Priority One: Improving Frailty and Dementia Care within the hospital Executive Lead: Director of Nursing Where will the Milestones/ Key Objective Suggested Outcome measures Comments / Next Steps data be Trajectory collected To implement and deliver a Produce a model of care Advanced Clinical Practice Electronic Staff ACP front door frailty service. framework. (ACP) framework will assist Record. programme in Develop the workforce to support with workforce development. place by March frailty at the front door. Admissions 2019. Reducing the number of frail from Cerner patients that have to be admitted available via IT Reducing their length of stay. analyst. Length of stay data from IT analyst. To develop and support Production of a Dementia Commencement of a Dementia Develop Dementia care initiatives strategy by 2019, developed and Dementia Nurse to lead Steering Group. strategy by across the Trust through supported by Ward and strategy. March 2019. delivery of a Dementia Department staff Patient strategy within WAHT. Embed the principles of Ward sisters to embrace Experience Test the ‘John’s and enable flexible and implement the concept Review Group. principles of Campaign‘ visiting times for Carers. and benefits of flexible visiting John’s campaign principles e.g on 1 ward by flexible visiting times. end of July 2018 plan to roll evaluation review at out Trustwide Carer’s patient experience review by March 2019. group. Improve access of activities Availability of therapeutic Ensure frailty plan/strategy Collection of Assess for those with Dementia activities for patients within and services are in activities baseline and whilst in hospital. hospital in key wards. alignment with North available on increase by Improved recognition of Dementia Somerset and Somerset. wards. 20% of on admission through screening activities by of 90% of patients. Increase % of March 2019. Reduced length of stay for Dementia patients with Dementia and screening on Improve discharge outcomes .ie IPR By March 90% reduction in readmission rates of of patients patients. Data analysis of screened for readmission dementia.
Priority One: Improving Frailty and Dementia Care within the hospital Executive Lead: Director of Nursing Key Objective Suggested Outcome measures Comments / Next Steps Where will the data be collected Milestones/ Trajectory To implement and deliver a front door frailty service. Produce a model of care framework. Develop the workforce to support frailty at the front door. Reducing the number of frail patients that have to be admitted Reducing their length of stay. Advanced Clinical Practice (ACP) framework will assist with workforce development. Electronic Staff Record. Admissions from Cerner available via IT analyst. Length of stay data from IT analyst. ACP programme in place by March 2019. To develop and support Dementia care initiatives across the Trust through delivery of a Dementia strategy within WAHT. Production of a Dementia strategy by 2019, developed and supported by Ward and Department staff Embed the principles of ‘John’s Campaign‘ and enable flexible visiting times for Carers. Commencement of a Dementia Nurse to lead strategy. Ward sisters to embrace and implement the concept and benefits of John’s campaign principles e.g flexible visiting times. Carer’s evaluation review at patient experience review group. Dementia Steering Group. Patient Experience Review Group. Develop strategy by March 2019. Test the principles of flexible visiting on 1 ward by end of July 2018 plan to roll out Trustwide by March 2019. Improve access of activities for those with Dementia whilst in hospital. Availability of therapeutic activities for patients within hospital in key wards. Improved recognition of Dementia on admission through screening of 90% of patients. Reduced length of stay for patients with Dementia and Improve discharge outcomes .ie reduction in readmission rates of patients. Ensure frailty plan/strategy and services are in alignment with North Somerset and Somerset. Collection of activities available on wards. Increase % of Dementia screening on IPR Data analysis of readmission Assess baseline and increase by 20% of activities by March 2019. By March 90% of patients screened for dementia.
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