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PHT Public Trust Board Papers March 2011.pdf - Plymouth Hospitals

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Item 8<br />

DETAILED REPORT<br />

<strong>Trust</strong> <strong>Board</strong> (Part 1) 25 <strong>March</strong> 2011<br />

Subject<br />

Prepared by<br />

Approved by<br />

Presented by<br />

Standards for Patients with Dementia<br />

Associate Director of Nursing/Nurse Consultant Older People<br />

Chief Nurse<br />

Chief Nurse<br />

Purpose<br />

The purpose of this report is to inform the <strong>Board</strong> on the requirement to undertake and report to<br />

its commissioners, a self assessment against the South West Standards for People with<br />

Dementia in General <strong>Hospitals</strong> and to publish this by the end of <strong>March</strong> 2011.<br />

Background<br />

The <strong>Trust</strong> is required to undertake and report to its commissioners, a self assessment against<br />

the South West Standards for People with Dementia in General <strong>Hospitals</strong> (Annex 1). This<br />

assessment should be published by the end of <strong>March</strong> 2011, with an improvement plan<br />

approved by end of June 2011. A peer review process to monitor progress against the<br />

standards across general hospitals in the South West will commence in September 2011.<br />

The self-assessment against the standards has begun – with the formation of a multi-agency<br />

working group, including stakeholders and carers. The initial self-assessment has been<br />

reported to the Safety & Quality Committee and is being developed further. An improvement<br />

plan will be finalised by June 2011.<br />

It is important to ensure that work towards improving standards of care for patients with<br />

Dementia in hospital, links with other work towards the quality agenda and improving patient<br />

experiences such as Essences of Care, Delivering Excellence and High Impact Actions. An<br />

important element of improving standards for patients with Dementia in hospital will be the<br />

awareness and training of all staff.<br />

People with Dementia will access services in the majority of <strong>Trust</strong> specialities - they are<br />

admitted to hospital with a wide range of clinical issues and will access services both<br />

electively and through urgent care pathways. The South West Dementia Partnership<br />

Standards for Patients with Dementia in General hospitals, aim to incrementally improve all<br />

aspects of care for patients with dementia. The standards will be used to:<br />

• benchmark hospital services;<br />

• identify gaps in services; and<br />

• drive improvements in care, facilities and services for people with dementia.<br />

The standards take account of existing national and local expectations, performance<br />

measures and standards – such as the National Dementia Strategy, NICE Quality standards,<br />

CQC Essential Standards for Quality & Safety; National Audit of Dementia in hospitals, South<br />

West SHA performance framework for delivery of the National Dementia Strategy.<br />

Recent reports and research have highlighted the shortcomings in the current provision of<br />

dementia services in the UK. Dementia presents a huge challenge to society, both now and<br />

increasingly in the future. There are currently 700,000 people in the UK with dementia; up to<br />

70% of acute hospital beds are currently occupied by older people and up to a half of these<br />

may be people with cognitive impairment, including those with dementia and delirium.<br />

2

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