National Dementia Strategy Action Plan



[pic] [pic]

National Dementia Strategy Action Plan

A Local Action Plan for Gateshead

September 2012 – September 2013

The Local Action Plan

The National Dementia Strategy requires each local area to develop a local action plan for dementia to address the strategy objectives. Together with NHS South of Tyne an action plan has been produced for Gateshead in order to address the National Dementia Strategy requirements. The plan covers the period 2012/13 and will be reviewed and refreshed during this time. The plan is split up into the four key areas from the dementia commissioning pack, all underpinned by the need for ‘improved support for carers’:

- Early diagnosis and intervention

- Better care at home and or care home

- Better care in hospital

- Appropriate use of antipsychotic medication

Setting the scene: A national and local context

National

There are now 800,000 people and 17,000 younger people with dementia in the UK and there are estimated to be 670,000 family and friends acting as primary carers. It is estimated that there will be over a million people with dementia by 2021.The current financial cost of dementia is £23 billion a year to the NHS, local authorities and families and the cost will grow to £27 billion by 2018.

The National Dementia Strategy, Published three years ago, sets the standard for improving the lives of people with dementia, their families and their carers through raising awareness, encouraging earlier diagnosis and providing high quality treatment and care.

Local

The action plan contributes to the following plans and strategies:

- Vision 2030 – Gateshead’s Sustainable Community Strategy which includes Gateshead residents have the longest and healthiest lives in Britain and that vulnerable and older residents lead fulfilling lives with support of their choice.

- Corporate Plan – The Council’s statement of intent and priorities, incorporating priorities and actions to deliver Vision 2030.

- NHS SOTW Strategic Plan and the Gateshead PCT Integrated and Strategic Operation Plan 2011 – 2015 – Key priorities relevant to older people include reducing CVD and cancers, identifying people with long term illnesses, providing high quality intermediate and rehabilitative service, providing high quality care nearer to home, changing the way mental health services are provided and providing those at the end of life with good care.

- The vision for Adult Social Care – This addresses improved health and emotional well-being, making a positive contribution, increased choice and control, freedom from discrimination and harassment, maintaining personal dignity and respect and economic wellbeing.

- The Older Persons Strategy 2011 – 2014 – Key themes making a positive contribution, being informed, living well and keeping healthy and active.

- Gateshead Carers Strategy 2011 – 2014 – Key themes providing information, access and support, health and wellbeing, a life of your own, young carers, carers assessments, involvement and consultation, identifying carers and support for BME carers.

- Gateshead Emotional Health and Wellbeing Action Plan – Key actions include exploring the use of social prescribing to address social isolation, particularly in relation to older people, people with dementia and carers.

- South of Tyne and Wear Mental Health Model of Care – The work programme includes a review of primary care mental health services and the development of a memory service for dementia.

- Strategy for Telecare in Gateshead – aims to reduce acute hospital admissions, increase support for hospital discharge and intermediate care services, contribute to the development of a range of preventative services and help those who wish to die at home to do so with dignity.

- End of Life Strategy 2010 – 2015 – describes what patients and carers can expect from local provision, defines the standards expected across all care settings, defines a pathway of care for end of life service and describes a model of service that will improve the quality of care.

- Safeguarding Adults Business Plan – improves joint planning and capability. Aims to prevent abuse and neglect in the community by improving awareness and improving the response to abuse and neglect.

- Adult Social Care Commissioning Strategy – Sets out how the council plans to commission services that help people to gain their independence (reablement), provide better support to people who have chronic and long term illnesses such as dementia. Work with the NHS to reduce the number of people being admitted to hospital in an emergency and provide better support for people with in a crisis, recue the number of people going into residential and nursing homes, make more use of technology to help people stay in their own homes and develop more services for people with dementia while ensuring they can access the same services that other people do.

Local information

Increasing life expectancy, and a larger number of older people among the population in future years, will mean that the number of people with dementia living in Gateshead will rise. Between 2007 and 2010 the number of people diagnosed with dementia in Gateshead has risen from 1,000 to 1,200. An aging population means that this trend is likely to continue as the risk of dementia increases with age.

The number predicted to have early onset dementia in Gateshead from 2008 to 2025 is an increase of 4%. The number predicted to have late onset dementia in Gateshead from 2008 to 2025 is an increase of 36%.

Number and percentage of people with dementia among people all ages

[pic][pic][pic]

[pic]

Source: NHS Information Centre at ic.nhs.uk, data from the Quality and Outcomes Framework (QOF). Data for 2011/12 will be published Sept. 2012. Figures in bold indicate that these are significantly higher or lower than the comparative England prevalence at 95% confidence

Prevalence of dementia by Gateshead GP Practice population, 2010/11

[pic]

Source: Quality and Outcomes Framework, NHS Information Centre at ic.nhs.uk/qof

Proportion of GP Practice populations all ages in Gateshead that are diagnosed with dementia in 2010/11

[pic]

Point to note: number 35 prevalence rate is higher than the rest, however this particular practice only provides a service to nursing homes.

