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Papworth Hospital NHS Foundation Trust

Papworth Hospital NHS Foundation Trust is the UK’s largest specialist cardiothoracic hospital and the country’s main heart and lung transplant centre

Updated:
13 March 2014
Location:
East of England
Sectors:
Health, Medical, Hospitals and Hospital Trusts

1. Action Plan

1. The National Dementia Declaration lists a number of outcomes that we 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 providing the highest levels of patient safety and clinical quality. We need to build the culture and competencies of staff to care for patients with dementia to improve patient experience.

  • Identified nursing and medical lead for dementia, & steering group- focus on ensuring dementia specific changes become Trust wide
  • Dementia champions on each ward
  • Training programme for all patient facing staff, to ensure patients and carers receive adequate information & support. Training programme includes various levels from raising awareness via mandatory training to specific Dementia study sessions & course.
  • Process developed for early identification, investigation and onward referral of patients who may be in early stages of dementia.
  • Providing carers with ‘Meet & Greet’ with links information to support services in the hospital and externally.
  • Improve the healing environment: Plans to look at hospital décor, activities and simple extras such as calendars/clocks.
  • PALS Dementia Friend volunteers being recruited to support carers and staff when required.

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

The physical environment- Papworth is an old hospital which has been developed over many years and as such has numerous car parks, entrances, ward locations and ward configurations (meaning that the position of the nurses’ station varies from ward to ward) which can sometimes be disorientating for patients and visitors alike.

There is also intense pressure on capacity and patient length of stay (operational pressures). The Primary Percutaneous Coronary Intervention (PPCI) patients’ pathway means that patients’ conditions are often unstable when admitted, requiring interventional procedure.

2. Actions

  • Support delivery of improved education & training

    Critical to successful implementation of local dementia strategy. Training programme for all patient facing staff includes various levels from raising awareness via mandatory training to specific Dementia study sessions & course.

    Status:
    Implementation

    2013 - Third Quarter Update

    New member

  • Improve engagement with Families & Carers

    To enable us to understand how we can better & more appropriately care for people with dementia. We want to improve engagement with them & incorporate their knowledge & understanding of their relative/partner/friend into our plan of care.

    Status:
    Implementation

    2013 - Third Quarter Update

    New member

  • Recognise early signs of dementia

    Ensure staff understand & are fully trained/competent to carry out assessment of identified patients.

    Status:
    Implementation

    2013 - Third Quarter Update

    New member

  • Improve approach to patient care

    Ensuring patients’ individual needs are met; Dementia care pathway created; use of Papworth version of ‘This is Me’; Dementia friends; use of Reminiscence boxes

    Status:
    Implementation

    2013 - Third Quarter Update

    New member

  • Improve Hospital environments

    Create environment that promotes independence, is less confusing & has familiar reference points to help patients with dementia orientate themselves to hospital. There is a balance between providing a safe clinically appropriate environment able to meet the health needs of our patients and an environment that is calm and conducive to recovery & rehab and in some cases palliative care.

    Status:
    Implementation

    2013 - Third Quarter Update

    New member