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Southern Health NHS Foundation Trust

We are an integrated mental health and community trust with services across Hampshire and Southampton. We provide specialist inpatient, community, and diagnostic dementia services.

Updated:
6 May 2019
Location:
South East
Sectors:
Health, Medical, Care, Hospitals and Hospital Trusts
Local Alliances:
Hampshire 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?

We are an integrated Mental Health and Community Trust. We provide specialist Older People’s Mental Health services in hospital, community and clinic based settings. We are currently integrating our OPMH services with our community services to provide seamless care across physical and mental health for our elderly population.  As part of that work we are looking at the whole pathway from early diagnosis of dementia through to improved End of Life care – ensuring that those with a diagnosis of dementia have early access to appropriate specialist care and longer term access to support to live in their own environment.We work through a concept of wellness and hope for those with dementia – endeavoring to achieve as positive a life for those with dementia as possible.Our community hospitals have been audited to ensure they are ‘Dementia friendly’ and plan are in place to address a small number of gaps (principally around signage).We perform Mini Mental test scores on all of our patients in community settings (home and hospital.)We have established closer links with others such as acute NHS providers, Alzheimers Society. MIND. We have attended joint education and work stream forums aimed at ensuring that patients can receive consistent care throughout the patient pathwayDementia Steering group is in plan with identified Dementia Leads and Champions across organizationGap analysis of staff knowledge and skill will be undertaken and training planned internally and with liaison with LETB, other providers, Skills for HealthWell established Research program in Dementia already exists within Southern Health and well recognized by external bodiesOPMH settings already Dementia friendly environments which will support the improvements in environment and knowledge and skill identified through organizational check list (National Audit for Dementia CCQI)

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

The organization is large with mental health, community care, Hospital, Learning Disability and Social care settings and improvements in knowledge and skill must address the varying needs and challenges faced by this diverse staff group/environment We believe we can better skill our (physical health) community staff to care for those with Dementia in their own home and in community hospital settings. Through education and support the embedding ‘Dementia Friendly’ concepts in to every day care is an aspiration of the organization. With the increasing prevalence of Dementia we need to work with all sectors – including primary, secondary and third sectors to ensure that our service users with dementia move seamlessly through the system and benefit from the specialist expert care when it is required but equally are cared for in primary care and their own homes when that is appropriate. Full GP, commissioner and stakeholder engagement will be required to achieve key areas of the Dementia Challenge (such as early diagnosis)

2. Actions

  • Establishment of Dementia Steering group

    Establish Dementia Steering group with identified leads and Dementia Champions across the whole organization. This group will develop an action plan that ensures that wherever in our organisation people with a diagnosis of dementia are cared for – they get access to high quality care that supports their needs

    Status:
    Planning

    2013 - Third Quarter Update

    Updated action. Nothing to report

    2013 - Second Quarter Update

    New member

  • Dementia friendly environment in the hospital

    Continue our work to ensure that our Community hospitals provide a dementia friendly environment. A re-review of community hospital settings is underway which will establish changes required to improve the healing environment (décor, meaningful activity, patient facilities)

    Status:
    Implementation

    2013 - Third Quarter Update

    Updated action. Nothing to report

    2013 - Second Quarter Update

    New member

  • Organisational gap analysis for education

    Complete organizational gap analysis for education. Provide ongoing training for staff in the care of those with dementia based on need.

    Status:
    Initial Scoping

    2013 - Third Quarter Update

    Updated action. Nothing to report.

    2013 - Second Quarter Update

    New member

  • Re-energize 'This is me' form

    Re-energize the se of ‘This is me’ particularly in Community Hospitals and encourage joint working with carers, acute providers and mental health colleagues to fully embed practice.

    Status:
    Implementation

    2013 - Third Quarter Update

    Updated action. Nothing to report

    2013 - Second Quarter Update

    New member

  • Reduce use of anti-psychotic medications

    Continue our work in reducing use of anti-psychotic medications

    Status:
    Implementation

    2013 - Third Quarter Update

    Nothing to report

    2013 - Second Quarter Update

    New member

  • Dementia friendly lead

    Dementia Friendly lead in place and extensive resources from Mental Health services division

    Status:
    Implementation

    2013 - Third Quarter Update

    Updated action. Nothing to report

    2013 - Second Quarter Update

    New member

  • Develop dementia champions

    Further develop Dementia champions and links in non-specialist settings.

    Status:
    Implementation

    2013 - Third Quarter Update

    Nothing to report

    2013 - Second Quarter Update

    New member

  • Links with other organisations

    Links with Alzheimers Society and MIND locally being established to support carers in accessing appropriate services

    Status:
    Implementation

    2013 - Third Quarter Update

    Updated action. Nothing to report

    2013 - Second Quarter Update

    New member

  • Butterfly or Dragonfly system

    Community hospitals to have established a system of identifying patients with dementia in inpatient settings (butterfly or dragonfly system)

    Status:
    Implementation

    2013 - Third Quarter Update

    Updated action. Nothing to report

    2013 - Second Quarter Update

    New member

  • Links with patient/carer groups

    Development of links with patient/carer groups to meet the Dementia Friendly Challenges.

    Status:
    Initial Scoping

    2013 - Third Quarter Update

    Updated action. Nothing to report

    2013 - Second Quarter Update

    New member