CLINICAL NURSE SPECIALIST; DEMENTIA

1. CLINICAL NURSE SPECIALIST; DEMENTIA By Clive Gibson & Audrey Joslin

2. IDENTIFYING THE NEED • National Audit Statistic – over 40% of people in acute hospitals with cognitive impairment • MEHT – pro-activity in recognising the need • Prior post holder – employed by MEHT • No spirit of collaborative working • Problems with Clinical Supervision for post holder • Identified need for Trust collaboration

3. NEPFT & MEHT • Collaborative working • Jointly agreed post – funded by MEHT, provided by NEPFT • Joint devising & agreeing of Job Description • CNS supported by mental health although managed by primary care - EAT

4. NATIONAL DEMENTIA STRATEGY SECTION 8; ‘Improving care of those with dementia in general hospitals’ noting the importance of identifying a senior clinician to take the lead in improving the quality of dementia care and in developing an explicit pathway for the management of people with dementia as well as the importance of effective basic training and continuous professional and vocational training.’

5. DEMENTIA MDT • Dr Ahsan; Consultant of Elderly Medicine, MEHT • Dr Leontis; Consultant Psychiatrist, NEPFT • Clive Gibson; Lead Nurse, EAT & Safeguarding • John Gardner; Clinical Manager, NEPFT

6. DEMENTIA MDT cont’d • Lisa Durham; Lead Therapist, MEHT • Intisar Ibrahim; Lead Pharmacist, MEHT • Liz Duncan; Senior Practitioner, Social Care • Audrey Joslin; CNS Dementia & Chair, NEPFT & MEHT

7. DEMENTIA MDT cont’d Overall aim of the group… To ensure excellent care delivery whilst utilising our services and appropriate and timely discharge planning from our services

8. DEMENTIA MDT cont’d • Case discussion – reflective practice • Relevant policies and procedures • Diagnostics and identification of other problems i.e. delirium, stroke, depression • To identify key patient care / safety issues and contributory factors and develop interventions to address these.

9. CLINICAL NURSE SPECIALIST; DEMENTIA Since coming into post the following has been achieved; • Improved collaborative working with both Trusts • Improved & robust assessment process • Development of MDT • Identification of link nurses • Training programme and implementation

10. CNS; DEMENTIA cont’d • Introduction of volunteers to work with dementia / befriend and support • Improved links with non statutory agencies – AS, AfFC, Patient Council & Voluntary Department • Improved links with local academic partners – ARU & Essex University

11. CNS; DEMENTIA cont’d • IT – access via Intranet & Internet • Utilisation of ‘This Is Me’ – focus on individual not illness / disease • Representation of client group re Equality & Diversity • Recognising & helping others to manage End of Life care

12. CNS; DEMENTIA cont’d In the process of achievement; • Snack boxes • Research project re antipsychotic usage • Diagnostic checklist – collaborative with MASS • Carers support pack for those using MEHT services • National Dementia CQUIN • National Dementia Audit – Phase 2

13. THANK YOU FOR LISTENING • CONTACT DETAILS; Audrey Joslin Clinical Nurse Specialist; Dementia Elderly Assessment Team 01245 516943/515362 #6555 2557