Improving Dementia Care in the
Acute Hospital Environment
Ruth Millward, Matron
& Sian Williams, Head of
Nursing, Urgent Care
© NHS Institute for Innovation and Improvement, 2010
How has the programme helped?
• Tools and techniques informed training
programme
• Thinking differently
• Leadership learning – storytelling, coproduction, being proactive, engaging staff
and others, using change as a positive
• Problem solving through VALS
© NHS Institute for Innovation and Improvement, 2010
Local CQUIN – Dementia Care
Milestone
achievements:
• Staff training
• Implementation of
‘This is Me’
• Antipsychotic
prescribing
© NHS Institute for Innovation and Improvement, 2010
Implementation of ‘This is
Me’
Feedback from our branch members
tells us this is making a difference to
patient experience
Staff are much more aware
of how to meet the needs of
patients with Dementia and
their families.
Laura Bartley, Ward Manager
30
25
20
15
“I felt very happy with my treatment,
the nurses could not do enough
to make sure my experience was
a positive one.”
Patient
© NHS Institute for Innovation and Improvement, 2010
10
5
0
What we did and are still doing!
Changing Mindsets
• Narrative storytelling
• Learning how to
frame and reframe a
message
• Story of self, now
and us
• Using Values and
Emotion to achieve
Action
© NHS Institute for Innovation and Improvement, 2010
Sustaining momentum
• Responsibility
charting
• Communication
• Patient/carers
perspectives
• Reward the team
• Decide what’s next?
• Learning shared with nursing teams across 5
wards
• Used webseminar slides to aid discussion
and to understand key tools used for
business critical project
• Key staff for the project have used some of
the tools to ensure progression towards
CQUIN milestones
• Work planned around ‘bottleneck’ in capacity
and demand for stroke and rehabilitation
beds
Vanguard = well worth the experience!
© NHS Institute for Innovation and Improvement, 2010