Projects list

Pre Diagnosis

The Journey of Dementia

Explore if learning using interactive theatre approach produces a transformational learning experience for participants. Audience watches a topic of relevance with unresolved challenges. Play is stopped and replayed through a skilled facilitator and audience can stop the play and demonstrate alternative solutions by replacing an actor. Used in Faculty of Health Sciences teaching 250 student nurses.

University of Southampton

Systemic Inflammatory Response to Stress in an MCI cohort

This is an observational study assessing the association between cognitive decline and the degree of stress in 134 amnestic Mild Cognitive Impairment (aMCI) subjects and 69 control subjects

Southern Health NHS FT- MARC

Dementia Risk Stratification of amnestic Mild Cognitive Impairment Subjects

This is an observational longitudinal study examining whether basic demographic and clinical variables recorded during routine assessment of a patient with aMCI can be used to develop a risk tool that can give a simple stratification of risk of patients with this condition going on to develop dementia within the next 3 years.

Wessex CLAHRC

Mild Cognitive Impairment Guidelines

Concern that attempts to reach the national dementia diagnosis aspiration may result in inappropriate dementia diagnoses. Up to 50% of people referred to Memory Assessment Clinics are given a diagnosis of Mild Cognitive Impairment (MCI). Several factors may influence including type of assessment, atypical dementia, early referrals for symptoms without loss of function

NHS England

Enabling Through Education and Training

A strategy document to support better care and better outcomes for people with dementia. 1. Ensuring dementia awareness in workforce 2. Implement HEE education programme 3. Support delivery in 330 general practices 4. Support workforce in 9 acute care providers 5. Support community care workforce 6. Work with Local Authorities and 3rd sector 7. Ensure quality of provision of education 8. Champion user and carer led evaluation 9. Increase HE-W presence and influence in dementia community

Health Education Wessex

Dementia Friends Campaign

People with dementia get by with a little help from their friends. And anybody can become a Dementia Friend. It’s just about understanding a bit more about dementia and the small things you can do to help people with the condition. People with dementia want to carry on going about their daily lives and feel included in their local community, but they sometimes need a helping hand to do so. Dementia Friends learn a little bit about what it's like to live with dementia and turn that understanding into action.

Public Health England, Alzheimer's Society

Dementia Intelligence Network (DIN)

An information hub for commissioners, providers and stakeholders to better understand health intelligence to improve services and achieve the best outcomes for local communities. Better access to data and information leads to better decisions. The Dementia Intelligence Network (DIN) will bring together data already collected about dementia.

Public Health England

Dementia Prevention Blackfriar's Consensus

The Blackfriar's consensus was developed after a meeting in London in Jan 2014, hosted by the UK Health Forum and Public Health England. Studies suggest that Alzheimer's disease and vascular pathologies underlie a substantial proportion of dementias, and there is an overlap between risk factors for vascular disease and dementia. A substantial proportion of dementia might be delayed or averted if modifiable risk factors are effectively addressed.

Public Health England, Multiple organisations

Mathematical Simulation Models in Dementia Care

In the UK, at any point in time, 25% of all hospital inpatients have dementia. If Dementia was a country, its GDP would be 18th in the world. Services are stretched with dealing with demand, and this project will involve developing mathematical simulation models to address different aspects of dementia management ranging from individual patient care and models of disease progression, through to system-level care delivery and capacity issues.

Faculty Health Sciences

Neurological Information Booklet

A directory of health, social and community information/support for people with long term neurological conditions and carers. Leaflet to give basic information and direct people to the booklet

Hampshire Neurological Alliance

Dementia CQUIN Team

Older peoples services have put in a team of CQUIN nurses led by the Dementia Nurse Specialist at Poole General Hospital. The team screen all inpatients over the age of 65, who are appropriate for screening and pass relevant information on to the GPs.

Poole General Hospital

Poole - Becoming a Dementia Friendly Town

The Borough of Poole to become a dementia friendly local authority and Poole to have a dementia friendly high street

Poole Borough Council

Carer Support and Information

Provision of Hampshire wide, except unitary authorities of Portsmouth and Southampton, support, education, signposting and advice for carers from pre-diagnosis through to post bereavement. Service includes emotional support, advocacy, benefits advice, signposting on legal matters, opportunities for respite, free counselling and a training course.

Princess Royal Trust for Carers in Hampshire

Arts 4 Dementia:- Reawakening - Living Well With Dementia Using the Arts

Free weekly art, music, drama and dance sessions for people experiencing mild memory loss and early stage dementia, and their companions. They are led by arts facilitators trained to understand the challenges people face as symptoms of the various types of dementia set in, their communication needs, existing skills and how best to access them.

Arts 4 Dementia

Diagnosis

The Journey of Dementia

Explore if learning using interactive theatre approach produces a transformational learning experience for participants. Audience watches a topic of relevance with unresolved challenges. Play is stopped and replayed through a skilled facilitator and audience can stop the play and demonstrate alternative solutions by replacing an actor. Used in Faculty of Health Sciences teaching 250 student nurses.

