Dementia Update - Civica · • National Dementia Strategy (2009) – Awareness & understanding –...
Transcript of Dementia Update - Civica · • National Dementia Strategy (2009) – Awareness & understanding –...
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