Source: NHS Information Centre, Quality and Outcomes Framework, 2010/11, data for 2011/12 will be published in Sept. 2012

|Projected increase in the number of people with dementia in Gateshead |2011 |2015 |2020 |2025 |2030 |

|Total males aged 30 – 64 predicted to have early onset dementia |29 |29 |30 |30 |28 |

|Total females aged 30 – 64 predicted to have early onset dementia |21 |21 |22 |22 |21 |

|Total males aged 65 and over predicted to have dementia |859 |930 |1081 |1228 |1411 |

|Total females aged 65 and over predicted to have dementia |1533 |1586 |1709 |1884 |2060 |

The most recent relevant source of UK data is Dementia UK: A report into the prevalence and cost of dementia prepared by the Personal Social Services Research Unit (PSSRU) at the London School of Economics and the Institute of Psychiatry at King’s College London, for the Alzheimer’s Society, 2007.

The prevalence rates have been applied to ONS population projections of the 65 and over population to give estimated numbers of people predicted to have dementia to 2030.

Achievements

Training

A comprehensive training programme is in place for Local Authority staff, delivering at a range of levels, including:

Level 1

- Dementia Care – Person Centred (Trains on average 100 people per year)

- Supporting the Dementia Journey – The end of life pathway (Trains on average 50 people per year)

Level 2

- Connecting with People with Dementia (Trains on average 25 people per year)

- Meaningful Activities in Dementia Care (Trains on average 25 people per year)

- Understanding Behaviour we find Challenging (Trains on average 50 people per year)

- Certificate in Dementia Awareness (Trains on average 100 people per year)

- Dementia Training for Adult Provider Services (Aimed at all promoting independence centres 3 employees from each centre)

- Dementia Care Training for Dom Care (Trains on average 60 staff per year)

- Dementia Care Person-Centre (Housing Services) (Trains on average 45 people per year)

Level 3

- Best Practice in Dementia Care (Trains on average 80 staff per year)

A one off course was also run on Dementia and Spirituality by Deacon Peter Lavery attended by 15 people.

Commissioned Services

Our commissioned services take dementia training into account. All service specifications include a requirement for dementia awareness training; this is included in the contract monitoring process. New Domiciliary contracts include the requirement for providers to provide specialist training including dementia care.

Memory Protection Service

The Memory Protection Service aims to improve earlier and more “timely” diagnosis of dementia in line with the government’s National Dementia Strategy. It aims to build onto existing services to engage with the 50-60% of Dementia sufferers not currently being picked up; doing so by working more actively in Primary Care / Community settings, more actively with Primary Care staff, in a user/carer friendly way.

Evidence suggests that patients with an earlier diagnosis benefit from:

- quicker access to pharmacological interventions which are effective in earlier disease.

- psychological interventions in early disease can improve cognition, independence and quality of life.

- there is a strong economic argument. Early diagnosis could yield net saving of £7000 per patient.

- carer benefits include support and counselling which can improve mood, reduce strain and delay institutionalisation of patients with dementia.

- patients are carers are able to plan future care needs whilst patients with dementia have capacity to consent.

Since the 2nd April there have been 34 referrals to the service from Gateshead all bar one from GPs.

Short Break Service

The short break plan 11/12 – a range of extra services have been commissioned along the carers pathway from providing information and advice to provision of breaks. £440,000 was invested. In relation to dementia specifically the befriending service in the Alzheimers Society is funded. Over 400 carers benefited from the carers short breaks.

A new plan has been developed for 12/13 with investment of a further £440,000.

Living with Dementia Group

This group follows through from an eight week information programme and addresses many of the issues people newly diagnosed with dementia and their families face. It is run by the Alzheimer’s Society alongside health and social care professionals. The aims of the group are to help people who have dementia:

- Gather and exchange information

- Share experiences

- Support each other and feel less isolated

- Enjoy the company of other people who have dementia in a relaxed and friendly setting

As at August 2012 the group meets on a monthly basis with a membership of six people

Carers Group

The Alzheimers Society runs an established group specifically for people who are carers for those with dementia. Two groups in different areas run once a month with on average 20 people attending each group at all times.

Dementia Café

The first Dementia Cafe in Gateshead launched on Monday 21 May 2012.  It runs on a monthly basis providing a friendly, supportive and informative monthly meeting place for people with any type of dementia, their family and friends.  It is facilitated by Alzheimer's Society Gateshead Dementia Support Service and is supported by a wide range of professionals in health, social care and the voluntary sector. The cafe has run three times to date, with a total of 13 attendances by carers, 7 attendances by people with dementia and 36 attendances by 21 individual workers from the health, social care and voluntary sector.

