Priority

:

Required

Should

Ambition

People living with dementia should not be placed out of area for non-specialist mental health acute care.

If you require an admission to hospital, in to a mental health setting, you will be admitted to somewhere as near as possible to your home which enables your family and friends to visit and keep in touch.
 
For extra information, evidence and best practice please scroll down to the bottom of the page.

National offerings

Dementia Friendly Hospital Charter

The Dementia-Friendly Hospital Charter was launched in 2015 as the second phase of the Right Care initiative.The charter outlines the high level principles that a dementia-friendly hospital should provide, together with notes for self-assessment and recommended actions they could take to fulfil them. There has been a revised version as a result of COVID-19.
Weblinks:
https://www.dementiaaction.org.uk/assets/0003/9960/DEMENTIA-FRIENDLY_HOSPITAL_CHARTER_2018_FINAL.pdf
https://firebasestorage.googleapis.com/v0/b/johns-campaign-site.appspot.com/o/docs%2Fexternal%2Fdementia-friendly-hospital-charter-2020.pdf?alt=media

John's Campaign

For the right of people with dementia to be supported by their family carers; in hospital and during COVID-19 in care homes too. The website has links and resources.
Weblink: https://johnscampaign.org.uk/

Marie Curie

Marie Curie provides an overnight service for all palliative patients with a life limiting illness including Dementia.

The criteria for referral is below

  • Patient is 18 years and over
  • GP agrees that the patient can be safely cared for at home

Overnight care comprises of a senior health care assistant caring for the patient in their own home overnight , this may also be a nursing /residential home (10pm till 7am) Please see links to the Marie Curie page and also publications to support patients ,carers and families.

Website: Nursing services (mariecurie.org.uk)

Website: Browse all Marie Curie publications



ReSPECT for healthcare professionals

ReSPECT stands for Recommended Summary Plan for Emergency Care and Treatment. The ReSPECT process creates a summary of personalised recommendations for a person’s clinical care in a future emergency in which they do not have capacity to make or express choices. Such emergencies may include death or cardiac arrest, but are not limited to those events. The process is intended to respect both patient preferences and clinical judgement. The agreed realistic clinical recommendations that are recorded include a recommendation on whether or not CPR should be attempted if the person’s heart and breathing stop.

Website: https://www.resus.org.uk/respect/respect-healthcare-professionals


Evidence


NHS England, 2016: "The Government has set a national ambition to eliminate inappropriate OAPs in mental health services for adults in acute inpatient care by 2020 - data can be found via NHS digital: https://digital.nhs.uk/data-and-information/publications/statistical/out-of-area-placements-in-mental-health-services/january-2021"

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