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TitleQuality Account 2017/2018 Improving Lives
LanguageEnglish
File Size1.9 MB
Total Pages104
Document Text Contents
Page 1

Quality Account
2017/2018

Improving Lives

Greater Manchester Mental Health
NHS Foundation Trust

Page 52

52

Priority 3: Enhancing Quality of Life of People with Dementia and Older People with Functional
Illness

Aim: To improve experiences of older people with mental health problems

Progress, Achievements and review against specified improvement measures:

During 2017/18, we continued to set high standards, and delivered a range of improvement activities across
GMMH to enhance the quality of life for people with dementia and older people with functional illness.

We agreed to undertake a process of sharing our strengths and learning from good practice as a high
priority across the four districts of Bolton, Salford, Trafford and Manchester. To initiate this, we held an
older adult’s inpatient effective practice sharing day during April 2017.

Front line clinical staff and managers from a wide range of disciplines attended this event. The day focussed
on sharing good practice and challenges within the inpatient services across all areas. GMMH also hosted a
Greater Manchester wide inpatient older adult conference in order to support the spread and scale of quality
innovation across our dementia and older adult services.

We successfully adapted the focus and membership of our older adult steering group. This has enabled the
full participation of our colleagues from Manchester services. We reviewed the remit of the group to ensure
that it reflected the changes in both organisational and management structures that took place throughout
the year. This group has met regularly during 2017/18.

The Older Adult steering group has robust membership and representation from all areas of GMMH and
ensures that learning is discussed and disseminated across the breadth of our services and professional
groups. Each meeting has a theme for discussion, which supports shared learning. Themes have included
physical health and shared learning from the Royal College of Psychiatry accreditation processes.

Throughout the year, we have facilitated a range of joint education and training sessions, which were
identified within the effective practice-sharing day. The training sessions are delivered each month and
are promoted across all older adult services. Examples have included our Frontotemporal Dementia, Rapid
Tranquillisation and Covert Medication joint education sessions.

We have also hosted practice development sessions within older adult services; this has included a full day
pain and dementia workshop hosted by our Practice Development Team at Woodlands. Older adult services
have participated in the GMMH ‘Quality Matters’ programme during 2017/18. Quality Matters is a quality
improvement tool, it provides a strategic framework, offering ward to Board level assurance that our services
are safe, positive and effective. It is also an effective way to identify good practice, and for sharing strengths
across inpatient services.

Older adult services have reviewed and refined the application of both the Mental Capacity Act and the
Mental Health Act during the year. An audit was completed across GMMH services on the correct use of T2/
T3 forms for our service users who are detained under the Mental Health Act. This audit included capacity
assessment recording for service users. An action plan was completed following this audit to improve
practice, and a regular programme of re-audit and quality improvement has been agreed. Representatives
from older adult services regularly attend the Mental Health Act and Mental Capacity Act Compliance
Committee.

We have also strived to ensure that we continue to meet the needs and preferences of older adults from
black, minority ethnic and other protected characteristic groups. The Memory Assessment and Treatment
Service in Bolton was successful in a bid for transformation funding for new posts to work on improving
networks and access to services for our more diverse communities.

Page 53

Annual Report and Accounts
2017-2018 53

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Ongoing developments also include a proposal for a new project involving cascade training on
dementia within the Asian community. The overall aim of the project is to enable the reduction of
health inequality in dementia diagnosis and treatment through the reduction of stigma in the British
Asian community of Manchester. We also produced new information about religious beliefs at the
end of life, and disseminated this across our services.

Another area of improvement within this priority was to improve transition, reduce risk and promote
seamless care between services. This included transition between general adult services and older
adult services, memory assessment services and community mental health teams, acute hospitals
and inpatient services, and inter-district transitions. To support this activity, the Older Adult Steering
Group reviewed the Transfer to Acute Care Policy to ensure that it adequately met our expectations,
and disseminated this across our services. A further plan is currently being developed to look at the
other transitions from and more widely into older adult services.

During 2017/18, we have reviewed the information we provide with the aim of providing high
quality, clear and easy to understand information about all aspects of care including therapies,
medication therapies and aftercare placements.

The services now use standardised medication leaflets, which can be downloaded from the ‘Choice
and Medication’ website that GMMH subscribes to. This information is available different languages
and formats. We have also ensured that information reviews are fully considered as part of ongoing
service development within our older adult services going forward.

Case Study Priority 3: Enhancing Quality of Life of People with Dementia and Older
People with Functional Illness

Mobile interactive floor projection

Innovation in supporting people living with dementia and older people with functional illness is
improving all the time. There are many examples of digital-based treatments that have helped
individuals reconnect with memories and activities, which make them happy and can lead to
positive experiences for both the individual, their carers and families.

for those reasons, the Dragons were happy to support a mobile interactive floor projection for
older adults at Woodlands Hospital, which provides later life inpatient care. It encourages service
users who lead active lives to maintain their healthy lifestyle while in hospital.

The system has many features such as projecting a river or leaves onto the floor, which then
move when hands or feet are pressed against them. There is also a football pitch where a ball
can be ‘kicked’ into the goal and a pond to walk through which makes the fish swim. Service
Users can also enjoy the quiz setting, where they have to step on the correct answer. If there are
service users whose physical restrictions means they are unable to take part in the activities, they
can still enjoy watching the moving projections on a table top screen.

The system has been used for a few months on all three wards at Woodlands and the service
users are enjoying it. On Hazelwood ward there have been improvements in service users mobility
when using the projection and it is providing great sensory stimulation and activity on the more
organic wards too.

This system provides real-time multi-sensory experiences and is an incredibly powerful tool. It
engages patients in a variety of applications, ranging from relaxing sensory cause and effect,
games, learning and educational themes. It will undoubtedly enhance the quality of life for
people with dementia and older people with functional illness, which is why the Dragons had no
hesitation in supporting this bid.

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