The results of the fourth round of the National Audit of Dementia, commissioned by the Healthcare Quality Improvement Partnership to examine the quality of care provided to people with dementia in general hospitals in England and Wales. The report details improvements made since the Round 3 audit report in 2017. It focuses on aspects of care which are known to impact upon people with dementia...
(Edited publisher abstract)
The results of the fourth round of the National Audit of Dementia, commissioned by the Healthcare Quality Improvement Partnership to examine the quality of care provided to people with dementia in general hospitals in England and Wales. The report details improvements made since the Round 3 audit report in 2017. It focuses on aspects of care which are known to impact upon people with dementia as inpatients, and reports results on: carer rating of patient care; assessment; information and communication; staffing and training; nutrition; hospital discharge; and governance. A total of 195 hospitals in England and Wales took part in the audit, which collected from a casenote audit, organisational checklist and carer and staff questionnaires. Overall, report shows slight improvements from those reported in Round 3 2017. They include: 96 per cent of hospitals signed up to John's Campaign, advocating the right for people with dementia to be supported by family carers when in hospital; a decrease in the number of staff that said that they had not received dementia training at the hospital; and an increase in the percentage of carers that said that staff were well informed and understood the needs of people with dementia. Areas identified for future improvement included: assessment for delirium, using information about the person to provide better care, keeping consistent records on dementia training for staff. Appendices include recommendations and staff suggestions about improving care.
(Edited publisher abstract)
Subject terms:
dementia, hospitals, assessment, hospital discharge, nutrition, carers, communication, staffing levels, health care, discharge planning, patients, evaluation, training;
ROYAL COLLEGE OF PSYCHIATRISTS, BRITISH GERIATRICS SOCIETY
Publishers:
Royal College of Psychiatrists, British Geriatrics Society
Publication year:
2018
Pagination:
28
Place of publication:
London
Showcases good practice examples of effective interdisciplinary collaboration between geriatricians, allied health professionals, and psychiatrists who are working with older people with depression living care homes. It identifies key features from the case studies and highlights the importance of addressing the divide between mental and physical healthcare in order to provide the best care for older people living with frailty. Key themes from the case studies included person-centred care; the use of Comprehensive Geriatric Assessment and multidisciplinary working; professional development and training; and voluntary and community sector involvement. The eight examples are from: Gateshead Care Home Initiative, Camden and Islington NHS Foundation Trust’s care home liaison service, Tri-borough in-reach service for care homes in South London, multi-disciplinary care home and community liaison model in Dorset; University Hospital of South Manchester Nursing Home Service; the Integrated care pilot Nazareth House, West London Mental Health Trust. The report aims to promote awareness and understanding of the key features of best practice among practitioners, commissioners and policy-makers.
(Edited publisher abstract)
Showcases good practice examples of effective interdisciplinary collaboration between geriatricians, allied health professionals, and psychiatrists who are working with older people with depression living care homes. It identifies key features from the case studies and highlights the importance of addressing the divide between mental and physical healthcare in order to provide the best care for older people living with frailty. Key themes from the case studies included person-centred care; the use of Comprehensive Geriatric Assessment and multidisciplinary working; professional development and training; and voluntary and community sector involvement. The eight examples are from: Gateshead Care Home Initiative, Camden and Islington NHS Foundation Trust’s care home liaison service, Tri-borough in-reach service for care homes in South London, multi-disciplinary care home and community liaison model in Dorset; University Hospital of South Manchester Nursing Home Service; the Integrated care pilot Nazareth House, West London Mental Health Trust. The report aims to promote awareness and understanding of the key features of best practice among practitioners, commissioners and policy-makers.
(Edited publisher abstract)
Subject terms:
care homes, depression, older people, case studies, good practice, multidisciplinary teams, dementia, intervention, mental health services, integrated care, primary care;
The report describes what is involved in achieving good quality Young-onset dementia (YOD) services for the benefit of people accessing these services. A key recommendation is that the needs of patients with YOD in the care of mental health trusts are best met by a dedicated specialised service which links with multidisciplinary practitioners and works with a broad range of services that help...
