DementiaPutting the patient at the centre of careMel PickupChief Executive

Mapping the Dementia Gap, a study produced by Tesco, Alzheimer’s Society and Alzheimer’s Scotland – Numbers of people with dementia in 2010 and 2021 in local health areas and Strategic Health Authority areas

55%

40%Increase

over11 yrs

Mapping the Dementia Gap, a study produced by Tesco, Alzheimer’s Society and Alzheimer’s Scotland – Numbers of people with dementia in 2010 and 2021 in local health areas and Strategic Health Authority areas

Estimated number of people with dementia in Warrington and Halton & St Helens

2

Dementia awareness - Incidence in Acute hospitals

• People 65+ with dementia occupy People 65+ with dementia occupy 25-30% of total 25-30% of total hospital bedshospital beds

• 42% of individuals over 70 with unplanned 42% of individuals over 70 with unplanned admissions admissions to an acute hospital have dementia rising to an acute hospital have dementia rising to to 48%48% over age 80 over age 80

• Main reasons for admission where dementia is a Main reasons for admission where dementia is a secondary diagnosis are secondary diagnosis are falls, fractured hip, UTI, falls, fractured hip, UTI, chest infection, strokechest infection, stroke

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It all started with one of these!

Closely followed by some of these…

Our Dementia Care improvement journey

October 2012 Kings Fund Bid opportunity

The opening of the Forget Me Not Unit May 2014

Governors ward observation visits to unit supported need for change 2011/12

Clinical Lead for Dementia 2010

Living Well with Dementia: A national strategy

Strengthened role of Specialist Nurse for Older people 2010

2009 - Then

2015 - Now

NICE Guidelines (CG103)Delirium (trust developed care bundles) 2010

NICE Quality Standard (QS1) June 2010

Separated stroke unit from elderly care ward 2010

Successful bid! Kings Fund allocation of £1.05M July 2013

Forget Me Not Campaign March 2013

Dementia Conference May 2014

An opportunity to bid for national funding

Kings Fund bid opportunity – successful award of £1.05M

•hi-tech sensory rooms using lighting and sound to stimulate those with dementia;•large print photos of local scenes from years gone by to help people with dementia feel connected to their past;•specially adapted outside space to prevent patients from wandering, by helping them keep busy and active with activities such as gardening;•technology such as day/night clocks and controllable mood lighting to emulate day and night, which help people with dementia stay independent and well-cared for; or•simple changes such as the use of calming colours, non-reflective surfaces, large-print signs and the creation of zones to help residents know where they are and find their way back to their room.

We’ve gone from this…

To this….

And this….

To this….

Our Forget Me Not garden has become an integral part of the unit.

It’s not just about the ward – it’s a catalyst for wide-spread change

• Trust wide leadership (executive sponsorship) • Clinical lead for dementia • Forget-Me-Not Group• Cognition screening on admission• Dementia friendly environments• Dementia pathway• Cognitive care bundle• Trust participation in National Audit of Dementia• Carer survey• Dementia Alliance partnership• Joint working across organisations • Dementia specialist team, including activities co-ordinator.

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Socialising and activities on ward

← From rock choirs

←To ukulele bands

To recreating the seaside on the ward to evoke memories →

We’ve had opportunities to share best practice

“The Warrington Forget Me Not unit is the finest acute hospital dementia care environment I’ve seen.”

Jeremy Hunt MPSecretary of State for Health

Patient feedback

Improved outcome data

• Falls – sustained reduction in falls 4% reduction in year, with 30% reduction since campaigns commenced

• Pressure ulcers – 42% reduction in year• Length of stay reduction in Forget Me Not Unit – 40% • Achieving National CQUIN target – between 90 – 100%• Reduction in the need for 1:1 carers for patients with

challenging behaviour• Reduction in complaints on unit – only one since unit

opened• Staff satisfaction – 0% turnover in year, and reduced sickness

Next steps

• We’re spreading dementia friends training to local schools

• Development of training needs analysis for specific professions

• Dementia champions active in all areas (including a fantastic estates dementia champion)

• Utilising patients and carers as trainers• Development of Partners in Care contract in line

with DH recommendations.

Questions?

Thank you for listening…

If you would like to see our work in action please contact us and come and visit - ForgetMeNot@whh.nhs.uk