1. Dementia care in hospital Peer Review, Autumn 2011 Update Nurse Executives’ meeting, 11 January 2012

2. What was it like for you? Key learning points? Has it made any difference? Challenges; risky questions?

3. Assets approach v. deficits ‘Peer Review’ progress with Standards National Audit – improvement plans local stake holders - commissioners positive practice; learning momentum; next steps – local accountability; leadership any help/support? ‘Peer Appraisal’ critical friend appreciative enquiry system change; OD non-hierarchical exchange of learning; ‘buddying’ participative ++ constraints; S.W.O.T. acknowledgement; commitment; culture

4. Positive practice observational audit, dementia mapping - RCHT security team Dementia Champions; RLOS; ‘virtual ward’ – RD&E environment – Musgrove, Taunton memory café; Charter Mark - RUHB memory clinic; OPAL team, RLOS - RBCHT discharge co-ordinators – Poole electronic board rounds - Torbay Dementia Champions - pan- Bristol approach to ‘Think Drink’ - Derriford delayed discharges - BRI bed moves policy and ongoing audit- BRI ‘This is Me’ – UBHT workforce development – RGHT volunteering – Salisbury

5. Getting there change that is about pervasiveness and depth organisation-wide; support for the ‘mavericks’; innovators system-wide: primary care, community, hospital, intermediate care, EOLC smarter commissioning; smarter delivery: future proofing; strategies; QIPP; tariff; smarter planning;

6. … what about? moving from ‘maverick’ to mainstream; ‘shoestring’ to establishment workforce development that makes a difference (including medics) mental health liaison services: reality check! prevalence: ‘NIMU’ (‘not in my unit’) use of ‘This is Me’ or similar – linking with GPs/care homes prescribing of antipsychotics screening; assessment; risk assessment focus and attention of hospital Boards (data; info.)

7. … and what about? volunteering; capacity; local communities CPD: dementia champions; + a more ‘enhanced’ role? dementia specialists – all specialties environment: not just about red toilet seats compassionate care; safeguarding social care engagement right information; right time screening; assessment; risk assessment RLOS; readmissions better coding

8. Next steps? Setting the agenda: focus momentum leadership; commitment; participation demonstrable change: key ‘markers’ support