(Edited publisher abstract)
The report describes what is involved in achieving good quality Young-onset dementia (YOD) services for the benefit of people accessing these services. A key recommendation is that the needs of patients with YOD in the care of mental health trusts are best met by a dedicated specialised service which links with multidisciplinary practitioners and works with a broad range of services that help to connect patients and their families with support at home and in their community. The report also offers advice to psychiatrists on job planning, continuing professional development and training relevant to working in the area of YOD. The report is primarily for psychiatrists working in mental health trusts, but it will be of interest to all staff involved in the planning and delivery of YOD services. It updates and replaces College Report 135: 'Services for younger people with Alzheimer’s Disease and other dementias.
(Edited publisher abstract)
Subject terms:
psychiatrists, dementia, continuing professional development, young onset dementia, interagency cooperation, mental health trusts, mental health services, commissioning, multidisciplinary teams;
The results of the third round of the National Audit of Dementia (NAD), to measure the performance of general hospitals in delivering care to people with dementia in England and Wales. It updates the findings of the previous audit carried out in 2013. The report uses data for the period between April and November 2016 obtained from 199 hospitals who took part in the audit (98 per cent of eligible...
(Edited publisher abstract)
The results of the third round of the National Audit of Dementia (NAD), to measure the performance of general hospitals in delivering care to people with dementia in England and Wales. It updates the findings of the previous audit carried out in 2013. The report uses data for the period between April and November 2016 obtained from 199 hospitals who took part in the audit (98 per cent of eligible hospitals). It draws on reviewed case notes of 10,047 patients with a diagnosis or current history of dementia and questionnaires from 14,416 staff and 4664 carers from 199 hospitals across England and Wales. The results are presented across the following themes: carer rating of care, assessment, information and communication, staffing and training, nutrition, discharge and governance. The results show that hospitals have made a number of positive changes to make hospitals more dementia friendly since the last audit in 2013. Survey results show that overall nearly 70 per cent of carers rated care as excellent or very good, and 75 per cent said that the person with dementia was definitely treated with respect by staff. Over 90 per cent of hospitals now have a training framework for dementia care in place, compared to 23 per cent in 2011. Over 90 per cent of hospitals also have dementia “champions” in place to lead change and support staff. Areas still in need of improvement include: staff access to personal information on care and communication needs of people with dementia; obtaining consent from people with dementia about life changes, such as transfers to care homes; and assessment for delirium.
(Edited publisher abstract)
Subject terms:
hospitals, dementia, patients, carers, information sharing, nutrition, assessment, quality assurance, training, discharge planning, user views, evaluation, staffing levels;
BRITISH PSYCHOLOGICAL SOCIETY, ROYAL COLLEGE OF PSYCHIATRISTS
Publisher:
British Psychological Society
Publication year:
2015
Pagination:
146
Place of publication:
Leicester
Guidance for professionals working in clinical and social care services to help improve the quality of life of people with intellectual disabilities who develop dementia, focusing on assessment, diagnosis, interventions and support. The guidance is aimed at clinicians in intellectual disabilities and older peoples’ mental health services and services for younger people with dementia...
(Edited publisher abstract)
Guidance for professionals working in clinical and social care services to help improve the quality of life of people with intellectual disabilities who develop dementia, focusing on assessment, diagnosis, interventions and support. The guidance is aimed at clinicians in intellectual disabilities and older peoples’ mental health services and services for younger people with dementia. It is a revision to the original joint British Psychological Society and the Royal College of Psychiatrists (2009) guidance on dementia and people with intellectual disabilities and has been updated using both the current research literature and the experience of senior clinicians working in the field. The guidance covers the following key topics: epidemiology; baseline assessment and monitoring; possible reasons for apparent decline in functioning; clinical presentation of dementia; assessment; establishing the diagnosis and breaking the news; additional health co-morbidities associated with dementia; conceptual understanding of the dementia process; philosophy of care; environments; meeting changing needs/interventions; medication; safe eating and drinking; palliative care and end of life issues; capable commissioning for people with intellectual disabilities and dementia; capable support; and outcomes.
(Edited publisher abstract)
Subject terms:
dementia, learning disabilities, quality of life, diagnosis, treatment, mental health services, health care, social care, palliative care, commissioning;
This report presents the findings of the second national audit of dementia which examined the quality of care received by people with dementia in general hospitals in England and Wales. A total of 210 hospitals participated in the audit (98% of eligible hospitals and 100 of eligible Trusts and Health Boards in England and Wales) and were asked to complete a hospital organisational checklist...