Community Dementia Forum

The Alzheimer's Society in Gateshead runs Community Dementia Forums on a quarterly basis.  The aim of the forum is to bring together a wide range of people from across the Gateshead community including people with dementia, their families and carers, statutory services, voluntary organisations, businesses,  to learn from each other and work together to improve the lives of people living with dementia and work towards achieving a dementia friendly community.  The forum feeds back issues to the Dementia Action Alliance which is made up of members from the charity, public and private sector who are working to radically improve the lives of people with dementia and are united behind the National Dementia Declaration, a set of seven outcomes developed by people with dementia and their family carers.

The Gateshead Community Dementia Forum currently has a membership of more than 50 individuals and organisations and up to 29 people attending the forum meetings.

The Dementia Liaison and Coordination Champion (DLCC) Programme

The DLCC Programme is a partnership between South of Tyne and Wear NHS and the Tyne and Wear Care Alliance. Tyne and Wear Care Alliance assembled and managed the programme which was designed to ensure that Health and Social Care Providers have dementia champions who are trained to help their staff achieve an effective level of dementia awareness and the ability to provide best practice person-centred dementia care.

75 staff were recruited from a broad range of dementia settings, specialist units, domiciliary care agencies and residential homes across Gateshead, South Tyneside and Sunderland.

In Gateshead, of the 32 care homes or care with nursing, 14 homes engaged in the pilot, and now with further funding secured the remaining 18 will be approached for the next cohort of DLCC’s who will commence training in September.

Outcome Star

Alzheimer's Society Advocacy Service has completed participation in a project overseen by Gateshead Advocacy Information Network (GAIN) to investigate the value of applying outcome star methodology to assessing outcomes for people using advocacy services.  Results from the project indicate that this methodology has limited value for assessing outcomes for people with memory problems and/or fluctuating or limited capacity. The service will continue to review its use.

Memory Groups

The 6 weekly memory groups focus on supporting people with dementia and their informal carers to preserve their memory and structure in their daily lives with a session being held each week on the following topics:

1. What is memory? (Educating people in a fun way about the 5 different types of memory and how memory works)

2. Problem solving (Taking people through a 5 step process of solving problems)

3. Simplifying the home environment (Adapting the environment and using memory aids to provide confidence and security)

4. Mnemonics and visual imagery (Using such tools to ‘jog memory’ for remembering facts, names, procedures or routines

5. Thinking exercises  (Using a wide array of memory exercises for the mind to sustain attentiveness and encourage innovation)

6. Relaxation techniques (Encouraging people to look after themselves through sleeping well and anxiety management)

The groups possess connectivity to some of the themes which are embedded in the existing weekly Cognitive stimulation group at Shadon House and such memory groups could be accessed by those using Provider Services and individuals (perhaps not known to health / social care) who have themselves or their carer has, begun to have concerns about their forgetfulness.  With such a specification, the memory groups would then be able to meet the aims of providing advice and information about local care and support services, provide peer support and an opportunity to assess carers’ needs and offer support on planning for the future.

Short Term Assessment and Reablement Team

The START Team contact people who have been in Promoting Independence Centres 72 hours after discharge to check that everything is still ok, and then undertake weekly checks every 4 weeks along with long term domiciliary care users. This approach is to ensure that the well being of both the service user and informal carer is preserved and any issues that impinge upon the service user’s independence can be effectively responded to.

Laugh Out Loud

Shadon House have been monitoring a new therapy introduced in April, it is a structured session based upon the benefits of laughter therapy. The purpose of this was because staff at Shadon House felt that healthy, non-ridiculing and connecting laughter provides physiological, psychological and spiritual benefits are born with the gift of laughter -it's being serious that we learn.

‘So, learn to laugh, and live, all over again!’ The sessions have been proven to increase wellbeing in those who have taken part:

Ill being indicators show a reduction in Anger from April-July during the sessions going from 1.5-1.1

Signs of being withdrawn reducing from 1.2- 0.8 on average from Aril – July

Signs of boredom started in April 2 reducing to 0.3 during the sessions in July

Visual signs of bodily tension started at 2 on average for April’s sessions reducing to 1.5 in July’s sessions.

Hen therapy

Gateshead based Equal Arts have provided half a dozen hens for an 18 month pilot scheme within Shadon House helping to brighten the lives of residents as well as providing a link with their previous lives. The hens are proving to be a therapeutic focus for residents, helping to take away some of their stress and anxieties. The people who come in to Shadon House are motivated and enthusiastic about getting up to feed the hens and check for daily eggs. Based on the success of the Birtley venture, Equal Arts have secured £164,000 in Big Lottery funding for an 18-month expanded scheme, introducing hens to another eight care homes and helping staff and residents to care for them.

