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Mid Yorkshire NHS Trust

We provide community, acute (hospital-based treatment) and specialist health services to around half a million people living in the Wakefield and North Kirklees areas. We also treat patients who choose to use our services from surrounding areas, including South Leeds, North Yorkshire, Barnsley and Doncaster.

Updated:
9 March 2018
Location:
Yorkshire and Humber
Sectors:
Health, Care, Medical, Hospitals and Hospital Trusts, Emergency Services Sector
Local Alliances:
Yorkshire & Humber 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 organisation (Mid Yorkshire NHS Trust) aims to achieve and surpass the national aims stated in the National Dementia Strategy, NICE guidance on dementia and delirium and in benchmarking against the National Dementia Audit.

Locally we aim to deliver better outcomes by ensuring our hospitals and community staff have gained dementia awareness training and supported staff members to gain additional knowledge in areas with high levels of contact with people with dementia.

We offer a more person centred approach for people with dementia by improving the environments in which we offer care in our Trust in order to minimise disorientation, and by reviewing our plans of management on an individual basis, especially in light of a diagnosis of dementia. We are developing patient-held information to obtain information from patients with dementia and their carers to improve the delivery of person-centred care and reduce problems related to challenging behaviour. We aim to improve the support we offer to carers of those with dementia by routinely asking about the person with dementia, offering written information and links and asking for their opinions on the care we offer.

We report to the Trust Board on a quarterly basis. We have a dementia champion programme to develop expertise and leadership in dementia within acute and community Trust care.
Our Trust can influence the local health and social care system in highlighting areas where additional resources or services are required, and offer expertise and opinion in the care of people with dementia.

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

The main challenge from the point of view of high level management is to continue prioritising the improvement of the care of people with dementia. Additional challenges are related to ensuring all members of staff within our Trust have access to and receive awareness training on dementia. Our Trust has particular benefits and challenges related to modifying our PFI buildings in order to improve the environment for people with dementia.

Member contacts

http://www.midyorks.nhs.uk/

2. Actions

  • Member of Local Dementia Strategy and Transformation Group

    The trust is an active member of the local dementia strategy and transformation group, working on the local strategy, and aims to achieve the national dementia strategy locally and the Prime Minister’s challenge.

    Status:
    Implementation

    2017 - First Quarter Update

    We continue to be an active member of the local dementia strategy group covering Wakefield. The new liaison psychiatry team has now been active for over a year, and we continue to work closely with them. We have also been invited to become involved with the Kirklees dementia strategy group.

    2014 - First Quarter Update

    During 2013/14 this group and the Mental Health Transformation group have achieved the development of a new liaison psychiatry team for Mid Yorkshire Hospitals NHS Trust, to be launched summer 2014. Part of the role of this team will be to offer additional support to patients with dementia.

    2013 - Second Quarter Update

    New member

  • Establishment of a Dementia Steering Group

    The Mid Yorkshire NHS trust has a dementia steering group which has been meeting monthly. We work across the trust and include members of partnership groups, such as the local mental health trust and the Yorkshire Ambulance Service. We work together to drive improvements in the quality of care for people with dementia and their carers across the Trust.

    Status:
    Delivery

    2017 - First Quarter Update

    The Trust dementia steering group continues to meet bimonthly. Additional members have joined, including carer and Trust board representatives. The group has achived launching and embedding the Forget-Me-Not scheme, having 3 members of staff permanently employed as the Dementia Support Team, implementing John's campaign, upgrading side rooms in elderly medicine wards to be family support rooms allowing family members to stay with patients, providing Twiddle-muffs for patients, Reminiscence areas on most elderly wards using Rempods, additional calming reminiscence therapy via tablet computers, music and games, introducing carer support drop in sessions with the Alzheimers society, introducing befriending sessions for inpatients with our volunteers.

