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

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

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;

… 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.)

… 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

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