Professional Documents
Culture Documents
The South West Dementia Partnership brings National Audit of Dementia - Interim
together organisations from health and social Report
care, the voluntary sector and people using In December 2010 the Royal College of
dementia services to drive forward Psychiatrists published a report providing the
improvements in the care of people with a interim findings from their National Audit of
dementia, and their families / carers. Dementia (Care in General Hospitals).The
report provides a snapshot of the state of
This issue focusses on the South West dementia care in hospitals twelve months ago.
Hospital Standards in Dementia Care, The findings include:
published in February 2011. The Hospital ➔ 95% of hospitals do not have mandatory
Standards have been developed by a regional training in dementia awareness for all staff
Expert Reference Group in response to the whose work is likely to bring them into
many concerns expressed about poor quality contact with patients with dementia
care experienced by some people with a ➔ About one-third of patients did not have a
dementia when they are in hospital, and by nutritional assessment recorded during
their carers and families. their admission
➔ Fewer than one-half of patients received a
⚑ Download the standards reports and formal mental status test upon admission
supporting resources on page 12.
to hospital
➔ One-third of patients referred to in-hospital
Alison Moon, Regional Champion for
psychiatry liaison services had not been
Dementia Care in Hospital, says,
seen after 96 hours
www.southwestdementiapartnership.org.uk
Living well with dementia bulletin Issue 4 February 2011
“
achieving these standards. Local dementia
partnerships will coordinate and monitor All too often the needs of people with
delivery. dementia are not adequately met when
they are in hospital.
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“
What are the levers for implementing
The South West Hospital Standards in the Standards?
Dementia Care provide both Every general hospital in the South West has
commissioners and providers with the a named lead for dementia on the Trust
Board.
tools to benchmark and monitor progress
in providing dementia care.
The Standards can:
➔ Be included as a commissioning
The Standards are comprehensive and requirement for contracts for general and
encourage a holistic approach to community hospitals in 2011-2012.
improving the experience for the person ➔ Inform the delivery of QIPP plans.
➔ Provide a basis for discussion about
with dementia and their carer - it is easy to
CQUIN payments between
focus on one aspect like improving the commissioners and their providers.
environment, but in isolation this won't ➔ Inform Trust Quality Accounts.
make a significant impact. ➔ Be reflected in published Local Action
Plans to demonstrate delivery of the
National Dementia Strategy.
Patient and carer involvement will be
critical to the successful implementation of
How do these Standards fit with other
the Standards. In carers groups I've met, requirements?
there is a strongly held belief that all
experiences of hospital will be bad for the The Standards are aligned to:
person with dementia, and they like all the ➔ Liberating the NHS: Transparency in the
outcomes - a framework for the NHS.
good ideas about change but are sceptical
➔ Care Quality Commission (CQC) core
about how much difference will be made. quality and safety standards with key
There are a growing number of ‘Dementia aspects of good dementia care.
Care Mappers’ in Gloucestershire, and I ➔ National Institute for Health and Clinical
Excellence (NICE) Quality statements.
believe that this is a powerful tool that if
➔ National Audit of Dementia (Care in
done sensitively will help healthcare General Hospitals) 2010/11.
professionals understand how to improve ➔ South West Strategic Framework for
the wellbeing of patients with dementia Improving Health 2008/09 to 20010/11.
and so make a difference.
”
Helen Vaughan
➔ South West Strategic Health Authority
2010 Performance Assessment
Framework for delivery of the National
Dementia Strategy.
Commissioning Development Manager,
Dementia, NHS Gloucestershire
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Living well with dementia bulletin Issue 4 February 2011
How will these Standards be assured? How will these Standards be widely
known and recognised?
➔ For each Standard listed there are
measures or indicators described to ➔ These Standards have been produced in
inform the monitoring of the a variety of formats for staff, patients, their
implementation of the Standard. Agreed families, carers or friends, to help people
audit processes will be connected to to understand them and hold services to
hospital governance arrangements. account.
➔ The feedback from patients, relatives, ➔ The Standards are presented in a format
carers and volunteers as well as staff that will assist staff delivering care on
delivering care will be vital in ensuring wards as well as assisting commissioner /
these Standards are being delivered. provider discussions.
