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Imperial College Healthcare NHS Trust

Imperial provides acute and specialist health care in north west London for around a million people annually. We have five hospitals – Charing Cross, Hammersmith, Queen Charlotte’s & Chelsea, St Mary’s and The Western Eye - as well as a growing number of community services. With Imperial College London, we are a designated academic health science centre, supporting rapid translation of research and excellence in education. We seek to ensure our care is not only clinically outstanding but also as kind and thoughtful as possible. We want to play our full part in helping people live their lives to the fullest.

Updated:
9 July 2018
Location:
London
Sectors:
Medical, Hospitals and Hospital Trusts

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 committed to improving the quality of care that our patients living with dementia receive at Imperial. We have a four year strategy with the patient and carer at the centre- key domains are: Person-centred care – using What Matters To Me to identify what is important for a person. Dementia Friendly Environment– ensuring that all our new designs are dementia friendly including signage Staff who have the right level of knowledge and expertise – all staff receive Tier1 training, staff in medicine, renal and surgery receive Tier 2 training. External Organisations, - we are working with Side By Side , Alzheimer’s Society, Royal Central School of Speech and Drama, My Dementia Network and Living Words to deliver creative support to our patients. Partnerships with Patients with Dementia and carers.- we support John’s Campaign, we have carer’s passports and open access to families/carers. Carer’s information books and weekly carer drop ins. Improved and hydration – we support patients with our NOSH programme, providing tailored care and interventions to patients struggling to eat and drink. Social interaction – Dementia cafes , intergenerational events and a garden in acute medical wards to stimulate and reduce social isolation Welcome packs and pre-assessment packs available for carers to provide advice and guidance. Including direct contact details for Dementia Team.

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

We have challenges around our ageing estate and staff finding the time to deliver proper person centred care, particularly in winter

Member contacts

http://www.imperial.nhs.uk/

2. Actions

  • Placing Dementia at the heart of the trust

    Raising awareness of the fact that caring for patients who are living with dementia is everybody's business and needs to be considered in all aspects of Trust planning and patient facing activities. We plan to do this by maintaining a regular presence in hospital communications raising awareness of the presence of the team. We compile regular point prevalence reports for the trust highlighting the percentage of patients who are living with dementia. Regular reports and updates to the quality and safety committees and board.
    Status:
    Implementation

    2013 - Third Quarter Update

    New member

  • Staff training

    We have trained 13,632 members of staff in Tier 1 and 2 training since 2012. We aim to continue to deliver Tier 1 training twice monthly , and Tier2 (full study days) monthly.

    Status:
    Implementation

    2013 - Third Quarter Update

    New member

  • Person Centred Care

    We continue to develop our person centred care strategies including: What Matters To Me - Identifying key personal things which are important to a person with dementia and displaying these for staff to see. Identification and management of pain - Using PAINAD to monitor and treat pain in our patients. Individualised Care Planning to ensure that we meet the needs of the person rather than the organisation. Provision of person centred activities for patients when they are in hospital. Care and support for families and carers including supporting John's Campaign by allowing free access, carer's passports and welcome packs for carers. All carers have direct access to the dementia care team and are encouraged to contact them if they wish There are weekly carer drop-ins on our main sites.
    Status:
    Implementation

    2013 - Third Quarter Update

    New member

  • Supporting excellent nutrition and hydration for our patients who are living with dementia

    We support patients with our Nutritional Support in Hospitals (NOSH) programme. THis is a service which uses two specialist Healthcare support workers to case manage patients who are struggling to eat and drink while in hospital. It includes a two tier support: Core: Using Bento boxes (snacks) which are treats that the patients can graze from all day and Enhanced whereby the patient is assessed, goals set and supported via bespoke menus and fingerfoods.

    Our action plan is to work on improving hydtration and providing patients and families with eating and drinking plans to take home with them.

    Status:
    Implementation

    2013 - Third Quarter Update

    New member

  • Providing a positive social environment and meaningful activity

    We currently run monthly Dementia Cafes and we provide individualised meaningful activities for patients. We work with the Royal Central SChool of Speech and Drama who undertake student placements with us to support creative activity with the patients.

    We aim to develop a regular smallscale social events in the afternoons to encourage patients to drink more. This will be ward-based afternoon tea.

    We will start an intergenerational care programme in September working with local schools and nurseries.

    We are building a theraputic garden at Charing CRoss Hospital which will enable our patients to be supported in a dignified and tranquil outdoor space.

    Status:
    Being implemented