University of Southampton

Dementia Education and Learning Through Simulation

The aim of this project was to develop, test and implement a simulation based educational package on dementia. Following a literature review of simulation in dementia education and analysis of baseline data, a simulation package incorporating three workshops was developed in collaboration with a number of stakeholders from health and social care. The three workshops are: Dementia Diagnostic Assessment, Behaviours that Challenge and Person Centred Care.

Portsmouth Hospital NHS Trust

A Service Evaluation of iSPACE: 6 steps to becoming a Dementia Friendly GP Surgery

Commissioned evaluation of Dementia Friendly GP initiative. 2 case study practices (Oakley, Ryde); sample of primary care practices to gauge dementia care already in place; interviews with GP, staff, service users. Initiative to be evaluated across range of metrics including patient and carer experience, prescribing, referrals, teamwork & care planning.

Wessex AHSN: Centre for Implementation Science

Early Diagnosis Project - Wiltshire 2012-15

Research into low diagnosis rates in Wiltshire and use of Memory Awareness volunteers to give public talks and one-to-one advice at GP surgeries and other community locations. Survey of 3 distinct groups: service users/ carers (n=146); older adults with potential for memory impairment (N=84); GPs and other health and social care professionals (n=102)

Alzheimer's Support

A Comparison of GP Attitudes Towards Dementia in Dorset, Portsmouth and National Data

Attitudes of GPs were assessed in Portsmouth (n=76), Dorset (178), and compared to NAO data (n=1001). More than 80% felt that more could be done to improve QoL in dementia. GPs in Wessex felt 66-71% of families would prefer to be told about dementia (vs. NAO 36%). Only 16-26% felt managing dementia was frustrating (NA: 74%), but fewer than 50% felt that there were satisfactory services anywhere.

Wessex School General Practice

Dementia Pathway Re-design

Diagnosis gap of over 22,000 people forecast in Wessex by 2014/15. Difficult to ascertain consistency and quality of dementia diagnosis across region. Telephone and online surveys conducted with practice managers, GPs and patient focus groups to gather data on pathway, level of support provided to patients and carers, and identify barriers to diagnosis across in primary care.

Wessex MHDN SCN, CLAHRC

Dorset Memory Gateway Service

Dorset Memory Gateway Service incorporates: Memory Support and Advisory Service, Memory Assessment Service, GP involvement. Aims to provide a simplified and more efficient service for people with memory loss or dementia. Pilot sites in 5 areas tested effectiveness of partnership.

Dorset CCG

West Hampshire Dementia CQUIN Delivery Support

Work on delivery of West Hampshire Dementia CQUINS. Identification of how local commissioning can lead to improvements for local patients and carers. Engagement with all Hampshire GP practices to reconcile SHFT and GP data. Raising awareness and conducting interviews of patients and carers to understand the patient perspective.

Southern Health NHS FT, WHCCG

Exploring Clinician Attitudes to Dementia Investigations (CADI)

Dementia clinicians have multiple tests available which have been proven to aid diagnosis (SPECT, PET, MRI, CT, Cerebrospinal fluid analysis), but there is little guidance on how to best use these to optimise clinical diagnostic pathways.

Wessex CLAHRC

Dementia CQUIN IOW

All patients aged 65 and over are assessed on admission for memory problems. If they fail 10 point AMT, they are referred to memory service who will see them the same day or following day.

IOW NHS Trust

Portsmouth Dementia Adviser Service

The Dementia Adviser (DA) Service supports people with dementia, and their carers, to live well in the community through the provision of information, advice and sign-posting that is individually tailored, right and relevant throughout their dementia journey. DAs work in collaboration with health and social care services, and community organisations and act as the single point of contact.

Alzheimer's Society

Multimorbidity in People with Dementia using Hampshire Health Record Data

A research study investigating the burden of multimorbidity in people with dementia using Hampshire Health Record data to identify: 1. the prevalence of diagnosed dementia and how it varies with demographic factors 2. The multimorbidities that people with dementia have? 3. How multimorbidities in dementia vary across demographic factors 4. the primary reason for admission and relationship to multimorbidity?

Wessex CLAHRC

Enabling Through Education and Training

A strategy document to support better care and better outcomes for people with dementia. 1. Ensuring dementia awareness in workforce 2. Implement HEE education programme 3. Support delivery in 330 general practices 4. Support workforce in 9 acute care providers 5. Support community care workforce 6. Work with Local Authorities and 3rd sector 7. Ensure quality of provision of education 8. Champion user and carer led evaluation 9. Increase HE-W presence and influence in dementia community

Health Education Wessex

Carer Support and Information

Provision of Hampshire wide, except unitary authorities of Portsmouth and Southampton, support, education, signposting and advice for carers from pre-diagnosis through to post bereavement. Service includes emotional support, advocacy, benefits advice, signposting on legal matters, opportunities for respite, free counselling and a training course.

Princess Royal Trust for Carers in Hampshire

Dorset County Hospital Dementia Sweep

Once weekly 'sweep' of adult wards throughout the hospital to identify inpatients with a known or suspected diagnosis of dementia to promote sharing of information between mental health and acute medical services and link patients into memory assessment services to gain support or diagnosis if not already done.

