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Overview Scottish Context Scottish Policy Drivers Implementing change in large organisations Example of changing and challenging practice
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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
