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Dementia care in hospital Peer Review, Autumn 2011

Dementia care in hospital Peer Review, Autumn 2011. Update Nurse Executives’ meeting, 11 January 2012. What was it like for you?. Key learning points? Has it made any difference ? Challenges; risky questions?. Assets approach v. deficits. ‘Peer Review’. ‘Peer Appraisal’. critical friend

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Dementia care in hospital Peer Review, Autumn 2011

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  1. Dementia care in hospitalPeer Review, Autumn 2011 Update Nurse Executives’ meeting, 11 January 2012

  2. What was it like for you? • Key learning points? • Has it made any difference? • Challenges; risky questions?

  3. Assets approach v. deficits ‘Peer Review’ ‘Peer Appraisal’ critical friend appreciative enquiry system change; OD non-hierarchical exchange of learning; ‘buddying’ participative ++ constraints; S.W.O.T. acknowledgement; commitment; culture • progress with Standards • National Audit – improvement plans • local stake holders - commissioners • positive practice; learning • momentum; next steps – local • accountability; leadership • any help/support?

  4. Positive practice • observational audit, dementia mapping - RCHT • security team Dementia Champions; RLOS; ‘virtual ward’ – RD&E • environment – Musgrove, Taunton • memory café; Charter Mark - RUHB • memory clinic; OPAL team, RLOS - RBCHT • discharge co-ordinators – Poole • electronic board rounds - Torbay • Dementia Champions - pan-Bristol approach to • ‘Think Drink’ - Derriford •  delayed discharges -BRI           • bed moves policy and ongoing audit- BRI • ‘This is Me’ – UBHT • workforce development – RGHT • volunteering – Salisbury

  5. Getting there • change that is about pervasiveness and depth • organisation-wide; support for the ‘mavericks’; innovators • system-wide: primary care, community, hospital, intermediate care, EOLC • smarter commissioning; smarter delivery: future proofing; strategies; QIPP; tariff; smarter planning;

  6. … what about? • moving from ‘maverick’ to mainstream; ‘shoestring’ to establishment • workforce development that makes a difference (including medics) • mental health liaison services: reality check! • prevalence: ‘NIMU’ (‘not in my unit’) • use of ‘This is Me’ or similar – linking with GPs/care homes • prescribing of antipsychotics • screening; assessment; risk assessment • focus and attention of hospital Boards (data; info.)

  7. … and what about? • volunteering; capacity; local communities • CPD: dementia champions; + a more ‘enhanced’ role? • dementia specialists – all specialties • environment: not just about red toilet seats • compassionate care; safeguarding • social care engagement • right information; right time • screening; assessment; risk assessment • RLOS; readmissions • better coding

  8. Next steps? Setting the agenda: • focus • momentum • leadership; commitment; participation • demonstrable change: key ‘markers’ • support

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