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North Middlesex University Hospital NHS Trust

The North Middlesex University Hospital NHS Trust operates a busy acute general hospital serving the communities of the London Boroughs of Enfield and Haringey, and surrounding areas. It is located in Edmonton, on the south side of the North Circular Road and on the Enfield/Haringey border. It serves a diverse and, in places, highly dependent population of approximately a quarter of a million people. The other local secondary acute care providers are Barnet and Chase Farm, Whipps Cross, the Whittington, and the Royal Free Hospitals .

Updated:
1 April 2014
Location:
London
Sectors:
Health, Care, Hospitals and Hospital Trusts
Local Alliances:
Enfield 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?

To provide patient-centered, high quality care to patients with dementia and their carers in an environment that caters to the needs of patients with Dementia. To implement appropriate training to all members of staff in understanding Dementia and the impact it has on care to patients attending the acute trust. To liaise with local networks to ensure that care between the trust and the community is joined up and comprehensive. To work closely with carers to ensure they feel involved in the care and management of their loved one and that their contribution is recognized as important.

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

  • Workload and staff numbers making releasing for training difficult.
  • Low levels of awareness about dementia making it a lower priority in some areas
  • Limited time available for staff on the dementia steering board to implement new changes and initiatives.
  • Lack of available funds to make significant environmental improvements needed.
  • Working within two boroughs making double the community networks to establish.

 

 

 

Member contacts

http://www.northmid.nhs.uk/

2. Actions

  • Dementia Steering Board

    Dementia steering Board formed and meeting regularly

    Status:
    Implementation

    2013 - Third Quarter Update

    New member

  • 'Trained trainers'

    5 ‘trained trainers’ to provide formal and ward based training to flex around staff needs

    Status:
    Delivery

    2013 - Third Quarter Update

    New member

  • In house training programme

    In house training programme releasing funds for other training opportunities (more trainers etc)

    Status:
    Implementation

    2013 - Third Quarter Update

    New member

  • Ongoing profile work

    Ongoing profile work using screen savers/cake stall and meet and greet events

    Status:
    Delivery

    2013 - Third Quarter Update

    New member

  • Improved implementation of initiatives

    Improved implementation of initiatives as a result of training and some time released for board members to reinforce training

    Status:
    Implementation

    2013 - Third Quarter Update

    New member

  • Ongoing work on improving the environment

    Ongoing work on environment looking at different sources of funding and making smaller changes bit by bit. (recently failed to win grant for improving environment)

    Status:
    Planning

    2013 - Third Quarter Update

    New member

  • Further involvement in dementia research

    Further involvement in research programme contributing to dementia research in the acute trust and raising profile further amongst staff and patients.

    Status:
    Planning

    2013 - Third Quarter Update

    New member

  • Ongoing networking

    Ongoing networking with community colleagues and plan to offer training places to staff from local homes.

    Status:
    Delivery

    2013 - Third Quarter Update

    New member

  • Carers Passport

    Broadened use of our ‘Carers Passport’ to improve use and to further remind staff of importance of carer involvement

    Status:
    Implementation

    2013 - Third Quarter Update

    New member

  • Development of a Dementia Champion scheme

    Development of a Dementia Champion scheme for all fully trained staff so that all clinical areas are represented.

    Status:
    Initial Scoping

    2013 - Third Quarter Update

    New member

  • Improved IT to improve discharge summary information and reports

    Ongoing work in IT to improve discharge summary information and monthly reports with up to date data of flow and volume of patients with dementia.

    Status:
    Implementation

    2013 - Third Quarter Update

    New member

  • Active audit programme

    Develop an active audit programme focusing on patients with dementia and aspects of their care.

    Status:
    Initial Scoping

    2013 - Third Quarter Update

    New member

  • Future development of a specialist Dementia/Mental Health team

    Long term plan to develop and fund a specialist Dementia/Mental health team to further progress above measures.

    Status:
    Initial Scoping

    2013 - Third Quarter Update

    New member