facilitated and directed by the  appointed of a  Dementia Project Lead Nurse in May 2013

We have implemented a rolling programme of education and training to all our staff in what ever role they work in the organisation.

The introduction of  a Dementia  / Delirium pathway and Care bundle that is person centred and supports nutrition , dignity, continence, orientation, effective communication and activity . This has been further strengthened with the Introduction of the nationally recognise “Butterfly” scheme.

To enhance the mental and social well being of patients we have introduce a lunch club and activity group for social, reminiscence and memory interactive activities.

We have developed the role of our volunteers so they can spend meaningful time with patients supporting them, their families and staff.

We have developed  positive and collaborative relationships with carers and patient groups who have been engaged and involved in the developments and improvements.

We have listened to carers concerns and introduced  Carers passport to promote and encourage more flexible visiting.

We have agreed on a number of Dementia Friendly environmental standards that will enhance the healing environment.

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

Our biggest challenge is to ensure we embed the initiatives we have introduced to ensure they are part of what we do every day.

To do this we need to ensure that Dementia remains a priority and that there is a designated Lead to continue to take forward the improvements and ensure long term sustainability and development.

3. What are your plans as an organisation to respond to these challenges between now and 2016 ?

 To embed the initiatives we have introduced in particular the Butterfly scheme and Dementia Pathway.

 To ensure that we continue to strengthen partnership working with relatives and carers to identify areas for ongoing improvement and development.

To implement the Dementia Friendly environmental standards across the Trust through a rolling programme or in new builds or refurbishments.

To undertake monthly audits of carers and relatives of patients with Dementia to ensure we are delivering on what we have set out to achieve and address areas that we fall short on.

4. What networks or communication channels are available to your organisation that could help us to spread the word about the National Dementia Declaration?

Shrewsbury and Telford Hospital is a member of the Health Economy Dementia Steering group and the local DAA group .

We are a member of our local Carers partnership boards.

We spread the word about what we are doing through our Trust Newsletter and local media.

To continue to raise staff awareness of Dementia and improve their skills set in caring for patients with Dementia by providing ongoing training and education to staff at all levels of the organisation. 

2. Actions

  • To increase the porofile of people living with Dementia with a Lead on the Trust Board , alongside our Medical Lead

    To raise the profile of people living with dementia in Shrewsbury & Telford Hospital by identifying a lead on the Trust Board to work alongside our Medical Lead /Dementia Clinical Specialist Nurse and support workers
    Status:
    Implementation

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Health Ecomomy Steering Group

    We belong to the Shropshire/Telford Wide Dementia Steering group. This facilitates partnership working and sharing good practice.
    Status:
    Delivered

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • The Mental Health Liaison Service

    We have a Mental Health Liaison Service in place at both sites Royal Shrewsbury Hospital and princess Royal Hospital. We are developing care pathways (Sept 2019)to support teams to identify when to use the Mental health Liaison service and when to use the Dementia Service.
    Status:
    Implementation

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Relaunch our Dementia Steering Group across Shrewsbury and Telford Hospital,launch our Strategy and Work plan

    We are relaunching our Dementia Steering Group /Strategy and updating our work plan from this Our work will feed into our Patient and Carers group by experience which meets bi monthly.
    Status:
    Delivery

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Awareness raising and education

    We have undertaken level 1 Dementia awareness over last 3 years on Corporate Induction. We have delivered level one general awareness training on annual mandatory training over the last year. We are developing level 2 training across the trust and collating through our ESR system which staff require this.
    Status:
    Implementation

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Developed a National Dementia Screening tool to enable us to achieve the National Dementia CQUIN

    Participated in both National Audits of Dementia in Acute Hospitals. Developed a National Dementia Screening tool to enable us to achieve the National Dementia CQUIN.

    Status:
    Delivery

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Piloting a dementia care pathway

    At the stage of piloting a dementia care pathway one of the key elements of the pathway has been the launch of the Who I am – Passport used across the full health economy.

    Status:
    Implementation

    Update - First Quarter

    Nothing to report - new DAA member

    Update - Second Quarter

    N/A

    Update - Third Quarter

    N/A

  • Butterfly scheme across Shrewsbury & Telford Hospital

    Continue to use the Butterfly scheme with all wards /departments. Use of REACH and butterfly on patients bed space and Patients at a glance status boards Engagement with families and carers regarding the use of this and the carers passport calling cards from dementia service for all families /carers Carers pack given out to all carers.
    Status:
    Delivered

    2016 - First Quarter Update

    New action

  • Deliver with the support of the DAA colleagues Dementia Friends sessions

    Offer and promote Dementia Friends sessions to areas in both sites that have roles other than clinical ie Hostess/ Estates / restaurant staff/security and car park attendants.

    Status:
    Planning

    2016 - First Quarter Update

    New action

  • Engagement with families and carers

    Feedback from families/carers on their experience (use of stories) in use of butterfly scheme/carers passport/use of twiddlemuff. Carers involvement in triangle of care (planning and collaboration between – Patient ,carers and ward staff).

    Shrewsbury & Telford Hospital are keen to engage with people with dementia /families and carers as well as wider partner organisations to improve the patient /carer experience. We value the shared learning ,good practice and support from the DAA and wider colleagues.

    We seek learning from all avenues to advise where we have not achieved to deliver good dementia care – complaints /patients stories … visits to the wards to talk to staff /patient and carers to seek feedback through our volunteers (PEIPS).

    As an organisation we share good practice/how we have improved practice through our putting patients first articles to all teams /Trust Board and senior management meetings(matrons/band 7) A Plan of work agreed by our steering group will be audited for its effectiveness and use.

    Through audit of the butterfly scheme – carer questionnaire/Patient stories Learning from complaints and sharing this – audit of numbers of complaints /compliments Audit our plan of work – to measure if embedded across the organization and effective.

    Status:
    Planning

    2016 - First Quarter Update

    New action