    2014 - First Quarter Update

    The Steering Group continues to meet monthly. During 2013 we obtained local funding for a reminiscence room at Pinderfields Hospital, trained over 500 members of staff in dementia awareness, commenced asking carers of patients with dementia about the support we have offered them, and screened increasing numbers of appropriate patients admitted to the Trust for dementia. Projects for 2014 include - launching a Forget-Me-Not dementia awareness scheme for staff and patients across the Trust, commencing face-to-face training on dementia awareness for more members of staff, recruiting a specialist "Dementia Nurse", upgrading the environment of our elderly medicine wards to be "dementia friendly" and setting up the reminiscence room.

    2013 - Second Quarter Update

    New member

  • Introducing Dementia Champions within the Trust

    The Trust is identifying, training and supporting dementia champions amongst staff on each ward and in community settings.

    Status:

    2014 - First Quarter Update

    As of 2014 we have launched a new call for Trust dementia champions, and are integrating them into our improved training and awareness programme

    2013 - Second Quarter Update

    New member

  • Staff Dementia Awareness training programme

    The Trust has commenced an elearning training programme (The national e-dementia training) for all staff, starting with those with the greatest contact with people with dementia.

    From 2014 the staff dementia awareness raising training programme switched its focus to delivering more face to face training sessions, in order to include all staff.

    Status:
    Delivery

    2017 - First Quarter Update

    2014-2016 showed significant increases in the number of staff who received dementia awareness training, both face to facce and elearning, due to the hard work of the Dementia Support team. 58% of staff ahd received training by September 2016.

    2014 - First Quarter Update

    Over 500 members of staff have undertaken the e-learning training programme to date. This, and in additiona face-to-face, training will continue to be rolled out to staff members across the Trust to improve dementia awareness and patient-centered communication.

    2013 - Second Quarter Update

    New member

  • Review of antipsychotic medication use

    We have commenced trust-wide awareness raising about reviewing the prescription of antipsychotic medications amongst people with dementia

    Status:
    Implementation

    2017 - First Quarter Update

    A further audit was undertaken in 2016, showing no concerns about antipsychotic prescription for people living with dementia. Further audits will be undertaken every other year to monitor antipsychotic use.

    2014 - First Quarter Update

    During 2014 a Trust-wide audit of use of antipsychotic medications amongst our patients with dementia will be undertaken, and changes made to practice dependent on the findings.

    2013 - Second Quarter Update

    New member

  • Participation in National Dementia Audit

    The Trust participated in the national dementia audit. This is helping us to benchmark against other Trusts and identify particular areas for improvement.

    Status:
    Delivery

    2017 - First Quarter Update

    We participated in the 2016 National Dementia Audit and are awaiting the results

    2014 - First Quarter Update

    Following the results of the 2012 national dementia audit we have improved our care for people with dementia by: implementing a dementia awareness training programme, developed and updated a Dementia Care Pathway to guide staff in caring for people with dementia, have a plan for improving access to liaison psychiatry services for those with dementia, screen appropriate new patients for delirium and dementia. We intend to participate in the 2014 National Dementia Audit in order to benchmark against other Trusts and continue our improvement.

    2013 - Second Quarter Update

    New member

  • Assessing complaints in people with dementia for improvements

    We are ensuring we assess complaints in people with dementia to identify particular areas where improvement is required

    Status:
    Implementation

    2017 - First Quarter Update

    We continue to work closely with colleagues dealing with complaints to ensure issues related to care for people with dementia and delirium are identified. We then discuss these issues in our Dementia Steering Group to form action plans where appropriate.

    2014 - First Quarter Update

    We continue to review our complaints in order to identify specific issues related to dementia care.

    2013 - Second Quarter Update

    New member

  • Developed and disseminated Trust guidelines

    We have developed and disseminated Trust guidelines on dementia and delirium diagnosis, investigations and management

    Status:
    Delivery

    2017 - First Quarter Update

    The Trust dementia guidelines were updated during 2016. Active engagement with local and regional focus groups is ongoing to inform the updating of the Trust delirium guidelines.

    2014 - First Quarter Update

    The dementia guidelines will be updated in 2014

    2013 - Second Quarter Update

    New member