Dorset Healthcare NHS Foundation Trust

Neurological Information Booklet

A directory of health, social and community information/support for people with long term neurological conditions and carers. Leaflet to give basic information and direct people to the booklet

Hampshire Neurological Alliance

Hampshire Dementia Advice Service

Providing advice, information and signposting from the point of diagnosis throughout the journey of the illness. All information and support is tailored to a persons individual needs.

Andover Mind & Alzheimer's Society

GP Diagnosis and Prescribing in Wiltshire

Wiltshire CCG have run a pilot scheme based around Salisbury where all GP practices were offered training in dementia diagnosis and prescribing Donepezil, supported by local mental health teams. The scheme focusses on non-complicated dementia in people aged 75+ and has now been rolled out across Wiltshire.

Wiltshire CCG

Bring Dementia Friends to Portsmouth Hospital NHS Trust

This is work in progress with the main elements being: To train key members of staff as Dementia Champions - Dec 2014 To promote a train the trainer approach •To concentrate on non-clinical members of staff first (porters/medical secretaries/housekeepers etc.)

Portsmouth Hospitals NHS Trust

Arts 4 Dementia:- Reawakening - Living Well With Dementia Using the Arts

Free weekly art, music, drama and dance sessions for people experiencing mild memory loss and early stage dementia, and their companions. They are led by arts facilitators trained to understand the challenges people face as symptoms of the various types of dementia set in, their communication needs, existing skills and how best to access them.

Arts 4 Dementia

Post Diagnosis

Elevate - Creating a Healing Environment Within an Acute Hospital

Fear, anxiety, depression, confusion and depersonalisation are common in older people admitted to acute hospitals, and worse for cognitively impaired. Staffing ratios and working practice makes engagement with these patients difficult. Sensory stimulation can help with these feelings and facilitate healing. Art Care delivers structured programme of arts sessions within Salisbury Hospital. Designed for older people with confusion and dementia.

Salisbury NHS Foundation Trust

The Journey of Dementia

Explore if learning using interactive theatre approach produces a transformational learning experience for participants. Audience watches a topic of relevance with unresolved challenges. Play is stopped and replayed through a skilled facilitator and audience can stop the play and demonstrate alternative solutions by replacing an actor. Used in Faculty of Health Sciences teaching 250 student nurses.

University of Southampton

Does Use of Coloured Crockery Influence Food Consumption of Elderly Patients in Acute Setting?

Impaired colour contrast sensitivity in Alzheimer’s disease; malnutrition common in elderly inpatients; improved nutrition facilitates better health. Care home data suggest increased food intake for cognitively impaired people when food served on coloured plates. Not assessed in hospital inpatients. Assessed impact of blue crockery on food intake; subgroup analysis in those with cognitive impairment.

Salisbury NHS Foundation Trust

A Service Evaluation of iSPACE: 6 steps to becoming a Dementia Friendly GP Surgery

Commissioned evaluation of Dementia Friendly GP initiative. 2 case study practices (Oakley, Ryde); sample of primary care practices to gauge dementia care already in place; interviews with GP, staff, service users. Initiative to be evaluated across range of metrics including patient and carer experience, prescribing, referrals, teamwork & care planning.

Wessex AHSN: Centre for Implementation Science

A Comparison of GP Attitudes Towards Dementia in Dorset, Portsmouth and National Data

Attitudes of GPs were assessed in Portsmouth (n=76), Dorset (178), and compared to NAO data (n=1001). More than 80% felt that more could be done to improve QoL in dementia. GPs in Wessex felt 66-71% of families would prefer to be told about dementia (vs. NAO 36%). Only 16-26% felt managing dementia was frustrating (NA: 74%), but fewer than 50% felt that there were satisfactory services anywhere.

Wessex School General Practice

Dementia Education and Learning Through Simulation

The aim of this project was to develop, test and implement a simulation based educational package on dementia. Following a literature review of simulation in dementia education and analysis of baseline data, a simulation package incorporating three workshops was developed in collaboration with a number of stakeholders from health and social care. The three workshops are: Dementia Diagnostic Assessment, Behaviours that Challenge and Person Centred Care.

Portsmouth Hospital NHS Trust

Dorset Memory Gateway Service

Dorset Memory Gateway Service incorporates: Memory Support and Advisory Service, Memory Assessment Service, GP involvement. Aims to provide a simplified and more efficient service for people with memory loss or dementia. Pilot sites in 5 areas tested effectiveness of partnership.

Dorset CCG

Dementia Awareness: Reaching Communities with the Alzheimer Café Isle of Wight

IOW cafe started in April 2009. Meeting place, without need for appointment, to gain access to information about dementia topics. Monthly sessions, talks, interview, support workers, leaflets in all 6 cafes on the island.

Alzheimer Café UK IOW Branch

Dementia Pathway Re-design

Diagnosis gap of over 22,000 people forecast in Wessex by 2014/15. Difficult to ascertain consistency and quality of dementia diagnosis across region. Telephone and online surveys conducted with practice managers, GPs and patient focus groups to gather data on pathway, level of support provided to patients and carers, and identify barriers to diagnosis across in primary care.

