Laura Hall Specialist Occupational Therapist Christine Steel

Improving dementia care in general hospitals: reviewing a specialist occupational therapy service.

Laura HallSpecialist Occupational Therapist

Christine SteelAHP Dementia Consultant

Overview

• Scottish Context• Scottish Policy Drivers• Implementing change in large

organisations• Example of changing and challenging

practice

The Vital Statistics• About 88,000 people living with dementia

in Scotland in 2014 (3,500+ people under 65 years)

• Predicted to double over next 25 years• People living with dementia are three to

eight times more likely to fall• Currently around 1 in 4 of all general

hospital beds in Scotland are occupied by people over the age of 65 who have some form of dementia.

The Big Picture

• Dementia has been established as a national clinical priority by the Scottish Government.• Scotland’s Dementia Strategy initially

published June 2010• Promoting Excellence (2011)• Standards of Care for Dementia (2011)• 2nd Dementia Strategy published 2013

“Commitment 10”

Maersk Triple E Class

Largest health board in the UKEmploy around 38,000 staffProvide healthcare to over 1.2 million people

Aims of Review• Describe current model of service

provision• Cross reference existing service with:–Evidence base–Best practice–Strategic drivers

• Propose an alternative framework for practice where needed.

The Process…

Process Map

Training

Model of Practice

“Getting to Know Me”

Future directions…

Allen’s Cognitive

Level Screen

Prioritisation with OT service

OT Support Worker role

Share practice with other

areas

Contact details:

Christine SteelChristine.Steel@ggc.scot.nhs.uk

Laura HallLaura.Hall@ggc.scot.nhs.uk