Challenging behaviour

Since October Gateshead Health NHS FT has had a dedicated Community Challenging Behaviour Team working into all care homes across the borough. The aim is to work collaboratively supporting staff in providing non-pharmacological strategies for managing challenging behaviour in dementia thus reducing distress for people with dementia and their carers. Additional aims are reducing the need for use of medication especially antipsychotics, reducing hospital admissions and moves of care home. The team comprises a full time senior nurse plus input from a consultant psychiatrist and a psychologist. Since October, the team has worked with 108 people with dementia of whom only 5 have required hospital admission, 10 have had antipsychotic medication discontinued and 2 have required antipsychotic medication starting for severe psychotic symptoms.

Better Care in Care Homes

Consultant Old Age Psychiatrists have been co-working on a monthly basis with GPs and care home staff in two of the seven dementia (EMI) nursing homes in the borough with this being extended to a further three in the near future. Primary and secondary care staff have been working more proactively into these homes aiding future planning for residents and their families and preventing unnecessary admissions to hospital. People with dementia form a high proportion of the care home population and this closer working is enabling their dementia to be managed more holistically as part of their overall health needs.

Reducing antipsychotic use in dementia

Recent audits have shown that Gateshead has a low level of antipsychotic use in dementia compared to national rates but we still need to look at minimising this use to being only when necessary and being closely monitored. The developments above regarding non-pharmacological management strategies for challenging behaviour and better care in care homes are all part of the measures to reduce the overall use of antipsychotics and eliminate unnecessary use. Within the general hospital, particularly led by the liaison old age psychiatry team, alternatives are recommended, necessary prescribing is closely monitored and ongoing education of all staff teams looking after those with dementia is maintained.

Liaison Old Age Psychiatry at QEH

Our well established team continues to see increasing numbers of referrals. The team have been doing a lot of work during this past year to get people with dementia referred much earlier in their admission to hospital, thus aiming to improve their overall care and avoid unnecessary prolonged stays in hospital due to their dementia not being appropriately factored into their discharge planning.

Younger People with Dementia

Recent achievements within the Woodside team include more carers groups and closer working between community and day care provisions.

Inpatient Units

The Old Age Psychiatry inpatient assessment wards for people with dementia at Gateshead Health NHS FT have moved into their newly refurbished building at Cragside on the QEH site. There are now 12 beds for men and 12 for women. The building has been refurbished to give more space, better facilities and more privacy and dignity for this group of patients.

Where do we want to be by 2014?

- An improved awareness of dementia both among the general public and health and social care professionals through information and education

- Arrangements are in place to diagnose dementia as early as possible enabling early intervention and delivery of high quality care and support for both people with dementia and their carers.

- A Dementia care pathway has been compiled to ensure all feel supported throughout the journey

- All cases of dementia are offered an early diagnosis & interventions

- All have information at the right time

- All feel supported throughout the journey

- People with dementia can access all services within the community

- People with dementia can stay at home for as long as possible making use of new technology

- Carers accessing more carers assessments

- People with dementia have access to personal budgets and are able to access the range of support they need.

- All carers and families of people with dementia will be aware of safeguarding issues.

- Training programmes are in place for everyone who will come into contact with someone with dementia

- Access to Independent Advocacy is available for all people diagnosed, or undergoing diagnosis, with dementia

Governance arrangements

The Action Plan will be a standing item on the agenda for Gateshead Senior Officer Group for Older Peoples Mental Health, with a full review taking place 6 months into the plan in February 2013. There will be a number of project/ task and finish groups set up to take the actions forward which will be centred around the following key areas; information/awareness raising, Advocacy, Personalisation, Dementia Friendly Communities, Reablement, Housing, Workforce Development, Better care in home/ care homes.

ACTION PLAN

|Early diagnosis and intervention |

|Objective: Case find all cases of dementia in Gateshead between 2012 – 2017 and ensure that this is tracked throughout all service areas. |

|Support and information is given at all stages from early diagnosis. |

|Propos|Lead |Support |Target date |Status updates |comments | |

|ed | | | | | | |

|action| | | | | | |

|s | | | | | | |

|2 |Develop a range of information and awareness |Leanne Douglas |Wendy Kaiser |To be reviewed in | |To be monitored through dementia |

| |raising initiatives both to staff and the | |Alzheimers Society |February 2013 | |communications strategy. |

| |public | |Steve Morgan | | | |

|3 |Train staff delivering meals on wheels/ |Keith Hogan |Daphne Patel |December 2012 | |Staff development/ Communications |