(Original abstract)
This report presents the findings of the second national audit of dementia which examined the quality of care received by people with dementia in general hospitals in England and Wales. A total of 210 hospitals participated in the audit (98% of eligible hospitals and 100 of eligible Trusts and Health Boards in England and Wales) and were asked to complete a hospital organisational checklist and a case note audit of a minimum of 40 patients. The findings are presented thematically, with each chapter covering information from the audit tools. Chapters cover the themes of: governance (including dementia champions and protected mealtimes); assessments; antipsychotic prescription; liaison psychiatry services; hospital discharge and transfers; information and communication; and staff training. Positive findings include the use of Dementia champions, improved health needs assessment and a reduction in the use of antipsychotic drugs. However, further improvement is also needed in terms of data collection, discharge planning, fully developed care pathways, improved dementia awareness for staff training and improved governance with more active involvement of the board and directors. Updated recommendations to regulators, commissioners and clinicians are presented.
(Original abstract)
This report presents the findings of the first National Audit of Dementia which examined the quality of care received by people with dementia in general hospitals in England and Wales. Source documents for the audit included: national reports and guidelines; standards, guidelines and recommendations issued by professional bodies; and reports and recommendations. The audit collected information...
This report presents the findings of the first National Audit of Dementia which examined the quality of care received by people with dementia in general hospitals in England and Wales. Source documents for the audit included: national reports and guidelines; standards, guidelines and recommendations issued by professional bodies; and reports and recommendations. The audit collected information at both hospital and ward level. A total of 89% of hospitals eligible for audit submitted data, which equals inclusion of 99% of Trusts/Health Boards in England and Wales. The findings are presented thematically, with each chapter covering information from the audit tools. Chapters cover the themes of: governance (relating to the setting up and running of hospitals); assessment; mental health and liaison psychiatry; nutrition; information and communication; staff training; staffing and staff support; physical ward environment; discharge planning and discharge; and personal, interaction and environment observational findings. A series of recommendations are made. The results of the audit overall suggest that the majority of hospitals have yet to consider and implement measures which would address the impact of the hospital experience on people with dementia, and to assess the impact on the hospital of admitting people with dementia.
Subject terms:
hospitals, information needs, mental health care, nutrition, hospital discharge, psychiatry, staff, staff-user relationships, training, assessment, communication, dementia, discharge planning;
With depression affecting three times as many older people as dementia, the Royal College of General Practitioners (RCGP) has joined other key organisations to call for action from the Government in addressing a full range of 'later life' mental health problems. As formal consultation on the National Dementia Strategy for England begins, the RCGP has helped produce a new consensus statement...
With depression affecting three times as many older people as dementia, the Royal College of General Practitioners (RCGP) has joined other key organisations to call for action from the Government in addressing a full range of 'later life' mental health problems. As formal consultation on the National Dementia Strategy for England begins, the RCGP has helped produce a new consensus statement ‘Investing in our Future: Ageing and Mental Health’, released today. Other key organisations involved in producing the document include: the Royal College of Psychiatrists, Age Concern, and the Royal College of Nursing These organisations firmly believe this call should just be the beginning of a comprehensive commitment to investing in our future. They believe that dementia cannot and should not be seen in isolation from the rest of mental illness in older people. They call for mental health issues in later life to be accorded the highest priority in terms of sustained vision, leadership and policy ownership and must not fall through gaps between mental health and older peoples' policies.
Subject terms:
mental health problems, older people, policy, voluntary organisations, dementia, depression, health professionals;
The report represents a consensus statement from an Expert Working Group of the Faculty of the Psychiatry of Old Age, and has been produced in collaboration with the Alzheimer's Society and with representation from primary care. It describes good practice, with particular attention focused on working with primary care and with carers. In preparing the report, the Working Group has used systematic summaries of published evidence.
The report represents a consensus statement from an Expert Working Group of the Faculty of the Psychiatry of Old Age, and has been produced in collaboration with the Alzheimer's Society and with representation from primary care. It describes good practice, with particular attention focused on working with primary care and with carers. In preparing the report, the Working Group has used systematic summaries of published evidence.
Subject terms:
medical treatment, older people, psychiatry, assessment, dementia;
Argues that current provision of services for younger people with dementia is inadequate and outlines a new approach to delivering care. Examines the prevalence of early dementia, current provision of services and makes recommendations.
Argues that current provision of services for younger people with dementia is inadequate and outlines a new approach to delivering care. Examines the prevalence of early dementia, current provision of services and makes recommendations.
Subject terms:
policy formulation, social care provision, unmet need, adults, Alzheimers disease, dementia, health care;