General hospital care for people with dementia: mechanisms to effect change Nye Harries DH SW.

Slides:

Advertisements

Similar presentations

Whole System Models of Care for Older People Tom Bowen The Balance of Care Group ORAHS 2004, Stockholm, Sweden 28 June 2004.

Advertisements

Challenges in SW Ian Biggs Area Director BGSW 10 April 2014.

Welcome to the new acute and community County Durham and Darlington NHS Foundation Trust Clinical strategy FT member events April 2011.

What will a cross boundary CCG mean for patients? Colin Renwick, GP Townhead Surgery,Settle. Board Member of Airedale Wharfedale and Craven Shadow CCG.

Supporting Carers in General Practice & role of RCGP GP Champions for carers Dr Sachin Gupta GP, Welwyn Garden City RCGP GP Champion for Carers, East of.

Faithworks Wessex Early lessons from the Poole Integrated Care Pilot Matt Thomas Consultant Physician Dept of Medicine for the Elderly Poole Hospital NHS.

Dementia Care in London Working Together for Better Mental Health 29 February 2012 Gordon King.

Right First Time: Update. Overview Making sure Sheffield residents continue to get the best possible health services is the aim of a new partnership between.

A whole system challenge -in a challenged system ! South East Essex Health and Social Care.

Learning from the Mid Staffordshire Experience Stephen Moss – Forman Chairman.

1 A consistent approach to personalised care Designing for care Dr Paul Whatling Senior Clinical Consultant.

Is Liaison Psychiatry the saviour of our NHS

North Norfolk Clinical Commissioning Group Fit and Ready? 24 April 2013.

NHS Harrogate and Rural District CCG Better Care Fund – overview Systems Leadership Approach Amanda Bloor Chief Officer Harrogate and Rural District CCG.

IMPs – Intermediate Mental & Physical Health Care Team

Dorset County Hospital NHS Foundation Trust Seven Day Services Working in partnership to reduce avoidable admissions Acute Hospital at Home Patricia Miller,

Shaping a service Colin Hughes Consultant Nurse - Older People (Mental Health) Chesterfield Primary Care Trust.

Use Cases I AM A: (a)– Head of Delivery (b)- Head of Finance Commissioning I WANT TO: (a) – Trigger points for system crisis (bed capacity) (b) – Know.

1 Integration to avoid hospital admission: ITHAcA Sarah Purdy on behalf of the HIT.

Our medium term strategy: Southern Health in 5 years time Second draft March 2012.

Dr Vishelle Kamath Consultant Psychiatrist SEPT

Northamptonshire Integrated Care Partnership How Can Hwbs Promote Integration Across Health And Social Care? Northamptonshire’s Experience Raf Poggi GP.

National Audit of Intermediate Care National Conference Birmingham, Sept 12 th 2012 Professor Finbarr C. MARTIN Geriatrician Guys and St Thomas’ Hospitals.

1. How can we promote pharmacies and the full service available? Think about: How the NHS works with Local Authorities to enhance the role of community.

Gerald Coteman, Chairman Taking Control Foundation Trust Clinical and Patient Empowerment (inc. commissioning) Health versus Hospitals.

Health Strategy Management Contracting and Commissioning 5th February 2015 Pam Kaur Group Finance Manager University Hospitals Coventry & Warwickshire.

A COMPREHENSIVE APPROACH TO DELIRIUM ELLEN BARRINGTON, MSN, RN, BC.

Workshop for the Frail Elderly Dr David Hill GP and Lead for unscheduled care ESyDoc East Surrey Clinical Commissioning Group.

Trevor Single Chief Executive Officer Telecare Services Association United Kingdom.

By OPAL & Memory Team Improving the Individual Experience – Getting the System Right EARLY DIAGNOSIS INTEGRATED CARE PATHWAY RBCH Model.

Developing Quality Indicators & Dashboards for Dementia Adam Cook South East Coast Quality Observatory.

How to break the enigma of the OPAT code Debbie Cumming How to break the enigma of the OPAT code Debbie Cumming.

IMPROVING THE INDIVIDUAL EXPERIENCE. Who are we? Acute and Community Hospital Mental Health Liaison Teams Started as 2 year project Acute – 3.

To capture the experiences of people with dementia in general hospital wards, for use in a national audit The development of an observational method (Person,

PROVIDER DEMENTIA CARE STRATEGY 2013

1 Shaping a new mental health liaison service for older people Colin Hughes Consultant Nurse - Older People (Mental Health)

Frail Elderly Pathway Walsall Healthcare NHS Trust.

From institutionalisation to living well with dementia : a BCU vision Dr Arun Kaimal. MBBS ;MRCPsych Consultant Old Age Psychiatrist and Head of Programme.

1 The Forth Valley Experience (a journey across two decades) Peter Murdoch.

Cost Efficacious Hip Fracture Care: preventing the fracture transforming the care SHA Guidance Day 2009 Prof. Keith Willett National Clinical Director.

Improving general hospital care for people with dementia: why, how and with whom? Nye Harries DH SW.

Specialist Dementia Care in Lancashire An approved approach to dementia care in Lancashire February 2012.

