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

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ecorded. Materials to support carers are available and consideration of their entitlement to an independent carers assessment must always be made. 6.2.4. To improve coding of patient who have a dementia diagnosis the Trust promotes the notification of this through the use of the ‘Code:Dementia’ sticker (CHA 2836). The eldercare team along with the Complex Care and Dementia Psychiatric Liaison Service are primarily directed to leading sticker utilisation. 6.3. The Trust undertakes an annual self assessment against these standards and develops an improvement / action plan that combines with its annual National Audit performance results and its annual dementia patient and their carer survey results into a comprehensive programme of work that the RCHT Dementia Care Action Group has delegated responsibility to deliver. 6.4. The Trust has a number of work streams in place to deliver the ambitions of its strategy, this policy and the standards set out within it. Underpinning these work streams is clinical and practice guidance - essential to demonstrate and deliver excellent care to this patient group, their carers and families. 6.5. Organisationally this is visually and practically presented in a ‘Map’, this ‘organisational map’ should guide staff to the appropriate information and guidance to support care at key points on the patient journey through the acute care system and when they interface with community services providers and partners. 6.6. The Organisational Dementia Care Map Mental Capacity Act / Policy Delirium Pathway Pre- / Admission Phase Assessment Phase Acute Care and Management Phase Discharge Planning Phase Dementia Pathway 6.7. Pre-admission phase – This phase remains developmental and dependent of intelligence sharing to support people admitted to hospital. For our elective pathway patients, better information and communications can be prompted and started prior to admission so care on admission can be tailored to meet their needs (e.g. making available This is ME). Unscheduled or emergency admission pathway patients require co-operation and often preparatory intervention from partners (e.g. care homes) to prepare of such an admission. Currently the AMP (Assess Monitor and Prevent) Document is being promoted in the community to enable early sharing of information when people are admitted as an emergency to tour hospitals. Growing use of shared technologies could aid better response to individual assessment of needs in these unscheduled admissions. RCHT Dementia Policy Page 6 of 21
6.8. Assessment Phase – RCHT Guidelines have been developed to support practice : RCHT Guidelines for the Assessment and Management of Delirium RCHT Guideline on the Assessment and Management of Pain in Dementia and People with Sever Cognitive Impairment 6.9. Acute Care and Management Phase – RCHT Guidelines exist to support practice : RCHT Guidelines for the Assessment and Management of Delirium RCHT Guideline on the Assessment and Management of Pain in Dementia and People with Sever Cognitive Impairment RCHT Guidelines for Palliative Care in Dementia RCHT Dementia Care Plan (CHA 3009) 6.10. Discharge Planning Phase– RCHT guidelines exist to support practice: RCHT Guidelines for Discharging a Person with Dementia RCHT Guidelines for Palliative Care in Dementia 7. Dissemination and Implementation 7.1. This policy will be cascaded by the RCHT Dementia Care Action Group to Divisional Representatives and to the RCHT Dementia Link Worker Network for communicating and sharing at a local clinical level, making all resources available to all relevant staff. 7.2. This policy’s implementation will be through the delivery of the improvement plan for dementia care, championed by the Action Group. This promotes training and educational opportunities and makes sure local recourses are available via the dementia link worker network 8. Monitoring compliance and effectiveness Element to be monitored Lead(s) Tool RCHT Dementia Policy This policy underpins the Trust strategy and commitment to improve the care of people with dementia in our services. National and regional standards are established (reflected in this Policy and Trust Strategy) and an improvement framework exist which includes peer review to drive up standards. The Trust Clinical Lead for Dementia Care takes responsibility for monitoring (auditing) the Trust’s clinical performance in meeting the Nationally set standards of care and service delivery for dementia care. The Trust Strategic Lead for Dementia Care take responsibility for monitoring (auditing) the Trusts’ operational and strategic performance against nationally and regionally set standards for dementia care in general hospitals. The Trust is committed to participating in the National Dementia Care Audit, conducted by the Department of Health and facilitated by the Royal College of Psychiatry. This template is Nationally negotiated and published. In addition, The Trust undertakes an annual self assessment based on eight standards for dementia care in general hospitals and Page 7 of 21
Page 1 and 2: RCHT Dementia Care Policy V1.0 Apri
Page 3 and 4: 1. Introduction 1.1. Dementia and t
Page 5: 6. Standards and Practice 6.1. Hosp
Page 9 and 10: 11. Equality Impact Assessment 11.1
Page 11 and 12: The NHS Confederation Report: Acute
Page 13 and 14: training Environment has been eval
Page 15 and 16: 2.4.2. Dementia Link Workers: The T
Page 17 and 18: Ensuring systems and processes are
Page 19 and 20: Training Need Identified RCHT Guide
Page 21: Where you think that the policy has

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

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