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Plymouth Hospitals NHS Trust

Plymouth Hospitals is the largest hospital trust in the south west peninsula and is a teaching trust in partnership with the Peninsula Medical School. The Trust has an integrated Ministry of Defence Hospital Unit which has a staff of approximately 250 military personnel who work within a variety of posts from lead doctors to trainee medical assistants. Plymouth Hospitals provides comprehensive secondary and tertiary healthcare to people in the South West Peninsula. We also we provide comprehensive training and education for a wide range of healthcare professionals. We offer a full range of general hospital services to around 450,000 people in Plymouth, North and East Cornwall and South and West Devon. These include emergency and trauma services, maternity services, paediatrics and a full range of diagnostic, medical and surgical sub-specialties.

Updated:
13 March 2014
Location:
South West
Sectors:
Health, Medical, Hospitals and Hospital Trusts
Local Alliances:
Plymouth 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 Trust has been working towards the regional standards for improvement in care in hospital for patients with Dementia and their families. The standards take account of  existing national and local expectations, performance measures and standards and now form part of the national Call To Action for the improvement of care in hospitals, as part of the Prime Minister’s Dementia Challenge.

A multi-professional working group has continued to drive the work to improve standards for people with Dementia, across a wide range of services, departments and specialities – the working group involves Champions for Older People from across all Directorates and  includes carers of people with Dementia, representatives of local patient forum and the Alzheimers Association.  The second round of Peer Review of the SW standards was completed February 2013, which  confirmed that the work and improvements towards the care of people with Dementia have been maintained and further developed; the motivation and commitment for the continual improvement of care of people with Dementia was still very much visible across wards and departments.

The  Trust-wide Dementia Improvement plan  focuses on six specific initiatives:

  • Establishing Champions for Older People across all clinical teams (adult services)
  • Improving Dementia-focused wards/departments and  Trust wide use of Memory Boxes
  • Implementation of Getting to Know You leaflets
  • Involvement of Carers and Volunteers in care delivery at ward/departments
  • Standardised Risk assessments & Individualised Care Plans
  • Develop staff training in care of people with Dementia – Dementia awareness has been included in Mandatory update training for all clinical staff this year.

The Trust has contributed to the South West Dementia Partnership Compendium of good practice in the care of people with Dementia in general hospitals and is an active member of the Plymouth Dementia Action Alliance.

 

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

The Trust has a large number of wards and departments who provide services to patients – ensuring that all clinical areas are Dementia Friendly and provide care which is appropriate for people with Dementia is difficult.  Some clinical processes, procedures and environments are not easy for people with Dementia.

The focus of much acute care is on evidence-based practice, which is often protocol driven.  This is different to the person-centred care of someone with Dementia, which often has to be very specific to the needs of the person.

Member contacts

Karen Grimshaw

Associate Director of Nursing/Nurse Consultant Older People - Plymouth Hospitals NHS Trust

http://www.plymouthhospitals.nhs.uk/Pages/Home.aspx

2. Actions

  • Training of Clinical Staff

    Continued training and education for clinical staff

    Status:
    Delivery, Implementation

    Update – First Quarter  

    Update – Second Quarter

    Update – Third Quarter

    Update – Fourth Quarter

  • Development of Champions

    Development of Champions for Older people, with focus on Dementia.

    Status:
    Implementation

    Update – First Quarter  

    Update – Second Quarter

    Update – Third Quarter

    Update – Fourth Quarter

  • Raise Dementia Awareness

    Raise awareness of needs of people with Dementia in an acute hospital  -to all staff, patients and public.

    Status:
    Implementation

    Update – First Quarter  

    Update – Second Quarter

    Update – Third Quarter

    Update – Fourth Quarter

  • Clinical Environments

    Improve the clinical environments to help people with dementia.

    Status:
    Implementation

    Update – First Quarter  

    Update – Second Quarter

    Update – Third Quarter

    Update – Fourth Quarter

  • Recognition of Dementia

    Better identify people in hospital with Dementia, including use of Forget-me-Nots symbol.

    Status:
    Implementation

    Update – First Quarter  

    Update – Second Quarter

    Update – Third Quarter

    Update – Fourth Quarter

  • Standardization

    Standardized Risk assessments and Individualised Care Plans.

    Status:
    Implementation

    Update – First Quarter  

    Update – Second Quarter

    Update – Third Quarter

    Update – Fourth Quarter

  • Involvement of carers/family

    Promote and encourage involvement of carers/families with care of people in hospital.

    Status:
    Implementation, Initial Scoping

    Update – First Quarter  

    Update – Second Quarter

    Update – Third Quarter

    Update – Fourth Quarter

  • Volunteers

    Promote involvement of volunteers with people who have Dementia.

    Status:
    Implementation, Initial Scoping

    Update – First Quarter  

    Update – Second Quarter

    Update – Third Quarter

    Update – Fourth Quarter