Sensitising Commissioners to Local Enhanced Services Judy Oliver Oliver and Company (UK) Limited

Our five year strategy 1. The health and social care system in NE Hampshire and Farnham faces an unprecedented challenge Greater demand as a result of:

Setting up the “Beacon wards” Colin MacDonald Alzheimer Scotland Nurse Consultant NHS Lothian

Counting the cost Caring for people with dementia on hospital wards.

Pam Hobbs Chief Finance Officer. 2014/15 Finances Financial Overview Revenue allocation of £222.7m + £2.4m income from other organisations e.g. hosting.

One Episode of Care ……. National Demonstration Hospitals Program Sharon Donovan, Executive Director - Nursing Services Wendy Hubbard, Director - Allied.

Liz Sargeant Managing Director Hunts Health Pilot GP Commissioning Consortia If you have any questions please Elizabeth Sargeant on.

Improving Dementia Care: an update on the work of the Dementia Strategy Implementation Group Alistair Burns -National Clinical Director for Dementia Gill.

NHS Reform Update October Context Health Reform Agenda Significant pace of change Clear focus on supporting the Transition Process At the same time.

HEALTH AND SOCIAL CARE OVERVIEW AND SCRUTINY COMMITTEE REVIEW OF THE COMMITTEE WORK JUNE, 2003.

Caring for you...closer to home Hertfordshire Community NHS Trust Health Scrutiny Committee Update 13 December 2011 Derek Smith – Interim Chief Executive.

Healthy Lives, Healthy Futures NEL Partnership Board update 13 th November 2014.

Liaison Psychiatry Service Models ‘Core 24’ and more

12 March 2009 Dr Brian Montgomery Associate Medical Director NHS Lothian Emergency Access Delivery Team.

Innovations in Liaison. Lisa Howarth, Advanced Nurse Practitoner, Tracey Hilder, Advanced Nurse Practitioner Paula Atkinson, Nurse Consultant, Durham and.

National Audit of In-patient Falls 2015 Presenter / title Date line Comparison of (Your site name) results against the national results for the 2015 National.

NUH Clinical Strategy 2010 Dementia. 1 The story In February 2009 the National Dementia Strategy was launched. It is a five year plan to transform the.

Autumn Staff briefings As a NHS patient, care is provided free at the time you need it, whether this is from a hospital or community nurse or.

Creating incentives for better quality: Lessons from the English NHS Jennifer Field, Associate Director National Institute for Health and Clinical Excellence.

NHS West Kent Clinical Commissioning Group Frail Elderly Care Developing a whole system model of care for West Kent.

The National Dementia Strategy in the East of England Maureen Begley Dementia Programme Manager East of England.

Dr. Andrew Foulkes Medical Director Surrey and Sussex Area Team Clinical Senate Summit A&E, Acute Medicine and the Medical Specialties.

Welcome to Southern Health Southern Health exists to improve the health, wellbeing and independence of the people we serve.

PRESENTATION TO N E YORKSHIRE HEALTH SCRUTINY COMMITTEE ON FOUNDATION TRUST PROPOSAL 27 APRIIL 2007 Harry Cronin Director of Nursing, Psychology and Allied.

Quality Indicators Martin Orton – NHS IC & Arun Bhoopal DH Medical Directorate.

Presentation title: 32pt Arial Regular, black Recommended maximum length: 1 line © NHS Institute for Innovation and Improvement, 2011 About The 15 Steps.

CQUINS and Dementia GOAL:

Presentation transcript:

General hospital care for people with dementia: mechanisms to effect change Nye Harries DH SW

Performance priorities of a typical acute trust Financial balance Effectively managing emergency activity Reducing length of stay

Dementia care in acute hospitals Royal College of Psychiatrists 1 identified that on average in a 500-bed district hospital: 330 beds will be occupied by older people 330 beds will be occupied by older people 220 of these will have a mental health disorder 220 of these will have a mental health disorder of which 102 will have dementia of which 102 will have dementia (depression and delirium form most of the remainder) (depression and delirium form most of the remainder) 1. Who Cares Wins: improving the outcome for older people admitted to a general hospital, Royal College of Psychiatrists, 2005

Breakdown of RUH Inpatient Bed Days by age cohort, 2008 / 09 Age % Age % Age % Age %

RUH inpatient bed days by age for Surgery/Ortho/MAU/Gen Med: 2008/09 Number of Bed Days General Surgery OrthopaedicsA&EGeneral medicine

Improving general hospital care : key challenges Seeing dementia/cognitive impairment as a whole Trust issue, not just elderly care Securing executive sign-up Ensuring good data – eg clinical coding

Making the link with the Trust “performance” agenda LoS & the need for measurement Demonstrating the value of effective pathways, input of liaison. Renewed interest in diverting front door activity

What levers could help you? Extra focus on LoS reduction in 2010/11 Sharing data from the new national audit C-QUIN, with commissioners Trust Quality Accounts Sharing data from the new audit Patient Related Outcome Measures (PROMs)

Who are your potential allies? Director of Nursing & Chief Executive Trust Non-Executives Alzheimer's Society Commissioners

plus NHS community services LINKs Council Overview & Scrutiny Committee