The Forth Valley Dementia Project


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Looks at the work of the Dementia Services Development Centre to improve services to people with dementia and their carers and families. Presented by Eileen Richardson at the CILIPS Centenary Conference Scottish Health Information NEtwork seminar held on 4 Jun 2008.

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The Forth Valley Dementia Project

  1. 1. The Forth Valley Dementia Project Eileen Richardson Library & Information Service Manager Peebles, June 4 2008
  2. 2. <ul><li>A12-month project which ran from April 2007 to April 2008 </li></ul><ul><li>Funded by the Scottish Government with £200,000 </li></ul><ul><li>Run by the Dementia Services Development Centre </li></ul>The Project
  3. 3. <ul><li>Based at the University of Stirling </li></ul><ul><li>Works to improve services to people with dementia and their carers and families </li></ul><ul><li>Achieves this through providing research, training, information and consultancy </li></ul>The Dementia Services Development Centre
  4. 4. What is the project? <ul><li>A way of helping all those in Forth Valley who come in contact with dementia to achieve the targets that they already have to achieve </li></ul>
  5. 5. Aims of the project <ul><li>To improve standards of care for people with dementia </li></ul><ul><li>To provide better support for families and carers </li></ul><ul><li>To raise awareness of dementia-related issues </li></ul>
  6. 6. Why Forth Valley? <ul><li>Typical of dementia care in Scotland </li></ul><ul><li>Many high-quality services, not always evenly distributed </li></ul><ul><li>3,000 people with dementia in Forth Valley </li></ul>
  7. 7. Forth Valley
  8. 8. Why the programme? <ul><li>Because one of the major problems is that the responsibility is spread over a wide range of professions, providers and services </li></ul>
  9. 9. What took place <ul><li>Change event </li></ul><ul><ul><li>One-day convention of 120 staff involved in dementia care in the Forth Valley area </li></ul></ul><ul><li>Process mapping </li></ul><ul><ul><li>Nearly 200 change ideas generated to help achieve local and national objectives </li></ul></ul><ul><li>Small change improvement cycles </li></ul><ul><li>Personal effectiveness </li></ul>
  10. 10. Criteria and features of the project <ul><li>Designed to help meet existing targets </li></ul><ul><li>Action plan drawn up from ideas generated from the convention </li></ul><ul><li>No external experts – the people involved lived and worked in the area, and their expertise already existed </li></ul><ul><li>No new partnerships – relationships were already long-standing </li></ul>
  11. 11. <ul><li>recognition of dementia, so earlier diagnosis </li></ul><ul><li>person-centred services </li></ul><ul><li>co-ordinated approach </li></ul><ul><li>reducing delayed discharges and inappropriate acute hospital admissions </li></ul><ul><li>shifting care from hospital to community </li></ul>Good dementia care
  12. 12. <ul><li>poor awareness of dementia </li></ul><ul><li>education and training </li></ul><ul><li>lack of home support </li></ul><ul><li>greater priority for dementia care </li></ul><ul><li>acute hospitals </li></ul><ul><li>inequities in service provision </li></ul>Key issues identified by stakeholders
  13. 13. Aims <ul><li>optimise outcomes of care </li></ul><ul><li>earlier diagnosis </li></ul><ul><li>avoiding misdiagnosis </li></ul><ul><li>co-ordinate dementia services between agencies </li></ul><ul><li>give teams the skills and confidence to help deliver clinical governance and continue developing </li></ul><ul><li>services </li></ul>
  14. 14. Outcomes <ul><li>Improving care for people with dementia: </li></ul><ul><li>63% of staff planned to make changes as a direct result of the programme </li></ul><ul><li>51% felt some part of the experience of people with dementia had improved </li></ul><ul><li>Improving the confidence of staff: </li></ul><ul><li>47% were more confident in caring for people with dementia </li></ul><ul><li>67% felt the level of recognition of dementia had improved </li></ul><ul><li>Improving the skills of staff: </li></ul><ul><li>90% learned something new </li></ul><ul><li>87% shared that learning with someone else </li></ul><ul><li>92% said access to training had improved </li></ul>
  15. 15. Website
  16. 16. Report
  17. 17. Good practice examples <ul><li>Patient information </li></ul><ul><li>Help with eating </li></ul><ul><li>Life story books </li></ul><ul><li>Reminiscence sessions </li></ul><ul><li>Telecare </li></ul><ul><li>Interaction training </li></ul>
  18. 18. Change ideas <ul><li>200 ideas generated </li></ul><ul><li>Easy/immediate – Difficult </li></ul><ul><li>Funding the changes </li></ul><ul><ul><li>some had no cost implications </li></ul></ul><ul><ul><li>some paid for through project funds </li></ul></ul><ul><ul><li>some subsidised by participating partners </li></ul></ul>
  19. 19. <ul><li>Police </li></ul>People involved Librarians Allied Health Professionals Emergency services Nurses GPs Church groups Care assistants Care home managers Social workers Family carers Call handlers Psychiatrists Voluntary organisations
  20. 20. <ul><li>“ Very informative. Challenged and set straight some </li></ul><ul><li>preconceived notions that I had about dementia.” </li></ul><ul><li>“ Knowing there is the backup here, the centre, information and resources has made me more confident.” </li></ul><ul><li>“ They [nursing staff] know more about dementia now, there is a better understanding of ways of dealing with patients now and also they are questioning traditional methods of care. For instance, they are questioning the sedation of patients, understanding ways of communicating with patients.” </li></ul>Quotes
  21. 21. <ul><li>Dementia a national priority - £3m pledged </li></ul><ul><li>Good practice implementation </li></ul><ul><li>Personal testimonies </li></ul><ul><li>Contribution to Government targets </li></ul><ul><ul><li>HEAT targets </li></ul></ul><ul><ul><li>Dementia Quality and Outcomes Framework targets </li></ul></ul><ul><ul><li>The Integrated Care Pathway for Dementia </li></ul></ul>Now what?