| |shopping service to identify people with | | | | |Strategy for dementia. |

| |dementia and encourage to visit GP | | | | |Included in IDAP |

|4 |Raise awareness to pharmacists, opticians, |Wendy Kaiser |Leanne Douglas |To be reviewed in | |Part of Communications Strategy |

| |dentists on dementia and actions they should | | |February 2013 | | |

| |take should they suspect someone has dementia. | | | | | |

|5 |Increase awareness and promotion of the need |Melanie Stephenson |GAIN |To be reviewed in | |Linked into Advocacy Strategy for |

| |and value of advocacy for people with dementia | | |February 2013 | |Council. |

| |throughout their journey encompassing diagnosis| | | | |Gain Draft Commissioning Strategy |

| |to residential care. | | | | | |

|6 |Commission adequate advocacy resources to meet |Melanie Stephenson |GAIN |To be reviewed in | |Identify needs and resources |

| |need. | | |February 2013 | | |

|7 |Ensure appropriate provision is provided to |Darren Wilson/ Leanne |Gateshead Carers Association/|To be reviewed in | |Linked into Carers Strategy and Action |

| |carers of people with dementia at the earliest |Douglas/ Alzheimers Society |Crossroads/ Age UK |February 2013 | |Plan. |

| |opportunity to enable good information, advice | | | | |Performance will be managed through the|

| |and support networks are identified. (Linked in| | | | |carers partnership. |

| |with priority 1 – Carers Action Plan) | | | | | |

|8 |Develop a Communications plan for dementia to |Leanne Douglas |Elaine Barclay, |December 2012 | |Detail will include who we are |

| |engage with people with dementia, the public, | |Communications | | |communicating with, the messages we |

| |health and social care professionals and the | | | | |want to get across and how we will |

| |third sector. | | | | |communicate. It will also include |

| | | | | | |details of any consultations undertaken|

| | | | | | |in relation to dementia. |

| | | | | | |Consideration should be given to |

| | | | | | |awareness raising in schools, BME |

| | | | | | |Groups etc. |

|Better care at home or care home |

|Objective: To ensure inclusion of people with dementia in mainstream services, improve the support services for people with dementia, whether living at home or in care homes, and provide specialist dementia |

|services where appropriate. |

|Propose|Lead |Support |Target date |Status updates |comments | |

|d | | | | | | |

|actions| | | | | | |

| |Personalisation | | | | | |

|10 |Encourage people with dementia to take up |Wendy Kaiser/ Margaret Barrett|Leanne Douglas/ Darren Wilson|To be reviewed in | |Joint work around Alzheimers Society/ |

| |personal budgets to enable them to purchase |Personalisation Partnership | |February 2013 | |Carers Association to look at |

| |personal services tailored to their needs. |Board | | | |barriers/ more creative ways to |

| | | | | | |increase take up of personal budgets. |

| | | | | | |Look into the work of A4E/ Peer Mentor|

| | | | | | |Service. |

|11 |Undertake pilot with residential/ domiciliary |Margaret Barrett/ Louise Rule |Michael Brown |To be reviewed | | |

| |care and independent supported living | | |February 2013 | | |

| |providers, providing individual service funds. | | | | | |

| |Community support services | | | | | |

|12 |Ensure community support services have |Leanne Douglas/ Wendy Kaiser |Alzheimers Society/ |To be reviewed in | |Scope project and develop action plan.|

| |sufficient capacity & skills to address the | |Neighbourhood Management/ |August 2013 | |Continue work re: Dementia Friendly |

| |needs of people with dementia now and in the | |Community Network/ Carers | | |Communities. |

| |future. Work towards Dementia Friendly | |Association | | | |

| |Communities. | | | | | |

| |Intermediate care & reablement | | | | | |

|13 |Align the Reablement/ intermediate care |Keith Hogan |Leanne Douglas |December 2012 | |The Reablement Framework will be |

| |Framework with developments for people with | | | | |complete by December; however taking |

| |dementia. | | | | |the actions forward will be ongoing to|

| |Ensure reablement & intermediate care services | | | | |ensure both areas of work are aligned.|

| |are inclusive & address mental health needs | | | | |To be monitored through the Gateshead |

| |alongside physical health needs. | | | | |Intermediate Care and Reablement |

| | | | | | |Steering Group. |

|14 |Improve access to current reablement services |Keith Hogan |Reablement Development |To be reviewed in | |To be monitored through the Gateshead |

| |for people with dementia. | |Officer |February 2013 | |Intermediate Care and Reablement |

| | | | | | |Steering Group. |

| |Carers | | | | | |

|15 |Commission support to carers through range of |Penny Davison/ Carers |Crossroads/ Darren Wilson |Review February 2013| |To be monitored through Carers |