➔ The dementia Ward Champion and ➔ There has been widespread distribution of
Clinical Champion will be well placed to information about the Standards to cover
ensure there is a process for measuring all interested groups and organisations in
the Standards. the South West.
➔ The local dementia improvement group ➔ Clinical and Ward Champions will be
will need to be assured of the monitoring asked to use every opportunity to aid the
arrangements and outcomes. understanding of these Standards, and
➔ South West general hospitals will take ensure that training and education
place from September 2011 to January programmes delivered within hospitals
2012, and the findings will be published. promote delivery.
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”
patient outcomes, which in turn benefits us
the best we can achieve.
all.
Maggie Arnold
With senior managers having and owning Director of Nursing, Gloucestershire Royal
the responsibility for implementation, we Hospital NHS Foundation Trust
will monitor their actions and also the
responses from patient and carer surveys.
Gloucestershire Royal Hospital NHS Foundation Trust display stand, National Dementia Day
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Living well with dementia bulletin Issue 4 February 2011
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Living well with dementia bulletin Issue 4 February 2011
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Living well with dementia bulletin Issue 4 February 2011
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Living well with dementia bulletin Issue 4 February 2011
Implementation
tools
n al
io s L
ot ial au oca
r to d l
r om ate ol it
P m s
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Living well with dementia bulletin Issue 4 February 2011
dementia; improve the ward environment, Further information: Frank Herrity, Avon and
better meet patients’ nutritional needs, and Wiltshire Mental Health Partnership NHS
ensure there are suitabilelevels of staffing. Trust, frank.herrity@awp.nhs.uk Tel. 0117
342234
Further information: Dr Chris Dyer, Royal
United Hospital Bath NHS Trust,
chris.dyer1@nhs.net, 01225 821008 Dementia education and training in
Devon
South Devon Healthcare NHS Foundation
Specialist day unit provision in Dorset
Trust has a comprehensive dementia training
The Barnes Unit at Dorset County Hospital, and education programme. It includes
part of Dorset County Hospital NHS dementia awareness sessions for all levels of
Foundation Trust, provides a supportive staff including a pocket guide on how to
environment for patients with mild cognitive communicate with people with a dementia in
impariment or dementia as they receive 12 steps. The programme also includes
medical treatment for other health conditions. workshops that cover all aspects of care from
Staff are on hand to care for dementia patients ‘What is dementia?’ to ‘End of life care’.
using reminiscence therapy, memorabilia, and
other effective approaches. They help to ease
In addition, a forum for link nurses meets
the concerns of possibly confused elderly
quarterly and members are encouraged to
patients as they receive treatment for their
make small changes of practice relevant to
health problems.
their own area. The Trust are in the process of
Further information: Debbie Baxter, Barnes facilitating a knowledge unit aligned with the
Ward Head Sister, Dorset County Hospital Skills for Care Qualification and Credits
01305 255213 Framework. The Trust also plans to evaluate
its 20 credit degree module run with Plymouth
Mental health liaison in Bristol University.
The mental health liaison team works in wards Further information: Maggi Douglas-Dunbar,
where there is a high proportion of people with South Devon Healthcare NHS Foundation
mild cognitive impariment or dementia. The Trust, maggi.douglas-dunbar@nhs.net, 01803
team offers rapid specialist mental health 655859
assessment and follow-on reviews
alongside treatment of the primary condition
leading to admission, resulting in increased
accuracy of assessment, diagnosis and
timely and appropriate treatment.
Collaboration with hospital social work and
discharge nurse teams helps maintain the
independence of patients with dementia,
increasing return home rates, reducing
lengths of stay where appropriate and
resulting in fewer unnecessary delays and
readmissions.
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The topics are introduced during the end of Further information: Kate Anderson, Clinical
weekly team meetings using a slide set. The Psychologist, NHS Plymouth,
kate.anderson@plymouth.nhs.uk
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➔ 04 April 2011 - focus on workforce Further details about the ERG work, members
development and the role of volunteers and meetings are available via the Partnership
and voluntary agencies. website at www.southwestdementia
➔ 05 July 2011 - regional conference jointly partnership.org.uk/hospitals-erg
with the Royal College of Psychiatrists to
review the findings of the National Audit of
Dementia Care in Hospitals, and focus on
positive practice