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Improving care for people with dementia or mild cognitive impairment while in hospital South West Dementia Partnership Living well with dementia across the South West
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8/8/2019 Improving care for people with dementia or mild cognitive impairment while in hospital
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Improving care for people with
dementia or mild cognitive
impairment while in hospital
South West Dementia Partnership
Living well with dementia across the South West
8/8/2019 Improving care for people with dementia or mild cognitive impairment while in hospital
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South West Dementia Partnership
Improving care for people with dementia or mild cognitive impairment while in hospital
National audit 95% of hospitals do not have mandatory training in dementia
awareness for staff
1/3rd of patients did not have a nutritional assessment recorded
during their admission
< 50% of patients received a formal mental status test upon
admission to hospital
1/3rd of patients referred to in-hospital psychiatry liaison services
had not been seen after 96 hours
8/8/2019 Improving care for people with dementia or mild cognitive impairment while in hospital
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South West Dementia Partnership
Improving care for people with dementia or mild cognitive impairment while in hospital
Regional standards Developed by the South West Expert Reference
Group, led by Alison Moon, regional champion for
dementia care in hospitals
To complement the national audit
To support providers and commissioners to assure
high quality care
To enable patients, their relatives or carers to call the
service to account
8/8/2019 Improving care for people with dementia or mild cognitive impairment while in hospital
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1. Respect,1. Respect,
dignity anddignity andappropriateappropriate
carecare
5. Nutrition and5. Nutrition and
hydration needshydration needs
are well met are well met
7. Ensure7. Ensure
quality of care at quality of care at the end of lifethe end of life
6. Promote the6. Promote the
contribution of contribution of
volunteersvolunteers
4. A dementia4. A dementia
friendly hospitalfriendly hospitalenvironment;environment;
minimisingminimising
movesmoves
2. Agreed2. Agreed
assessment,assessment,
admission andadmission and
dischargedischarge
processes with aprocesses with a
needs specificneeds specific
care plancare plan
3. Access to a3. Access to a
specialist olderspecialist older
peoplepeoples mentals mental
health liaisonhealth liaison
serviceservice
8. Appropriate8. Appropriate
training andtraining and
workforceworkforce
development development
8/8/2019 Improving care for people with dementia or mild cognitive impairment while in hospital
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South West Dementia Partnership
Improving care for people with dementia or mild cognitive impairment while in hospital
Criteria Method of measure
Level 1
Develop a ward champion role with
specific responsibilities for delivery and
auditing of standards and for training
Compliance with model
developed across South
West
Level 2
Patient care is person centred informed
by Dementia Care Mapping or similar
methodology
Feedback from people
trained in dementia care
mapping
1. Respect, dignity and appropriate care
8/8/2019 Improving care for people with dementia or mild cognitive impairment while in hospital
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South West Dementia Partnership
Improving care for people with dementia or mild cognitive impairment while in hospital
1. Respect, dignity and appropriate care
National Audit checklist
Nursing staff have access to a recognised process to
record and report risks to patient care if they believe ward
staffing is inadequate.
There is a named dignity lead to provide guidance, advice
and consultation for staff
8/8/2019 Improving care for people with dementia or mild cognitive impairment while in hospital
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South West Dementia Partnership
Improving care for people with dementia or mild cognitive impairment while in hospital
1. Respect, dignity and appropriate care
Resources
My Name is Not Dementia (Alzheimer¶s Society, 2010)
End of Life Quality Markers For Dementia: Dementia
specific priorities in planning end of life care (National
Council for Palliative Care, 2010)
Dignity in Care Campaign
This is me (Alzheimer¶s Society, 2010)
8/8/2019 Improving care for people with dementia or mild cognitive impairment while in hospital
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South West Dementia Partnership
Improving care for people with dementia or mild cognitive impairment while in hospital
Locally relevant Include as a commissioning requirement for contracts for
general and community hospitals in 2011-2012
Inform the delivery of QIPP plans
Provide a basis for discussion about CQUIN payments
between commissioners and their providers
Inform Trust Quality Accounts
Reflected in published Local Action Plans to demonstrate
delivery of the National Dementia Strategy
8/8/2019 Improving care for people with dementia or mild cognitive impairment while in hospital
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South West Dementia Partnership
Improving care for people with dementia or mild cognitive impairment while in hospital
Aligned with expectations Liberating the NHS: Transparency in the outcomes - a framework for
the NHS
Care Quality Commission (CQC) core quality and safety standards with
key aspects of good dementia care;
National Institute for Health and Clinical Excellence (NICE) Quality
statements
National Audit of Dementia Care in Hospitals, which is underway in
2010/11
South West Strategic Framework for Improving Health 2008/09 to
20010/11
South West Strategic Health Authority 2010 Performance Assessment
Framework for delivery of the National Dementia Strategy
8/8/2019 Improving care for people with dementia or mild cognitive impairment while in hospital
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South West Dementia Partnership
Improving care for people with dementia or mild cognitive impairment while in hospital
Locally driven and accountable
Some standards directly within the control of
ward staff
Others may require additional resources
Clear measures / indicators to inform
implementation monitoring
Connected to local governance structures
8/8/2019 Improving care for people with dementia or mild cognitive impairment while in hospital
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South West Dementia Partnership
Improving care for people with dementia or mild cognitive impairment while in hospital
Involvement and ownership Dementia ward champion role recommended
Alzheimer¶s Society and other local groups
Greater engagement of patients, family,
carers, friends and a range of volunteers is
fundamental
8/8/2019 Improving care for people with dementia or mild cognitive impairment while in hospital
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South West Dementia Partnership
Improving care for people with dementia or mild cognitive impairment while in hospital
Delivery timeline By 31 Jan 2011 brief relevant leads and
groups
By 31 March 2011 hospital self-assessment
of current practice against the standards
By March 2012 priority areas agreed and
comprehensive improvement plan in place
8/8/2019 Improving care for people with dementia or mild cognitive impairment while in hospital
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1. Respect,1. Respect,
dignity anddignity andappropriateappropriate
carecare
5. Nutrition and5. Nutrition and
hydration needshydration needs
are well met are well met
7. Ensure7. Ensure
quality of care at quality of care at the end of lifethe end of life
6. Promote the6. Promote the
contribution of contribution of
volunteersvolunteers
4. A dementia4. A dementia
friendly hospitalfriendly hospitalenvironment;environment;
minimisingminimising
movesmoves
2. Agreed2. Agreed
assessment,assessment,
admission andadmission and
dischargedischarge
processes with aprocesses with a
needs specificneeds specific
care plancare plan
3. Access to a3. Access to a
specialist olderspecialist older
peoplepeoples mentals mental
health liaisonhealth liaison
serviceservice
8. Appropriate8. Appropriate
training andtraining and
workforceworkforce
development development
www.southwestdementiapartnership.org.uk/hospital-care/