Wessex MHDN SCN, CLAHRC

Dementia and Fire Safety Collaborative Working

Difficult for Fire Service to identify people with dementia; major factor in increasing someone’s risk of injury or death from fire in the home. OPMH not assessing fire safety before discharge 4 questions: 1. Is there an ignition source at home 2. What means of detecting a fire, raising the alarm and summoning help in place? 3. Is there a clear route of escape? 4. Is the service user mobile?

Southern Health FT

Portsmouth Dementia Adviser Service

The Dementia Adviser (DA) Service supports people with dementia, and their carers, to live well in the community through the provision of information, advice and sign-posting that is individually tailored, right and relevant throughout their dementia journey. DAs work in collaboration with health and social care services, and community organisations and act as the single point of contact.

Alzheimer's Society

Poole - Becoming a Dementia Friendly Town

The Borough of Poole to become a dementia friendly local authority and Poole to have a dementia friendly high street

Poole Borough Council

Portsmouth Dementia Reablement Service

Reablement project established to test variety of service provisions to reduce admission to emergency and acute care at QAH, Portsmouth. 3 practitioners to support individuals during admission referred as soon as possible (ED, MAU). Provide practical support in hospital for people with dementia, and assistance with care planning. Support for 3-4 weeks post discharge to ensure continuity of care. Variety of interventions described.

Solent Mind

Carer Support and Information

Provision of Hampshire wide, except unitary authorities of Portsmouth and Southampton, support, education, signposting and advice for carers from pre-diagnosis through to post bereavement. Service includes emotional support, advocacy, benefits advice, signposting on legal matters, opportunities for respite, free counselling and a training course.

Princess Royal Trust for Carers in Hampshire

Admiral Nursing in a General Hospital

Admiral Nurse initiative to improve care of people with dementia within an acute hospital setting as well as care for the carers. Development of Dragonfly Approach with symbol above bed to alert staff about potential need to adapt communication strategies. Dementia awareness leaflet available and 600 frontline staff trained on dementia awareness programme.

UHS FT

Enabling Through Education and Training

A strategy document to support better care and better outcomes for people with dementia. 1. Ensuring dementia awareness in workforce 2. Implement HEE education programme 3. Support delivery in 330 general practices 4. Support workforce in 9 acute care providers 5. Support community care workforce 6. Work with Local Authorities and 3rd sector 7. Ensure quality of provision of education 8. Champion user and carer led evaluation 9. Increase HE-W presence and influence in dementia community

Health Education Wessex

Dementia Intermediate Care Service

Restructuring of local dementia services led to 54% reduction in organic assessment beds in use (71 beds to 33 beds) and setting up of Intermediate Care Service for Dementia (ICSD) in April 2013. ICSD is an MDT consisting of 12 MH nurses, 16 health care support workers, an OT and input from 3 consultant psychiatrists. During 10 months, 204 referrals. Only 19% required inpatient admission due to escalated risk.

Dorset Healthcare FT

Dorset County Hospital Dementia Sweep

Once weekly 'sweep' of adult wards throughout the hospital to identify inpatients with a known or suspected diagnosis of dementia to promote sharing of information between mental health and acute medical services and link patients into memory assessment services to gain support or diagnosis if not already done.

Dorset Healthcare NHS Foundation Trust

Hampshire Dementia Advice Service

Providing advice, information and signposting from the point of diagnosis throughout the journey of the illness. All information and support is tailored to a persons individual needs.

Andover Mind & Alzheimer's Society

BUDI Orchestra Project

Music improves quality of life and promotes social interaction for those with dementia; sustained musical memories demonstrated despite cognitive impairments in other areas. 10 week intervention; invited to use instruments and sing to create integrated musical ensemble, with public performance at end. Participants assessed using the QoL-AD and interviews. Audience completed a short questionnaire about perceptions and expectations.

BUDI

Bring Dementia Friends to Portsmouth Hospital NHS Trust

This is work in progress with the main elements being: To train key members of staff as Dementia Champions - Dec 2014 To promote a train the trainer approach •To concentrate on non-clinical members of staff first (porters/medical secretaries/housekeepers etc.)

Portsmouth Hospitals NHS Trust

Neurological Information Booklet

A directory of health, social and community information/support for people with long term neurological conditions and carers. Leaflet to give basic information and direct people to the booklet

Hampshire Neurological Alliance

BUDI Dementia Friendly Communities Evaluation

Evaluation of 7 Dementia Friendly Communities (DFC) using questionnaires, interviews and focus groups. Within each locality, an increase in dementia awareness raising activity was noted. Local champion given information to disseminate to others was a helpful mechanism to raise awareness. Difficult to ensure perspective of people with dementia and carers included.

BUDI

BUDI Evaluation of Two Models of Social Care for People in the Community Affected by Dementia

Two memory advisory services evaluated in South of England. 10 staff and 20 service users interviewed. Comparison of memory cafe to provide stimulation with provision of home visits for tailored support including signposting.

BUDI

Understanding Nutrition and Dementia

Significant challenges in ensuring adequate hydration and nutrition in people with dementia, but no evidence based guidelines exist. Care staff are key, but require skills, knowledge and attitudes to support. Project has gathered information on nutrition-related care from wide range of providers. Planned quantitative measures of nutritional status in 20 residents across 2 care homes will determine if nutritional needs are met.

