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People with known dementia using acute and general hospital inpatient services have their diagnosis of dementia recorded and shared along with access to liaison services that specialise in the management of dementia and older people’s mental health, when this is clinically indicated.

If you have been diagnosed with dementia and are admitted to hospital, you may need to access special services. These services can ensure that you are supported and treated properly while in hospital and will help with discharge.

Your diagnosis of dementia will be recorded by the hospital when you are admitted and shared with these specialist services, even if you have not been admitted for a reason related to dementia.
 
For extra information, evidence and best practice please scroll down to the bottom of the page.

Regional offerings

Mental Health Programme for Greater Manchester

We’re working across Greater Manchester to improve the mental health and wellbeing of individuals and their families, supported by resilient communities, inclusive employers and services that maximise independence and choice. A wide range of resources and links provided, for your are as well as including Covid resources.
Weblinks:
In your area - Mental Health: https://hub.gmhsc.org.uk/mental-health/in-your-area/
Mental Health, Improving mental health services: https://hub.gmhsc.org.uk/mental-health/

National offerings

Dementia Friendly Hospital Charter

The Dementia-Friendly Hospital Charter was launched in 2015 as the second phase of the Right Care initiative.The charter outlines the high level principles that a dementia-friendly hospital should provide, together with notes for self-assessment and recommended actions they could take to fulfil them. There has been a revised version as a result of COVID-19.
Weblinks:
https://www.dementiaaction.org.uk/assets/0003/9960/DEMENTIA-FRIENDLY_HOSPITAL_CHARTER_2018_FINAL.pdf
https://firebasestorage.googleapis.com/v0/b/johns-campaign-site.appspot.com/o/docs%2Fexternal%2Fdementia-friendly-hospital-charter-2020.pdf?alt=media

NICE Dementia Guidance

This guideline brings together all the research and evidence which covers assessment, diagnosis, treatment and support. It is for people at risk of developing dementia, people who are referred for assessment, people living with dementia as well as being for family and friends and health and social care staff and commissioners. It aims to improve care by making recommendations on standards people should expect to receive from their assessment, care and support as well as on training.
Weblinks:
We have provided links to the NICE guideline for dementia and a further link is provided to guidance on how to delay or prevent the onset of dementia.
National Institute for Health and Clinical Excellence (NICE) NG16 (2015) Dementia, disability and frailty in later life – mid-life approaches to delay or prevent onset: https://www.nice.org.uk/guidance/ng16
National Institute for Health and Clinical Excellence (NICE) (2019) Dementia: assessment, management and support for people living with dementia and their carers: https://www.nice.org.uk/guidance/ng97

Evidence


Lancet Commission 2020: "High-quality care for people with dementia takes longer than caring for others with the same condition. Recognition of dementia in hospital inpatients is necessary for optimum care."

NICE Hospital Care: "At any one time 1 in 4 hospital beds are occupied by people living with dementia. People with dementia often experience longer hospital stays, delays in leaving hospital and reduced independent living. Hospital admission can trigger distress, confusion and delirium for someone with dementia. This can contribute to a decline in functioning and a reduced ability to return home to independent living."

NCCMH dementia care pathway full implementation: "Liaison mental health services can provide assessment and interventions for people with suspected or diagnosed dementia who are in a general hospital. Key functions of these services include:

  • giving support and advice on assessment and diagnosis, including referral to memory assessment services
  • giving support and advice on care planning, and managing the behavioural and psychological symptoms of dementia and delirium
  • working closely with other mental health services so that people who are seen in hospital and require ongoing assessment and treatment are followed up

Implementing The Five Year Foward View for Mental Health: "By 2020/21, all acute hospitals will have all-age mental health liaison teams in place, and at least 50% of these will meet the ‘Core 24’ service standard as a minimum. Specific expertise required for assessing and managing older adults include competences in: managing mental health problems that develop in later life, often with a different nature to those in younger people and requiring different treatment approaches (e.g. cognitive disorders, dementia, mood disorders, psychotic illnesses) working with older patients who have complex and interacting mental and physical comorbidities as well as frailty the potential adverse effects of drug treatments for physical illnesses in older adults multidisciplinary working with other services involved in the health and social care needs of older people (e.g. social services, residential care homes). Two-thirds of NHS beds are occupied by older people, of whom up to 60% have (or will develop) a mental disorder during admission”



Best Practice Resources


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