Person-centred care in acute hospitals

Introduction to “person-

centredness” in acute hospitals

Dr Shibley RahmanPhD MRCP(UK) LLM

Arlington Centre

February 4th, 2017

“Dementia friendliness” in hospitals is

more than about the décor

Macfarlane et al. (2013)

Clissett et al. (2013)

Health Foundation (2014)

McBrien (2009)

Example of ‘force field analysis’

McBrien (2009)

Greenwood, Habibi, Smith and

Manthorpe (2015)

Greenwood, Habibi, Smith and

Manthorpe (2015)

Greenwood, Habibi, Smith and

Manthorpe (2015)

McCormack (2004)

Examples of failure in person-centred

care in hospitals

• A&E : 30 hour hospital trolley waits, being

clerked in by different people

• Change of wards : including “boarding”

phenomenon.

• Change of staff : e.g. different consultants and

medical teams.

• No sense of time or place on ward (no clock,

no clues about ‘outside world’).

Examples of failure in person-centred

care in hospitals

• Staff not introducing themselves : e.g. no

introductions, no use of name badges

• Being taken off to investigations without any

warning (or cancelled without notice).

• Hospital meals being dumped on bed tables,

and taken away, without any explanation

• No reasonable adjustment for cognitive

deficits e.g. in memory or attention.