Bournemouth University

Measuring Impact of Dementia in Younger Age Groups

The research will represent an in-depth investigation into the experiences of younger onset dementia patients and caregivers, of how care and service provision can be improved, and of how research in this area can be enhanced.

Wessex CLAHRC

Dementia Friendly Hampshire

Partnership creating Dementia Friendly Communities in Hampshire. 1. Define a DFC 2. Identify existing conditions for people with dementia 3. Identify what people with dementia want 4. Set key objectives and evaluation for project 5. Establish operations

Andover Mind & HCC

Use of Telecare to Support People with Dementia to Remain Living in their Own Homes

The project will use modelling techniques to explore the potential role of telecare in supporting care delivery, enabling people with dementia to remain within their own homes for longer and out of long term institutional care. These techniques will contribute to the overall cost-benefit analysis of telecare, determining whether the intervention would be beneficial (and for whom) if it were rolled out on a larger scale.

University of Southampton

The nurse specialist role in managing Huntington's Disease and other complex dementias

Quality improvement project to map and evaluate patient and carer experiences of service provision to identify the types of services needed, when and where they are required in LTC management and how they respond to changes in clinical, neurological or psychiatric status. Work will focus on the development of an integrated care pathway and care navigator role for those with Huntington's Disease and other complex dementias, and their families.

HE-W, CLAHRC, UHS FT

Creating Dementia Friendly Communities on the Isle of Wight

A survey / questionnaire was carried out with individuals attending Age UK IOW Memory Groups

Age UK IOW

Pilot RCT comparing QoL change in those attending a ‘Living Well with Dementia’ group

A pilot study in which participants who had recently received a diagnosis of dementia were randomised to either a 10-week group intervention or a waiting-list control. Memory clinic staff with limited previous experience of group therapy were trained to lead a 10-week group therapy intervention called ‘Living Well with Dementia’, incorporating psychotherapy and psycho-educational elements.

Southern Health NHS FT

Join Dementia Research Wessex CRN

‘Join dementia research’ is a national service that enables people to register their interest in dementia research and be matched with potentially suitable research studies. People with dementia, their carers and anyone interested in participating in dementia research can register into the system either online, by post or via a telephone helpline.

Wessex Clinical Research Network

Community Dementia Funding

Southampton City Council and Southampton City CCG have provided an opportunity for local providers to bid for funding (£150K) to support community based dementia support services. This will provide for a wide range of initiatives; for example working with community farms and gardening schemes, IT equipment to support reminiscence therapy and stimulation and a Seafaring Memories Group.

Southampton City Council

Southampton Community Admiral Nurses

Southampton Community Admiral Nurses work with carers of people living with dementia in Southampton city. Our model is overseen by Dementia UK, providing skilled assessment of needs and offering emotional and psychological support.

Solent NHS Trust

Comprehensive approach to modelling outcome & cost impacts of interventions for dementia

Aims to develop a comprehensive, integrative, quantitative set of models to estimate current and future needs, and the outcomes and costs of interventions aimed at meeting them for use in health and social policy. In association with Prof. Martin Knapp, LSE and colleagues with Universities of Newcastle, Southampton and Sussex

University of Southampton

Cognitive impairment and homelessness: investigating multiple exclusion

Overall aim of this research is to investigate and improve service provision for older homeless people with memory problems (consistent with mild memory problems [MCI] or dementia).

University of Southampton

Impact of MH nursing on physical nursing care of older people with dementia in acute wards

A case is made for a collaborative model of clinical practice led by a mental health nurse. The model is to result from an investigation into whether a ward-based mental health nurse can alleviate the emotional pressures on nurses who work in older persons acute wards and care for patients with dementia.

University of Southampton

PhD Dementia & Nutrition

This studentship will use qualitative methods to focus on the development and feasibility of a toolkit including educational material and specific strategies to assist family carers in addressing the appetite changes associated with dementia.

Faculty Health Sciences

PhD Dementia and Compassionate Care

This studentship focuses on the feasibility of implementing and evaluating a compassionate care intervention for health care teams working with people with dementia and is part of a large intervention study running in two Hampshire NHS acute trusts.

Faculty Health Sciences

PhD Dementia and Continence

This studentship focuses on exploring ways to better manage the continence and toileting problems of older people with dementia living in their own homes. Qualitative methods will be used to explore the toileting and product needs of both the person and their family carers.

Faculty Health Sciences

Memory Matters Video Clips

Southern Health have produced some short films on how to best cope with memory loss and how people can find ways to work around it. 1. Introduction 2. Medical Aspects 3. Memory Aids and Strategy 4. Memory and Anxiety 5. Relationships and Status 6. Coping with Change 7.Reflection and Further Info

Southern Health NHS FT

Younger-onset Dementia Assessment Study (YoDA)

A regional longitudinal observational study for people with younger onset dementia and their companions. This study aims to improve clinical care through research into clinical assessment, diagnosis and treatment options.

