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The Royal Wolverhampton NHS Trust

RWT is a large acute and community provider providing services from New Cross, West Park and Cannock Chase Hospitals and more than 20 community sites. A comprehensive suite of interventions including specialist ward, outreach team, care bundle and education & training programme ensures excellence in dementia care throughout the organisation.

Updated:
25 October 2019
Location:
West Midlands
Sectors:
Health
Local Alliances:
Wolverhampton 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 a Dementia Strategy 2015 – 2020 informed by both national and local drivers with the overarching aim of being a dementia friendly organisation. Key milestones developed under its six strategic objectives are reviewed and refreshed on a regular basis to ensure its on-going relevance to our population. 

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

  • Economic constraints / financial constraints in the NHS;
  • Ageing population resulting in increased demand on services;
  • Competing demands / resource capacity;
  • Trust-wide engagement / associated stigma.

Continue to strive to raise awareness and profile at every possible opportunity and in a variety of forums. Engage with others, including those affected by dementia and their carers, to form strong and robust partnerships to push the agenda forward. Regular strategy review ensuring aims are evidence based and ambitious but realistic and achievable. 

2. Actions

  • Work in Partnership to make Wolverhampton a Dementia Friendly City

    Actively engage with the Wolverhampton Dementia Action Alliance and its members; Cross engagement and promotion of the Wolverhampton DAA and our Trust Dementia Public Reference Group; Actively engage in awareness raising events across the City.

    Status:
    Being implemented

    2019 - Fourth Quarter Update

    RWT Dementia Services actively engage with the local and national DAA, participating in meetings, initiatives and awareness raising events across the City. The Consultant Nurse was presented with an 'Inspiring Individual' award by the Wolverhampton DAA in January 2018, prior to the City of Wolverhampton being awarded 'Dementia Friendly' Community (City) of the Year 2018 at the National Awards. Areas of good practice developed by the RWT Dementia Services team has also been showcased in the national DAA newsletter and as part of the launch of the National Dementia Friendly Hospital Charter, to which we are signed up as a Trust and actively advocate.

    We have active cross engagement between our local Wolverhampton DAA and the RWT Dementia Public Reference Group and continue to review, revise and add to out membership.

    We are actively involved in awareness events internally within the Trust and across the City including engagement events during Dementia Action Week.

  • Continue to develop a ‘dementia friendly’ workforce

    Continue to deliver level 1 and level 2 dementia training in line with Health Education England requirements;Level 1 dementia training to become mandatory for all Trust staff;Continue to increase our number of Trust ‘Dementia Friends’ from the current total of almost 2000;Continue to recruit and support our Dementia Action Network (DAN) members (champions), currently totaling around 200, from all disciplines throughout the Trust;Continue to develop and update staff dementia intranet site;

    Continue to produce and publish quarterly Dementia Services Newsletter.

    Status:
    Being implemented

    2019 - Fourth Quarter Update

    Level 1 Dementia Information & Awareness training is now mandatory for all disciplines of Trust staff. It is delivered face-to-face at Corporate Trust Induction for all new starters and an e-learning version has been developed to enable all Trust staff to comply with the expectation.

    Level 2 Dementia Care training is available to all disciplines of Trust staff and is well attended and well evaluated on a monthly basis. We are planning to attain mandatory specific status for all staff working in the Care of the Elderly Directorate.

    We include the 'Dementia Friends' initiative / principles within out level 1 training so that all staff, once completed, are considered as part of this group within the Trust.

    Our Dementia Action Network (DAN) continues to grow, with staff from all disciplines joining and working with the Dementia Service to improve practice in their individual areas. Some examples of areas that are working to become 'dementia friendly'Outpatient Departments, Fracture Clinic, Radiology, Ophthalmology, Rheumatology, Orthotics and Hearing Services.

    The Dementia Services Intranet site continues to be reviewed and updated on a regular basis.

  • Improve dementia recognition and diagnosis rates

    Develop a Cognition Clinic with the aims of:

    Providing comprehensive assessment and review of cognitive function for patients with suspected dementia / underlying cognitive impairment, the extent to which is inconclusive due to possible resolving delirium following a post discharge period of recovery, resulting in either formal diagnosis or referral to appropriate services; Providing on-going input and support to patients with a formal diagnosis of dementia (complex cases) and / or their carer post discharge with the aim of avoiding repeated hospital admissions. 

    Status:
    Completed

    2019 - Fourth Quarter Update

    The Cognition Clinic has been established and expanded to a weekly services taking referrals from both sets of criteria.

  • Maximise patient opportunity for engagement in meaningful therapeutic activity

    Develop a dedicated reminiscence room to provide a bespoke therapeutic environment for patients living with dementia and their carers during a hospital stay; Actively recruit volunteers with skills to provide therapeutic interventions; Develop a therapeutic activity programme including reminiscence, arts, sensory stimulation, music, pets as therapy, chaplaincy, exercise etc.  Work in partnership with Trust library to set up a system of activity equipment loans across the Trust to increase availability for all patients. 

    Status:
    Being implemented

    2019 - Fourth Quarter Update

    The planned Reminiscence Room within the Trust was officially opened in Dec 2017 providing a bespoke therapeutic environment for patients living with dementia and their carers during a hospital stay.

    The Dementia Outreach Service has and is continually seeking to recruit volunteers to support people living with dementia and their carers whilst they are in hospital. Their role largely consists of providing much needed therapeutic interventions including playing a game of cards or dominoes, reminiscence therapy using bedside tablet computer software, providing sensory stimulation by provision of a 'twiddle muff', having a cup of tea and a chat or simply holding someone’s hand for reassurance. In addition, they support carers by helping them to complete the 'About Me' document to ensure a person-centred approach to care and signposting them to support that the Dementia Outreach Service can offer.  They also participate in awareness raising campaigns and help to raise charitable funds to purchase resources to enhance the care we provide for this vulnerable group of patients.