| |interventions such as: short breaks, respite |Partnership | | | |Partnership. |

| |care, peer support groups; support and | | | | | |

| |information; training courses, access to | | | | | |

| |psychological therapies. | | | | | |

|16 |Improve access to psychological therapies for |Gateshead Primary Care Mental |Gateshead Primary Care and |March 2013 | | |

| |people with dementia and their carers through |Health Sarah Grainger, |Gateshead Health Psychology | | | |

| |joint work between Gateshead Primary Care |Gateshead Health Claire Martin|Service | | | |

| |Mental Health Services and Gateshead Health | | | | | |

| |Clinical Psychology Services. | | | | | |

|17 |Ensure dementia carers are provided with |Gateshead Carers Partnership |Alzheimers Society |Ongoing | |Linked to priorities monitored through|

| |adequate information and support to fulfil | | | | |Carers Action Plan. |

| |their caring role, including signposting to | | | | | |

| |sport and leisure services and short break | | | | | |

| |schemes. (Linked in to priorities 1 and 6 of | | | | | |

| |the carers action plan) | | | | | |

| |Housing | | | | | |

|18 |Explore options for housing & housing support. |Graham Woodford/ Lisa |Leanne Douglas |August 2013 | |By August 2013 a plan should be in |

| | |Philiskirk | | | |place around housing and dementia. |

| | | | | | |To be monitored through the Mental |

| | | | | | |Health and Housing Sub Group |

|19 |Commence discussions around mixed schemes and |Graham Woodford/ Lisa |Mental Health and Housing |December 2012 | |Discussions to have started by |

| |their suitability for people with dementia – |Philiskirk |Meeting (Sub group to | | |December with an idea if it is |

| |rented housing/ housing available to buy | |Gateshead Vulnerable Persons | | |possible by August 2013. |

| | | |Housing Group) | | |To be monitored through the Mental |

| | | | | | |Health and Housing Sub Group. |

|20 |Consult on what people with dementia would like|Lisa Philiskirk/ Leanne |Mental Health and Housing |January 2012 | |To be monitored through the Mental |

| |to see available in relation to housing both |Douglas |Meeting (Sub group to | | |Health and Housing Sub Group |

| |now and in the future | |Gateshead Vulnerable Persons | | | |

| | | |Housing Group) | | | |

| |Telecare | | | | | |

|21 |Make Assistive Technology accessible to all | Lorinda Russell |Assessment and |March 2013 /ongoing | | |

| |people with dementia by increasing awareness | |Personalisation Teams. |process as new | | |

| |and publicising benefits of the equipment to | |Keith Hogan |technology develops | | |

| |enable people with dementia to stay at home. | |Telecare/health | | | |

| | | |co-ordindators | | | |

| | | |Voluntary Sector | | | |

| | | |Corporate communications Team| | | |

|22 |Trial new software to support carers of clients|Lorinda Russell |Mental health Assessment and |To be reviewed in | | |

| |with cognitive impairment. (RIEP Project) | |Personalisation Teams |October 2012 | | |

| | | |Voluntary Sector | | | |

| | | |Middlesbrough Council | | | |

| | | |Telehealthcare co-ordinators | | | |

|23 |Promote the use of GPS tracking device for |Lorinda Russell |Assessment and |Ongoing | | |

| |people with dementia | |Personalisation Teams | | | |

| | | |Keith Hogan | | | |

|24 |Encourage assessment staff to facilitate the |Lorinda Russell |Assessment and | | | |

| |use of the ‘Just Checking’ system. | |Personalisation Teams | | | |

| | | |Keith Hogan | | | |

| | | |Telehealthcare Co-ordinators | | | |

|25 |Encourage the team within Angel Court to |Lorinda Russell |Jackie Woodward |Ongoing | | |

| |facilitate the use of lifestyle monitoring | |Assessement and | | | |

| |which is integrated within the building. | |Personalisation Teams | | | |

|26 |Consider the development of a professional |Lorinda Russell |Leanne Douglas/ |April 2013 | |Part of Communications Strategy. |

| |newsletter promoting new technology to carers, | |Communications | | | |

| |people with dementia and professionals. | | | | | |

| |Quality of care/ Commissioning | | | | | |

|27 |Ensure that the needs of people with dementia |Michael Brown |Ken Youngman/ Julie Wade | From October 2012 | |New Specifications to include dementia|

| |are met through the tender process. | | | | |needs |

|28 |Develop and measure better residential and |Michael Brown |Ken Youngman/ Julie Wade |From October 2012 | |Include in assessment process and |

| |domiciliary care services for people with | | | | |tools |

| |dementia. Measure through contract review. | | | | | |

|29 |Work with care homes to help them provide good |Michael Brown |Ken Youngman |From October 2012 | |Include in assessment process and |

