Homerton University Hospital NHS Foundation Trust
Homerton University Hospital NHS Foundation Trust provides general and specialist hospital services and community health services in Hackney and the City. Last year the hospital admitted 63,000 patients, saw over 236,000 outpatients and delivered over 5,500 babies. Every day the A&E team saw an average of 325 patients and became the first such team in the country to be rated ‘outstanding’ by the Care Quality Commission. Based in the London Borough of Hackney, we provide general health services at hospital and in the community with staff working out of 75 different sites. The hospital has almost 500 beds spread across 11 wards, a 9-bed intensive care unit and maternity, paediatric and neonatal wards. As a Foundation Trust we are accountable to local people who can become members and governors. We have a duty to consult and involve a Board of Governors drawn from patients, staff, membership and partner organisations in our strategic planning. We now employ over 3500 staff, most of whom grew up in Hackney, most of whom live in the neighbourhood, many of whom followed their mothers and fathers into the hospital, a number of whom work alongside more than one family member, some of whom were born here and all of whom believe they belong to something of great value.
- 2 June 2016
- Hospitals and Hospital Trusts
- Local Alliances:
- Hackney 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?
The management of dementia is an issue that Homerton University Hospital Foundation NHS Trust has embraced. We have listened to and talked to patients, carers and our partners in the community, other local NHS Trusts and voluntary organizations. The HUHFT Dementia Strategy 2015-2017 outlines the key objectives for dementia care on a local level in Hackney and the City of London.
• To become a Trust that is confident in offering evidence based patient centred care for people with dementia to include timely diagnosis, treatment and care.
• To create a dementia friendly Trust with environments that support appropriate care.
• Supportive and compassionate relationships of care throughout the departments.
• Partnership working with carers.
We have a multi-agency steering group meeting monthly with responsibility for delivering on the workstreams attached to the above priorities.
As an example, current work includes:
- A commitment from the Trust Board to all become ‘Dementia Friends’ this year
- Working with the wider Borough in developing a dementia pathway
- To increase the numbers of therapies available to patients with dementia in our care eg regular art therapy and reminiscence groups.
- To have a ‘Carers Passport’ for 24 hour visiting for carers of people with dementia
- To train 100% of all new staff on dementia awareness and compassionate care
- Implementation of the ‘Forget Me Not’ scheme across the hospital and Mary Seacole Nursing Home
- Implementation of ‘This Is Me’ across the hospital and Mary Seacole Nursing Home
- Colour coding bays on the Elderly Care Unit and improving signage to aid orientation
- Increasing the numbers of ‘Dementia Champions’ across inpatient and community sites and training staff at both level 1 and 2.
- Running regular carers forums in the acute and community setting.
- Peer work with Wrightington, Wigan and Leigh NHS Trust through the DAA.
Dementia care remains one of the key priorities for the Trust and our work will encompass the Homerton Hospitals values as an organization and the contribution from the entire workforce. Our goal is for the care we deliver to patients with dementia to be exemplary.
Our work will incorporate the values of the Trust
These values will be embedded in all of the work that we undertake.
Our aims are ambitious and require hard work, the contribution of all staff and ongoing evaluation to ensure we are providing the best quality care to people with dementia and their carers to improve health and wellbeing, whilst a patient in our care.
2. What are the challenges to delivering these outcomes from the perspective of your organisation?
- Maintaining momentum and enthusiasm for a dementia agenda in a service where staff have multiple priorities, eg sustaining the dementia champions.
- Keeping the profile high
- To make changes to environments in difficult economic times.
- To ensure we support the emotional needs of patients with dementia and their carers when they are under our care
Ensuring staff are delivering the best possible care to people with dementia and their carers whilst they are in our care
The steering group to include patient and carer feedback will regularly monitor and review the work streams. The steering group will endeavour to keep the profile of good dementia care as a high priority throughout all departments and teams in the Trust. Following a robust training needs analysis, we will implement and deliver a regular dementia and delirium training day for all medical, nursing and therapy staff. The session will include supporting someone’s emotional needs in addition to their physical needs.
We will ensure that all non-medical staff to include porters, admin, domestic and kitchen staff receive dementia awareness training and understand the principles of compassionate care.
The clinical lead and nurse lead for dementia will report to the Trust Board regularly and will deliver a training session to the Board. We will keep the wider public up to date with developments for example at National Dementia Awareness week and at the launch of the Hackney and City of London Dementia Action Alliance event.
2016 - Second Quarter Update
Ensuring carers are supported appropriately and involved in care planning
We have started to embed person centred care planning across the Trust to enhance staff’s sense of personhood as well as appropriately supporting our patients with dementia. Our dementia care support workers identify and engage carers at the point of admission and are using the ‘This Is Me’ tool and ‘Forget me Not’ identifiers.
Carers told us they would like a space to discuss concerns and to meet other carers, so we have set up a regular carer’s forum both in the hospital and at our Nursing Home. We are working on plans to initiate the carers’ passport and to sign up to ‘John’s Campaign’ – the right for carers of people with dementia to stay beyond visiting hours to support with communication and emotional support.
2016 - Second Quarter Update