Our key work in this area is listed below.

 

Dementia in hospitals collaborative

The collaborative aims to improve the outcomes for people with dementia in hospital, including acute, community and specialist dementia unit settings, by September 2021. To deliver this aim, teams will focus on five priority areas identified and agreed through a co-design process involving key stakeholders:

  1. Strategies to prevent and effectively manage stress and distress
  2. Compliance with Adults with Incapacity legislation
  3. Creating hospital environments that minimise the level of stress for people with dementia
  4. Improving pathways of care including managing transitions
  5. Improving person-centred care planning

Commissioned to work around Commitment 7 of the Dementia Strategy, this programme will run from September 2019 to September 2021.

Original programme of work:

24 teams were accepted, following a nomination/selection process, from 10 NHS boards: Ayrshire and Arran, Borders, Fife, Forth Valley, Greater Glasgow & Clyde, Golden Jubilee, Grampian, Lanarkshire, Lothian and Orkney (10 x acute wards, 7 x community hospitals, 7 x Specialist Dementia Units).

In March 2020 the programme was put on hold so as not to place any additional pressure on services involved in preparing for and responding to COVID-19 and also to allow Healthcare Improvement Scotland to refocus improvement resource to support work aligned with COVID-19 resilience.

There is now a new two phased approach for the programme of work.

Phase 1: October 2020 – March 2021

8 teams from 6 NHS boards, Ayrshire and Arran, Borders, Fife, Forth Valley, Greater Glasgow & Clyde and Grampian

Phase 2: April 2021 – September 2021

Our aim is to bring back the other teams so we have 24 teams from the 10 NHS boards mentioned above. The focus of phase 2 will be co-designed with the teams and based on the learning from phase 1.

We are also developing a learning system to share work with the other collaborative teams and wider network community using webinars and case studies. In addition we are working on a Dementia in Hospitals Toolkit which will be launched in January 2021.

The Focus on Dementia team will be working closely with Alzheimer Scotland Dementia Nurse Consultants to take this work forward and are also being supported by the Scottish Executive Nurse Directors group.

 

Acute Care

Identifying critical success factors for improved outcomes for people with dementia and their carers in acute care: A focus on NHS Grampian

This publication describes the methodology and findings of work undertaken between January and March 2017 in four wards in NHS Grampian’s Aberdeen Royal Infirmary that have been recognised as delivering particularly good practice in relation to the 10 Dementia Care Actions. The four wards which this review was based on are in the Department of Medicine for the Elderly (DOME) – wards 102 (the Geriatric Assessment Unit), 303, 304 and 306.

The aim of this work was to identify and share the critical success factors associated with improved outcomes for people with dementia, their carers, friends, family and staff in acute care, using an appreciative inquiry approach and the 10 Dementia Care Actions as a framework.

Focus on Dementia will engage with stakeholders to see how we can share the learning of this work and continue to support services as they implement the acute care commitment of Scotland’s national dementia strategies.