Improving dementia care in general hospitals: reviewing a specialist occupational therapy service. Laura Hall Specialist Occupational Therapist Christine Steel AHP 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 UK Employ around 38,000 staff Provide 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 Steel Christine.Steel@ggc.scot.nhs.uk Laura Hall Laura.Hall@ggc.scot.nhs.uk