2021-2026 - our 5 year delivery plan
Blackpool Teaching Hospitals NHS Foundation Trust is committed to improving patient experience and delivering improvements in clinical outcomes. During 2020 our workforce responded to the COVID- 19 pandemic by caring for patients in and out of hospital. In 2021 we will restore our services back to pre-pandemic levels and reset by learning, innovating, and maintaining improvement. This is no less important for the people living with dementia who experience the care we provide. This delivery plan sets out our ambitions to provide the best care without waits, without harm and effectively use the resources available. Improvement will be made in conjunction with our Quality Improvement team and be shown through our COAST programme as well as through the development of the key performance indicators.
Our commitment
To be recognised as a paragon of Dementia care and treatment by continuously building upon the progress already made and listening to those experts through experience and key stakeholders. Following the consultation event which took place on June 23rd, 2021 seven key commitments were identified to take forward to improve further the quality of care and treatment for individuals and their carers who are living with a diagnosis of dementia. These commitments, the passion our staff give, and the measurable performance indicators are at the centre of this new delivery plan and fundamental to ensuring that we continue to ‘Remember the Me in Dementia’.
Those 7 commitments are:
- Dementia Friendly Environments
- Person-Centered approach to dementia care
- Improve the hospital experience
- Educated and informed workforce
- Living Well at Home
- Partnership working
- End of Life Care
Implementation
Each of the 7 Key commitments has an identified lead to take forward the associated work stream. Since the consultation event in June 2021 each workstreams group have met and engaged with colleagues from across the health economy as well as experts by experience to take each commitment forward. The progress of each workstream as well as monitoring of the key performance indicators will be presented by each lead at the quarterly Trust Dementia Advisory Board (DAB). The DAB reports on a biannual basis to the Quality and Clinical effectiveness committee.
Each key commitment will be delivered by continuing to work alongside our patients, carers, staff, community groups and partner organisations to deliver services that support the wellbeing of all involved, create integrated care and maximising the impact of resources available. The success will be monitored through consistently achieving the following key performance indicators:
Annual assessment of each area using an assessment tool incorporating the criteria defined by the Dementia Action org in its Dementia- friendly hospitals charter and the appropriate elements of the Patient Led Assessments of Care Environment (PLACE). COAST will also monitor this through its regular accreditation assessments with each area evidencing the actions taken against this.
Each area is expected to achieve 95% compliance against the defined level of adjustments made for that area.
Measured by assessing compliance with the dementia pathway the review and implementation of which needs to take place first.
The commitment that 95% of patients who have a confirmed diagnosis of dementia are commenced on and follow the dementia pathway.
Identify and treat delirium as per pathway with the commitment that we achieve a reduction in the number of patients with a diagnosis of dementia subsequently go on to develop delirium.
100% of patients who have a confirmed diagnosis of dementia have an individual plan of care which details the care they receive.
Assessed through Pathway compliance this also forms part of the COAST assessment.
Review the experience of patients or carers of patients with a diagnosis of dementia with the aim to achieve 95% of those surveyed rate their care as good or very good.
Monitor and identify themes of concerns and complaints of patients with a diagnosis of dementia and report into the DAB.
95% of all staff who work in the organisation to have received tier 1 dementia awareness training.
95% of all staff who work closely with patients with a diagnosis of dementia have received tier 2 training appropriate to their grade.
Develop and implement a tier 3 training platform for leaders of staff working with patients with a diagnosis of dementia
Appropriate aftercare reduces the number of re-admissions for patients with a diagnosis of dementia. Therefore, a reduction in re-admissions through compliance against the dementia pathway will be monitored.
Review the experience of discharge patients or carers of patients with a diagnosis of dementia with the aim to achieve 95% of those surveyed are satisfied with the discharge process.
That advance decision making is considered as part of the dementia pathway and that all Patients with a diagnosis of dementia who are at end of life are referred to the SWAN team and reviewed in 24 hours. Where appropriate a Multi-Disciplinary team is formed within 48 hours.
Conclusion
The Remember the Me in Dementia’ 2021 -2025 strategy will ensure that the foundations of good, high-quality care, treatment, operational delivery and governance are embedded in our commitment to patients with a diagnosis of dementia. Clear and robust indicators show our progress and regular listening events driven by patient sand engagement will provide the narrative to our journey so that we can continue to demonstrate, influence, and innovate across the Fylde Coast, and amongst our system partners.
