Southend University Hospital NHS Foundation Trust
The Trust Goal will be at the heart of our culture striving for continuous improvement in the quality of care the Trust delivers. Our Goal is: High quality care for every patient, every time. Care with compassion, Working together, Professional and accountable. It is estimated that 7% of people aged over 65 years are living with dementia and this figure increases to 16% for people over 80 years. (Alzheimer’s Society) This strategy is the means by which Southend University hospital NHS Foundation Trust will drive improvements for patients with dementia, for whom care is often complex and admission to hospital can be life changing. Within the geographical area of Essex, Southend and Thurrock there are estimated to be more than 22,000 people currently living with dementia. With a higher than average population of older people aged over both 65 and 85 it is likely that the number of people with dementia will increase to 35,000 by 2025. (Pan-Essex Dementia Strategy) This strategy defines how we will work with our patients, carers, staff, voluntary agencies and community partners to deliver consistently excellent dementia care at Southend University Hospital NHS Foundation Trust. Covering the period 2015 to 2018, it sets out the plans to ensure the provision of consistent excellent dementia care across our Trust. Our strategy will comply with National Guidance, specifically: National Dementia Strategy (NDS), Dementia Action Alliance (DAA), National Audit for Dementia (NAD), National Institute for Health and Care Excellence
- 12 May 2016
- East of England
- Hospitals and Hospital Trusts
- Local Alliances:
- Southend, Castle Point and Rochford District 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?
Our vision of consistently excellent Dementia care
Our vision is to provide consistently excellent Dementia care at Southend. We have four strategic priorities which are summarised below and described in further detail in the next section.
Early diagnosis, excellent clinical treatment and care – ensuring we diagnose Dementia and Delirium at the right time, in the right place and provide the right support afterwards.
Positive relationships of care – ensuring we have a culture of excellent, compassionate care provided by staff who are confident in their roles to deliver this.
Involved and supported carers – ensuring a culture that always involves and engages carers as partners in care, where carers are actively welcomed and invited into this role and their changing needs are actively addressed.
Environments of care - creating a truly dementia friendly hospital site secure, safe, homely and comfortable social and therapeutic environments that facilitate all types of functioning.
2. What are the challenges to delivering these outcomes from the perspective of your organisation?
- Resource availability for training staff and implementing the changes
- Financial constraints within the NHS
- Staff vacancie
- Keeping on tract with action plan due to other influences/ priorities within the Trust
- People Engagement and buying into the vision to move the services forward.
Rem Pod- Day Room on 2 wards Princess Anne and Windsor Ward
The new day rooms would provide patients and their relatives with a dedicated area to go, leave their bedside to chat and engage in activities. There will be opportunities for the provision of tailored activities such as music for the brain, exercise and movement and reminiscence.
Hospitals are known noisy places full of distractions and clutter which can make patients more confused. If noise makes concentration difficult the patient can become more anxious and may begin to exhibit challenging behaviours. The day room would be used as a peaceful place for patients to reduce distress and provide distraction. Patients, who require 1:1 supervision because they are at high risk of falling as a consequence of pacing, often benefit from a change of environment and distraction. Rather than inactively sitting with patients in the main bay, the day room and its resources can be used to enhance interaction. This would also help reduce the risk of falling in patients who have previously fallen because they were restless and anxious.
The Reminiscence dayroom would also have a great impact on nutrition and hydration. Eating and drinking is a social occasion and the problems with encouraging patients with dementia to eat and drink in hospital are well documented. The Kings Fund 2014 EHE Environmental Assessment tool suggests patients require somewhere to eat and drink other than beside their beds and somewhere where they can sit and eat together socially with their family. Sitting eating in a café style environment has been recognised to help stimulate appetite in patients who are otherwise struggling eating hospital meals at the bedside. Families would be encouraged to bring in a meal and sit and eat with the patient in the dayroom.
The Alzheimer’s Society says Cognitive stimulation therapy can make a real difference treating or managing the symptoms of dementia. The proposed dayroom is divided into zones it can make use of relevant local sights and sounds so that the dayroom is much more than just a place to sit and watch television. It can be developed as patients’ main hub of activity, socialising and interacting with other patients, volunteers and dementia friends. Offering stimulation especially reminiscing will have a positive effect on the patients’ health.
2016 - Second Quarter Update
As an organisation we aim to improve the care delivery of our patients with Dementia. The blue wrist band will help enable all staff and volunteers to identify patient who have dementia with an aim to support them if this is on the ward or in as outpatients area.
2016 - Second Quarter Update
Signage for the care of the Elderly Ward
The signage within the Trust is not currently dementia friendly. The aim is to ensure that Princess Anne and Windsor Ward (Care of the Elderly Ward) have the appropriate signage to ensure that patients can orientate easily around the ward.
2016 - Second Quarter Update