Dementia Update2015

The Challenge

Office for National Statistics

2012

Implications for GWH

• 70% of inpatients are older people (>75)

• 50% of these patients have cognitive impairment

COMPLICATIONS

Hospital acquired infections Pressure sores

Delirium Incontinence

Falls Malnutrition

Death Depression

Implications for GWH

Increased length of stay • Increased length of stay

• Deconditioning - worse long term health

outcomes

• Deconditioning - loss of independence

• Increased discharges to institutional care

• Increased health & social care costs

regionally

National Drivers

• National Dementia Strategy (2009)

– Awareness & understanding

– Early diagnosis & support

– Living well with dementia

• PM’s Dementia Challenge (2012)

– Driving improvements in health &

social care

– Dementia friendly communities

– Better research

Trust Dementia Strategy

Person with

dementia

Raise

awareness

Education

and training

Dementia

Friendly

environment

Dementia

Care Pathway

Valuing

carers

Benchmark

services and

standards6 KEY

PRIORITIES

Priority 1 - Raising Awareness

Dementia Champions• Dementia Champions

• ‘This is Me’

• Forget-me-not Flower

• Reasonable adjustment flag

on Medway

• Information for signposting

services

• Collaboration with external

agencies

Priority 2 – Education & Training

• Academy annually publishes

dementia training programme

• Mandatory dementia

awareness training

• Mandatory safeguarding

adults training

• Dementia Master Classes

(2015)

• SCOPE course (Oct 2014)

• Training more volunteers

Priority 3 – Dementia Pathway

• Timely diagnosis & assessment• Timely diagnosis & assessment

• Reducing anti-psychotic medication

• Effective management of delirium

• Effective management of pain

• End of life care

• Enhancing mobility & independence

• Integrated working with community

Priority 4 – Valuing Carers

• New carers feedback survey

• Improving ward information

and signposting services

• Reasonable adjustments in

care

• Collaborative working with

Trust Carers Committee

Priority 5 -Benchmarking

• Dementia CQUIN

• National Dementia Audit

(2016)

• South West Dementia Peer

Review (2012)

• National Dementia Action

Alliance

• CQC inspection

Priority 6 - Environment

• Dementia friendly fixtures

& fittings

• Dementia friendly wards

• Personalised bed spaces

• Access to memory aids

• Meaningful activity

• Dementia friendly ED

cubicle

New Dementia Friendly Jupiter Ward

New Dementia Friendly Jupiter Ward

New Dementia Friendly Jupiter Ward

New Dementia Friendly Jupiter Ward

• ? Reduced agitation

• ? Reduced need for 1 to 1 nursing

• ? Reduced delirium

• ? Reduced falls

• ? Better health outcomes

• ? Reduced complaints

• ? Improved patient experience

Thank you for Listening