| |quality care for people with dementia | | | | |tools |

|30 |Develop providers so they are more specialist |Michael Brown |Ken Youngman |From Nov 2012 | |Follows needs assessment exercise |

| |to deliver dementia services. | | | | | |

|31 |Redesign services to provide value for money |Michael Brown |Ken Youngman/ Julie Wade |From Nov 2012 | |Follows needs assessment exercise |

| |options to support more people to be | | | | | |

| |independent in their community for longer. | | | | |Link to new domiciliary care |

| | | | | | |reprovision and new residential and |

| | | | | | |nursing care contracts |

|32 |Identify areas where joint commissioning is key|Michael Brown/ Margaret |Leanne Douglas |From Nov 2012 | |Link to integrated commissioning pilot|

| |to delivering improvements in services and |Barrett/ Wendy Kaiser | | | | |

| |providing value for money. | | | | | |

|33 |Work with partners to support development of a |Wendy Kaiser/ Scott Vigurs |Alzheimers Society |Plan in place by | |Project commenced. |

| |community challenging behaviour service | | |March 2013. | | |

| |supporting those living in care with | | | | | |

| |challenging behaviour. | | | | | |

| |End of life care | | | | | |

|34 |Continue with the work of the End of Life |Margaret Barrett |Claire Downes/ |Review February | |How we can work together to make |

| |Steering Group for Gateshead | |Leanne Douglas |2013/ ongoing | |‘deciding right’ work |

| | | | |process | |Advanced care planning for people with|

| | | | | | |dementia |

| |Workforce development | | | | | |

|35 |Continue development of staff employed by care |Tyne and Wear Care Alliance |Leanne Douglas |Measure impact | | |

| |home & home care providers through Tyne and |(Sally Riding) | |August 2013 | | |

| |Wear Care Alliance Training and measure impact | | | | | |

| |this has had. | | | | | |

|36 |Review the benefits of the ‘Room for the |Tyne and Wear Care Alliance |Leanne Douglas |Review August 2013 | |Creation and development of |

| |Imagination’ Project ran by Tyne and Wear Care |(Sally Riding)/ Equal Arts | | | |‘Activities Coordinators’ centred |

| |Alliance and Equal Arts. | | | | |around three areas: |

| | | | | | |Music and dance workshops |

| | | | | | |Visual arts |

| | | | | | |Timeslips storytelling |

| | | | | | |Will take place in 3 of Gateshead’s |

| | | | | | |Care Homes. |

|37 |Provide awareness training to all local |Michael Brown/ Steve Morgan |Leanne Douglas |Review February | | |

| |Authority employed staff. | | |2013/ ongoing | | |

| |Ensure contracts include expectation that all | | |process | | |

| |relevant commissioned services will be provided| | | | | |

| |by staff with appropriate training. | | | | | |

|38 |Provide training for staff in benefits of |Lorinda Russell |Steve Morgan |Review February | | |

| |telecare. | | |2013 (complete by | | |

| | | | |2013) | | |

|39 |Ensure Deprivation of Liberties is fully |Cathryn Meredith |Steve Morgan |Review February | | |

| |understood in care homes/ hospitals through | | |2013/ ongoing | | |

| |training. | | |process | | |

| |Health | | | | | |

|40 |Challenging Behaviour Outreach team working |Steven Common |Karen Franks Kate Andrews |October 2012 | |Hospital CB outreach Team targeting |

| |into care homes within Gateshead | | | | |care homes within Gateshead – C.B. |

| | | | | | |advice and information as well as |

| | | | | | |assessing individual residents via |

| | | | | | |referral |

|41 |Challenging Behaviour Workbook for staff |Challenging Behaviour Team – | |Ongoing | |Staff training programme available for|

| | |Steven Common | | | |all care staff in Gateshead to access |

| | | | | | |on the workbook |

|42 |Challenging Behaviour handbook for |Challenging Behaviour Team – | |Dec 2012 | |Draft carers/relatives handbook on CB|

| |carers/relatives |Steven Common | | | |produced with in put from the carers |

| | | | | | |support group at Alzheimer’s society |

| | | | | | |as well as other professionals |

|Better care in hospital |

|Objective: Improving quality care for people with dementia in general hospitals |

|Propos|Lead |Support |Target date |Status updates |comments | |

|ed | | | | | | |

|action| | | | | | |

|s | | | | | | |

|44 |Undertake dementia environmental audits on x4 |Judith Gibson |Dementia Environmental Sub |November 2012 | |X2 audits to be undertaken in Sept 2012|

| |wards/depts within Gateshead Health Foundation | |Group | | |and x2 audits in October 2012 |