Wessex CLAHRC

Butterfly Scheme

Butterfly Scheme (identification and associated care approach for people with dementia, cognitive impairment or confusion) implemented across all patient wards, and is really embedded within the orthopaedic ward. Interest from physiotherapy to link with nursing staff. ED taken on principles, and use their own logo. Memory service hold well attended monthly dementia champion meetings

IOW NHS Trust

Dementia Environment

Replication of dementia environments across all Medicine for Older People (MOP) wards.

Portsmouth Hospital NHS Trust

Engage Project

Use of volunteers to stimulate conversation with the patient and to read to them on the wards in Poole Hospital.

Poole Hospital NHS FT

Quality of life in dementia measurement

Systematic review performed to identify most robust, reliable and valid measures of quality of life (dementia) for use in study.

University of Southampton

Circles of Support for people with dementia in Hampshire

This project aims to implement a training and mentoring package on developing Circles of Support for people with dementia to complement the development of the new Dementia Advisor Services that are starting in Hampshire in October 2012. Aim of Circles of Support is to reduce the need for paid support and promote social inclusion and feelings of connectedness to communities.

Hampshire County Council

From difficult conversations to better outcomes

This project aims to affect behaviour change amongst health and social care staff in Hampshire so they are better equipped to support people with dementia and their carers to achieve their care preferences to the very end of their lives.

North Hampshire CCG, HCC

Developing a more Dementia Friendly Hampshire

The project is about establishing sustainable dementia friendly communities across the county of Hampshire, reaching as full a range of different communities as possible. This is a county wide project covering all five of the Clinical Commissioning Groups in Hampshire.

North Hampshire CCG, HCC

Diverse communities engaged with dementia in North Hampshire

This project will create dementia friendly communities in North Hampshire, specifically responding to the demographic changes and the increasing levels of need emanating from diverse communities. DCED will outreach into the communities and support families to manage their loved ones journey through dementia.

North Hampshire CCG, HCC

Supporting the carers of people with dementia through GP surgeries

This project will provide support to carers of people with dementia in 21 General

North Hampshire CCG, HCC

Understanding dementia, training course for carers in North Hampshire

This project will deliver the Department of Health approved ‘Understanding Dementia’ training course to educate carers about dementia from first diagnosis through the dementia journey.

North Hampshire CCG, HCC

Dementia Friendly Communities in Dorset

This project will develop Dementia Friendly Communities across Dorset, Bournemouth and Poole, increasing public awareness of dementia and assisting people with dementia to remain independent and to have choice and control over their lives.  The emphasis will be on making best use of the facilities and organisations which already exist in communities. Additionally, links will be formed with local health and social care services.

Dorset CCG, AS, BUDI, DCC

Dementia friendly ward environment at Frimley Park Hospital

This project aims to dedicate a ward area with an outside area and tailor the environment to improve the wellbeing and enhance the recovery of people with dementia whilst at Frimley Park Hospital. The project is designed to use the Kings Fund Enhancing the Healing Environment Assessment Tools to identify the areas for improvement needed in the elderly care wards.

NE Hampshire and Farnham CCG

Making University Hospital Southampton Dementia Friendly

This project aims to ensure that staff working in University Hospital Southampton are dementia aware and have the appropriate skills to meet the needs of people with dementia. This project seeks to improve the acute hospital experience for people with dementia and their family.

Southampton City CCG

Dementia Specialist Nurse (HHFT)

All patients admitted who have a diagnosis of dementia are contacted by Rachel and a service offered. This consists of information on services for carers, support during the discharge process and any other issues that arise during the stay, e.g. a carer fed back to Rachel that the care of their relative had been sub optimal and the person’s dementia needs had not been addressed. Rachel followed this up immediately and has been working with the team on their approach to people with dementia. She is about to be joined by a colleague working 2 days per week to support her, Pippa Elson.

Hampshire Hospitals FT

Movement for the Mind

Movement for the Mind is a physical activities group for people with dementia and their families/carers.

Alzheimer's Support

Carer Support Workstream

To provide more visible and formal support for carers of patients with delirium/dementia admitted to acute hospital through: • setting up onsite carer cafes at hospital canteens to provide a portal for mutual support, information giving and service signposting • opening up basic dementia awareness training to carers • use allied services such as Alzheimer's Society, Age UK and Carer Support Wiltshire

Salisbury NHS Foundation Trust

Dementia Leadership Programme for Residential and Nursing Homes

A 4 day modular dementia care training programme mapped to the QCF DEM Unit 501 with a gap of 3-4 weeks between each session. Pilot programme for 10 residential/nursing homes initially with plan to roll out to all 35 residential care homes and 10 nursing homes in Southampton. Programme includes: •Understanding current policy, practice guidance and research in dementia care •Leading practice which promotes the wellbeing of the individual with dementia •Working in partnership with carers •Symptoms and approaches to supporting staff to deliver person centred care

Southampton City Council

Alzheimer's Cafes in Basingstoke, Andover and Winchester

Monthly cafes that are part educational and part social. Each café has a different topic that is delivered by consultants, GPs, CPNs, social workers or the third sector. It is repeated annually. There are also social events for carers, cared for and extended family and friends.

Princess Royal Trust for Carers in Hampshire

Fallsafe

Evidence based care bundle programme to reduce falls. Applicable in all health care settings. Initially developed and introduced by the Royal College of Physicians, supported by the Health Foundation. Extension project carried out in acute setting. Dementia known to be an independent factor for falls risk.

