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The Forth Valley Dementia Project
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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- Slide 1: The Forth Valley Dementia Project
Eileen Richardson
Library & Information Service Manager
Peebles, June 4 2008
- Slide 2: •A12-month project which
ran from April 2007 to The Project
April 2008
•Funded by the Scottish
Government with
£200,000
•Run by the Dementia
Services Development
Centre
- Slide 3: The Dementia Services Development Centre
•Based at the University of Stirling
•Works to improve services to people with
dementia and their carers and families
•Achieves this through providing research,
training, information and consultancy
- Slide 4: What is the project?
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
- Slide 5: Aims of the project
•To improve standards of
care for people with dementia
•To provide better support for
families and carers
•To raise awareness of
dementia-related issues
- Slide 6: Why Forth Valley?
•Typical of dementia care in Scotland
•Many high-quality services, not always
evenly distributed
•3,000 people with dementia in Forth
Valley
- Slide 7: Forth Valley
- Slide 8: Why the programme?
Because one of the major problems is that the
responsibility is spread over a wide range of
professions, providers and services
- Slide 9: What took place
• Change event
– One-day convention of 120 staff involved in
dementia care in the Forth Valley area
• Process mapping
– Nearly 200 change ideas generated to help
achieve local and national objectives
• Small change improvement cycles
• Personal effectiveness
- Slide 10: Criteria and features of the project
• Designed to help meet existing targets
• Action plan drawn up from ideas generated from
the convention
• No external experts – the people involved lived
and worked in the area, and their expertise
already existed
• No new partnerships – relationships were already
long-standing
- Slide 11: Good dementia care
•recognition of dementia, so earlier diagnosis
•person-centred services
•co-ordinated approach
•reducing delayed discharges and inappropriate
acute hospital admissions
•shifting care from hospital to community
- Slide 12: Key issues identified by stakeholders
• poor awareness of dementia
• education and training
• lack of home support
• greater priority for dementia care
• acute hospitals
• inequities in service provision
- Slide 13: Aims
• optimise outcomes of care
• earlier diagnosis
• avoiding misdiagnosis
• co-ordinate dementia services between agencies
• give teams the skills and confidence to help
deliver clinical governance and continue developing
services
- Slide 14: Outcomes
Improving care for people with dementia:
• 63% of staff planned to make changes as a direct result of the
programme
• 51% felt some part of the experience of people with dementia
had improved
Improving the confidence of staff:
• 47% were more confident in caring for people with dementia
• 67% felt the level of recognition of dementia had improved
Improving the skills of staff:
• 90% learned something new
• 87% shared that learning with someone else
• 92% said access to training had improved
- Slide 15: Website
- Slide 16: Report
- Slide 17: Good practice examples
• Patient information
• Help with eating
• Life story books
• Reminiscence sessions
• Telecare
• Interaction training
- Slide 18: Change ideas
• 200 ideas generated
• Easy/immediate – Difficult
• Funding the changes
• some had no cost implications
• some paid for through project funds
• some subsidised by participating partners
- Slide 19: People involved
Family carers Call handlers
Police
Emergency services
Librarians
S oc ia l wo rke rs
Allie d He alth Profe s s ionals
Ca re a s s is ta nts Psychiatrists
Nurses GPs
Ca re h ome ma na g e rs
Church groups
Voluntary organisations
- Slide 20: Quotes
“Very informative. Challenged and set straight some
preconceived notions that I had about dementia.”
“Knowing there is the backup here, the centre, information and
resources has made me more confident.”
“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.”
- Slide 21: Now what?
• Dementia a national priority - £3m pledged
• Good practice implementation
• Personal testimonies
• Contribution to Government targets
– HEAT targets
– Dementia Quality and Outcomes Framework targets
– The Integrated Care Pathway for Dementia
- Slide 22: Iris Murdoch Building,
University of Stirling,
FK9 4LA
Tel. 01786 467740
Email:
dementia@stir.ac.uk
Web:
www.dementia.stir.ac.uk