| |Trust. . | | | | | |

|45 |Roll out the 3Ds (Dementia, Delirium and |Alison Griniezakis/ |Dementia Steering Group |Dec 2012 | |4 stages of roll out programme |

| |Depression) Pathway to wards/depts. within the|Claire Downes | | | |identified and linked to timescales |

| |acute hospital | | | | | |

|46 |Roll out and review the new ‘Medway Information|Elaine MacDonald |Judith Gibson |Sept 2012 | | New information system is being |

| |System’ including the flagging system for | | | | |implemented throughout the Trust |

| |people with dementia and memory problems. | | | | | |

|47 |Audit readmission rates including those |Lindsey Surtees |Dementia Steering Group |Oct 2012 | |Readmissions within 30 days are being |

| |patients with dementia | | | | |audited every three months which also |

| | | | | | |includes patients with dementia |

|48 |Produce a dementia training programme for staff|Emma Prendergast/ |Dementia Steering Group | | |Current training programme now being |

| |consisting of two levels of training based on |Claire Downes | |Dec 2012 | |updated to include x2 levels |

| |need. | | | | | |

|49 |Raise Dementia awareness within the general |Judith Gibson |MH Liaison Team | | |X2 Roadshows held at QEH |

| |hospital. |Alison Griniezakis/ |Dementia Champions | | |Publicity information distributed |

| | |Claire Downes | | | |around all wards/depts. |

| | | | | | |Dementia Evening Forum held |

|50 |Roll out ‘space’ programme |Judith Gibson |Dementia Steering Group |Sept 2012 | |As above |

|51 |Roll out of ‘This is me’ |Judith Gibson |Hospital Matrons |Dec 2012 | |Included as part of the 3Ds roll out |

|52 |Place dementia friendly signage within the |Judith Gibson |Dementia Environmental sub |Ongoing | |ward/dept areas identified and signage |

| |hospital | |group | | |agreed |

|53 |Undertake second National Audit of Dementia |Judith Gibson |Claire Downes |Oct 2012 | |Both the Organisational checklist and |

| |(NAD) within general hospital | | | | |the Core audit have been completed |

|54 |Ensure Dementia Treatment Team compile a |Judith Gibson |Sandie Dickson |July 2012 | |Satisfaction questionnaire has been |

| |Patient/ User satisfaction questionnaire for | |Joyce Stratford | | |evaluated and reviewed and will be |

| |people with dementia and their carers. | | | | |rolled out to other dementia services |

| | | | | | |within the Trust |

|55 |Continue with Gateshead Trust representation |Judith Gibson |SHA Dementia Task Steering |Ongoing | |SHA Link meetings held every three |

| |attending the Strategic Health Authority | |Group | | |months for N.E.acute Trusts |

| |Dementia Task Steering Group for the North | |Dementia Steering Group | | | |

| |East. | | | | | |

|56 |Ensure that MCA/Deprivation of Liberty training|Claire Downes |Alison Griniezakis |Ongoing | |MCA/DoLs training is available to trust|

| |is available to staff within the Trust | |Judith Gibson | | |staff access via OD & Training Dept and|

| | | | | | |staff prospectus |

|57 |Ensure dementia referrals to MH liaison Team |Alison Griniezakis |MH Liaison Team |Ongoing | |Those emergency referrals will see |

| |are responded to within 48 hours | | | | |within 24 hrs including during the |

| | | | | | |night shift |

|58 |Provide Dementia Training medical staff within |Catherine Kirkley |MH Liaison Team |ongoing | |Mental health liaison have a dedicated |

| |the Trust (Training provided by MHLT) | | | | |training slot in the F1 & F2 training |

| | | | | | |programme |

|59 |Undertake yearly mental health audit regarding |Catherine Kirkley |MH Liaison Team |Nov 2012 | |Audit Undertaken in November of each |

| |respond times to MHLT including those patients | | | | |year. Report available in Dec 2012 |

| |with dementia | | | | | |

|60 |National CQUIN for identifying dementia after |Lucy Topping/Wendy Kaiser | |Quarterly review |Q1 objectives achieved. |Monitored through PCT Quality meetings |

| |72 hours hospital admission. | | | | |with GHNHSFT. |

|Appropriate use of antipsychotic medication |

|Objective: All antipsychotics for people with dementia are prescribed according to best practice |

|Propos|Lead |Support |Target date |Status updates |comments | |

|ed | | | | | | |

|action| | | | | | |

|s | | | | | | |

|61 |Take forward discussion with practices to |Marie Thompkins/Anne Marie Bailey.| |12/13 | | |

| |implement best practice in prescribing. |Ola Dafe | | | | |

|62 |Consider outcome of pilot to develop anti |Wendy Kaiser | |13/14 | | |

| |psychotic patient passport. | | | | | |

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download