Portsmouth Hospitals NHS Trust

West Hampshire Dementia Champion Project

Working alongside the dementia friendly communities project to lead a volunteer project/programme of trained dementia champions within Test Valley, Winchester, Eastleigh and the New Forest

Andover Mind

Good Nutrition in Dementia Care

Educating staff, including nurses, in care homes on good nutritional care for those with dementia. Working with Burdett Trust.

Bournemouth University, Department of Health and Social Care

Sensory Rooms: Designing interventions for people with dementia

This study reviewed the use of sensory approaches used in nursing homes and the attitudes of care staff. Details of equipment used and strategies undertaken were documented.

University Southampton / Kingston University

Dementia Friendly Church Services

Working with memory groups, Churches Together Isle of Wight and Age UK IW as part of Dementia Friendly Communities. A service of 30 minutes in the afternoon with hymns chosen by memory group members.

Age UK Isle of Wight

Southampton Dementia Grant

Alzheimer's' Society to provide five new groups; 3 art groups, 1 reminiscence group and 1 walking group.

Alzheimer's Society

Memory Box and music reminiscence

Circulation of boxes containing reminiscence objects around residential homes for people with dementia in Bournemouth. Funding provided to Coda music to deliver music based outreach and circulate themed music boxes to residential homes for people with dementia in Bournemouth.

Bournemouth Borough Council

Residential Home Dementia Accreditation

Specialist accreditation of residential homes in Bournemouth who wish to become known as "best practice" homes for people with Dementia. Bournemouth Council is supporting these homes to upskill staff to ensure environments are appropriate and stimulating.

Bournemouth Borough Council

Promoting Equity in Dementia Care

Public Health England (Public Health England) has collaborated with voluntary and community sector organisations to develop a toolkit for commissioners. The toolkit aims to support commissioners to ensure equitable dementia care, taking into account characteristics such as ethnicity, age and disability. Public Health England Wessex has contributed a chapter on building a dementia equity data profile.

Public Health England

Southampton Mealtime Assistance Roll-out Trial

Evaluation of trained volunteers helping older people at mealtimes in five acute hospital departments; almost all patients are confused with delirium and/or dementia.

Wessex CLAHRC/University Hospital Southampton NHS Foundation Trust

Grip Strength Measurement to Aid Identification of Cognitive Impairment

Training nurses to measure the grip strength of older inpatients (low grip is associated with cognitive impairment and decline) and identify those at risk of poor healthcare outcomes.

Wessex CLAHRC/University Hospital Southampton NHS Foundation Trust

Support Group Fordingbridge and Everton

A peer support group for people with dementia and carers. An opportunity to talk in a relaxed environment and receive 1:1 face to face support and the opportunity to meet local health professionals

Alzheimer's Society

Dementia Care - New Milton, Ringwood

To provide a social setting for peer support and advice

Alzheimer's Society

Music Groups - Fordingbridge & Milford on Sea

To provide musical 'trigger' points for people living with dementia and their carers.

Alzheimer's Society

Dementia Support Service

One to one ongoing support for people with dementia, carers and wider family and friends. Patient centred approach to support with individualised goals and outcomes.

Alzheimer's Society

Enhancing the healing environment

An acute medical ward for the elderly received funding from the Kings Fund to redesign and decorate the whole ward. The new design was specifically to create a calming, appealing environment with emphasis on 'dementia friendly' features.

Poole General Hospital

Environmental changes on elderly care ward

Changes to the ward to support elderly, visually impaired and dementia. Using guidelines from college or occupational therapy to improve signage, use of colour to improve orientation. Changes to bathrooms to increase independence - colour, traditional taps, sink plugs.

Dorset County Hospital Foundation Trust

Admiral Nurse Southampton Community Memory Cafes

Cafes empower carers and people with dementia and provide access to information, support, advice, education and a place where individuals can voice their needs in a safe and supportive environment without prejudice. Also the cafes provide an opportunity to build a social network. The cafes are built and developed to meet the needs expressed by carers and people with dementia in the community.

Southampton Admiral Nursing Community Team

'Outside Interests' Green Care project

Funded through Community Dementia Funding in Southampton. Offering people with dementia the opportunity to access outdoor activities & connect with nature. Partnership with community farms and Age Concern Hampshire providing sessions with support in a group environment.

Age Concern Hampshir

'Time to Talk' Counselling for people with memory loss or dementia

Trained counsellors can offer the time and space to meet on a regular basis in a safe and confidential environment. Free sessions which support the individual to cope and can reduce levels of anxiety, isolation and stress.

Age Concern Hampshire

Dignity in Care Network Group - Common Care Principles to Support Dignity

Staff from Southampton City Council (SCC) Quality and Safeguarding team attended Skills for Care, Dignity in Care workshops. SCC commissioned workshops for residential and nursing care providers to attend. A dignity in care quality audit tool was designed and used in provider of care services, including services providing care to people with dementia.

