1. Improving dementia care in general hospitals: reviewing a specialist occupational therapy service.
Laura Hall
Specialist Occupational Therapist
Christine Steel
AHP Dementia Consultant

2. Overview Scottish Context Scottish Policy Drivers
Implementing change in large organisations
Example of changing and challenging practice

3. The Vital Statistics
About 88,000 people living with dementia in Scotland in 2014 (3,500+ people under 65 years)
Predicted to double over next 25 years
People living with dementia are three to eight times more likely to fall
Currently around 1 in 4 of all general hospital beds in Scotland are occupied by people over the age of 65 who have some form of dementia.

4. The Big Picture
Dementia has been established as a national clinical priority by the Scottish Government.
Scotland’s Dementia Strategy initially published June 2010
Promoting Excellence (2011)
Standards of Care for Dementia (2011)
2nd Dementia Strategy published 2013

5. “Commitment 10”

6. Maersk Triple E Class

7. Largest health board in the UK
Employ around 38,000 staff
Provide healthcare to over 1.2 million people

8. Aims of Review Describe current model of service provision
Cross reference existing service with:
Evidence base
Best practice
Strategic drivers
Propose an alternative framework for practice where needed.

9. The Process…
Process Map
Training
Model of Practice

11. “Getting to Know Me” .

12. Future directions… Allen’s Cognitive Level Screen
Prioritisation with OT service
OT Support Worker role
Share practice with other areas

13. Contact details: Christine Steel Christine.Steel@ggc.scot.nhs.uk
Laura Hall