1. To capture the experiences of people with dementia in general hospital wards, for use in a national audit The development of an observational method (Person, Interactions and Environment: PIE) Jill Hoyle and Rosie Woolley

2. Background People with dementia frequently do not receive appropriate care in acute hospital wards: o Counting the cost, Alzheimer's Society (2009) o National Dementia Strategy, DH (2009) o Improving Dementia Services in England - an Interim Report, National Audit Office (2010)

3. Overview of national audit Focus on the care received by people with dementia admitted to general acute hospital wards (England and Wales) Commissioned by the Healthcare Quality Improvement Partnership Managed by the Royal College of Psychiatrists, in partnership with the above Set of standards and tools developed PIE is one aspect of the audit National Audit of Dementia Royal College of Psychiatrists Centre for Quality Improvement 4 th Floor Standon House 21 Mansell Street London E1 8AA Tel: 020 7977 4975 Fax: 020 7481 4831 www.rcpsych.ac.uk

4. Development of the Tool Current tools not suitable Literature search Older people Clinical staff

5. Stages of project 1.Development of draft observational tool 2.Pre-pilot in one hospital 3.Refinement of the pilot tool and development of workshop materials 4.Further pilot studies in 15-30 hospital wards and refinement 5.National workshops 6.National audit

6. The aim of PIE To describe elements of care experienced by people with dementia as more, or less, person-centred To enable the ward team to reflect on their approach to working with people with dementia To help NHS Acute Trusts to understand and implement person-centred care

7. The PIE acronym P – Person The PIE acronym P – Person What do we know about the patient as a person that might help us to provide the best care possible? How can we use this information to provide a better experience for the person with dementia?

8. The PIE acronym I – Interactions The PIE acronym I – Interactions Are there any interactions between staff and people with dementia? How is the person affected by the interaction? Are they likely to feel emotionally supported? Are they contributing to their care? Are they being listened to?

9. The PIE acronym E – Environment The PIE acronym E – Environment What can the person see/ hear/ smell? Is it busy or quiet? Is the person able to move freely around their environment? Are there are any environmental or organisational factors affecting staff and patients?