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Dementia Update 2015 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


  1. Dementia Update 2015

  2. The Challenge Office for National Statistics 2012

  3. 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

  4. Implications for GWH • 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

  5. 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

  6. Trust Dementia Strategy Raise awareness Benchmark Education services and and training 6 KEY standards PRIORITIES Person with dementia Dementia Valuing Friendly carers environment Dementia Care Pathway

  7. Priority 1 - Raising Awareness • Dementia Champions • ‘This is Me’ • Forget-me-not Flower • Reasonable adjustment flag on Medway • Information for signposting services • Collaboration with external agencies

  8. 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

  9. Priority 3 – Dementia Pathway • 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

  10. Priority 4 – Valuing Carers • New carers feedback survey • Improving ward information and signposting services • Reasonable adjustments in care • Collaborative working with Trust Carers Committee

  11. Priority 5 -Benchmarking • Dementia CQUIN • National Dementia Audit (2016) • South West Dementia Peer Review (2012) • National Dementia Action Alliance • CQC inspection

  12. Priority 6 - Environment • Dementia friendly fixtures & fittings • Dementia friendly wards • Personalised bed spaces • Access to memory aids • Meaningful activity • Dementia friendly ED cubicle

  13. New Dementia Friendly Jupiter Ward

  14. New Dementia Friendly Jupiter Ward

  15. New Dementia Friendly Jupiter Ward

  16. 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

  17. Thank you for Listening

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