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RCHT Dementia Care Policy - the Royal Cornwall Hospitals Trust ...

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ecorded. Materials to support carers are available and consideration of <strong>the</strong>ir<br />

entitlement to an independent carers assessment must always be made.<br />

6.2.4. To improve coding of patient who have a dementia diagnosis <strong>the</strong> <strong>Trust</strong><br />

promotes <strong>the</strong> notification of this through <strong>the</strong> use of <strong>the</strong> ‘Code:<strong>Dementia</strong>’ sticker<br />

(CHA 2836). The eldercare team along with <strong>the</strong> Complex <strong>Care</strong> and <strong>Dementia</strong><br />

Psychiatric Liaison Service are primarily directed to leading sticker utilisation.<br />

6.3. The <strong>Trust</strong> undertakes an annual self assessment against <strong>the</strong>se standards and<br />

develops an improvement / action plan that combines with its annual National Audit<br />

performance results and its annual dementia patient and <strong>the</strong>ir carer survey results<br />

into a comprehensive programme of work that <strong>the</strong> <strong>RCHT</strong> <strong>Dementia</strong> <strong>Care</strong> Action<br />

Group has delegated responsibility to deliver.<br />

6.4. The <strong>Trust</strong> has a number of work streams in place to deliver <strong>the</strong> ambitions of its<br />

strategy, this policy and <strong>the</strong> standards set out within it. Underpinning <strong>the</strong>se work<br />

streams is clinical and practice guidance - essential to demonstrate and deliver<br />

excellent care to this patient group, <strong>the</strong>ir carers and families.<br />

6.5. Organisationally this is visually and practically presented in a ‘Map’, this<br />

‘organisational map’ should guide staff to <strong>the</strong> appropriate information and guidance to<br />

support care at key points on <strong>the</strong> patient journey through <strong>the</strong> acute care system and<br />

when <strong>the</strong>y interface with community services providers and partners.<br />

6.6. The Organisational <strong>Dementia</strong> <strong>Care</strong> Map<br />

Mental Capacity Act / <strong>Policy</strong><br />

Delirium<br />

Pathway<br />

Pre- /<br />

Admission<br />

Phase<br />

Assessment<br />

Phase<br />

Acute <strong>Care</strong><br />

and<br />

Management<br />

Phase<br />

Discharge<br />

Planning<br />

Phase<br />

<strong>Dementia</strong><br />

Pathway<br />

6.7. Pre-admission phase – This phase remains developmental and dependent of<br />

intelligence sharing to support people admitted to hospital. For our elective pathway<br />

patients, better information and communications can be prompted and started prior to<br />

admission so care on admission can be tailored to meet <strong>the</strong>ir needs (e.g. making<br />

available This is ME). Unscheduled or emergency admission pathway patients<br />

require co-operation and often preparatory intervention from partners (e.g. care<br />

homes) to prepare of such an admission. Currently <strong>the</strong> AMP (Assess Monitor and<br />

Prevent) Document is being promoted in <strong>the</strong> community to enable early sharing of<br />

information when people are admitted as an emergency to tour hospitals. Growing<br />

use of shared technologies could aid better response to individual assessment of<br />

needs in <strong>the</strong>se unscheduled admissions.<br />

<strong>RCHT</strong> <strong>Dementia</strong> <strong>Policy</strong><br />

Page 6 of 21

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