Southampton City Council

Quality Assurance in Residential Care

Commenced in 2012 as a pilot to audit residential care services commissioned by Southampton City Council. This was to identify improvements, recommendations and develop an action plan to improve the quality of care and to prevent services going into a safeguarding process. Training needs of staff and management identified, including a 4 day dementia course. This is all free to provider services, is ongoing and now carried out in nursing homes as well.

Southampton City Council

Community Memory Groups

People with early stage dementia come to a memory group every week to take part in activities and discussions. This stimulates the mind as well as provides a safe place and a social group.

Age UK Isle of Wight

Home Based Activities to Provide CST

By training carers in suitable Cognitive Stimulation Therapy (CST) activities and using local libraries as a place to access resources carers can provide CST at home as well as having a "mutual place" for discussion and quality time with the cared for person.

Age UK Isle of Wight

Dementia Sections in Libraries

Part of Isle of Wight Dementia Friendly Communities. Clearly signposted sections with a range of books for all ages about dementia. The library service has waived late fees for people with dementia. Training for all library staff. Future training in libraries for carers in CST and monthly pack of activities.

Age UK Isle of Wight

GP Practice Nurse Dementia Training

Training for GP practice nurses, who become dementia champions. Focus on, understanding dementia types, communication, challenging behaviour, nutrition, carer involvement/support. Dementia screening and educating practice staff.

Surrey and Borders Partnership NHS Trust

Active Friends

Volunteer led project that supports people with a form of dementia to continue normal activity for them. Could be home based or outside of the home.

Age UK Southampton

Enabling Research in Care Homes (ENRICH)

To support research, especially dementia research in care homes. An online toolkit to aid researchers and care homes, building a network of research ready care homes across Wessex.

NIHR CRN Wessex

Home from Home

Carer respite / social activity. People with Dementia invited to 'hosts' home for as many sessions a week as wish, to socialise with other people with dementia

East Boro Housing Trust

Mental Health In-reach Team

Small team of RMN's whom provide intensive support / training to a core group of nursing/residential homes in East Dorset. Training such as challenging behaviour, medication management, care planning, Deprivation of Liberty Safeguards, help with CHC applications, advice to GP surgeries, patient care planning to avoid unnecessary admission to hospital

Dorset Healthcare NHS Foundation Trust

CRISP (Carers Information and Support Programme)

To provide information for carers about dementia, legal issues, coping strategies. A 4 week course, 1 day a week for 2 hours per session. Very informative sessions

Alzheimer's Society

Activity group for veterans with dementia

A peer support and activity group for veterans with a diagnosis of dementia in Winchester and Andover. "What's in your kitbag?"

Alzheimer's Society

Dementia Advice Service - New Forest

To provide 1st contact support for people living with dementia and their carers

Alzheimer's Society

Carers in Partnership - Voices for change

Family carers involved in dementia awareness training in residential and nursing care homes across Hampshire

The Dementia Training Company

Coaching and Mentoring Project

In year five of a supporting role to help Southampton City Council Care Homes develop better care practice and leadership.

The Dementia Training Company

Memory Gateway

Collaboration between charitable sectors and NHS following the development of the memory assessment service in Dorset. Previously Age UK Memory Advisory Service - Now Alzheimer's Society Memory Advisory Service

Dorset Healthcare NHS Foundation Trust

Improving the Environment on Herm Ward

Project to improve the environment for female patients with dementia via the creation of a themed "diner", "beauty/hair salon" and independent "kitchenette". The project has the following aims: •To improve socialisation •To maintain self care skills •To improve diet and fluid intake •To increase assessment opportunities •To reduce aggression associated with inactivity and frustration

Dorset Healthcare NHS Foundation Trust

Dementia Secondment

I am currently undertaking a 6 month secondment as a dementia champion to the education department. This is very valuable and should be made more available so that nurses and ward staff who are caring for people with dementia on a daily basis have a better understanding of dementia and of the services available, therefore improving care for patients.

Salisbury NHS Foundation Trust

Understanding Dementia Courses/GP Dementia Clinics

•Understanding dementia courses are delivered to carers and the cared for •GP Dementia Clinics offer private face to face time with the carer within the surgery providing practical/emotional support, benefits advice and access to free counselling. Both of these services are currently being delivered in North Hampshire CCG but could be commissioned throughout Hampshire.

Princess Royal Trust for Carers in Hampshire

Remembering to love life - Animal assisted activities project in dementia day care settings

It is evidenced and accepted that the contact with living beings and nature evokes calmness and a sense of wellbeing in people. Biophilia - or the 'love of life' - hypothesis has been tested and researched in a range of settings. It supports the theory that people with damaged or compromised attachment relationships, such as can be present in people with a dementia, can particularly benefit from the relations with companion animals because of the lack of judgement and the perceived empathy. Unconditional positive regard, empathy and understanding are at the heart of person centred practice and are enhanced by the presence of animals (Wilson, 1984). Animals, and specifically dogs, can act as a social support and stimulate conversation, particularly when situations are mildly stressful and the person with dementia finds 'small talk' difficult to follow (Kruger et al.,2006). In 2009, Alzheimer's Support introduced 'Therapy Dogs' into their day care settings. The two whippets are very placid animals and are present at the day clubs, moving freely in the space as they would in a family home. They also have designated sofas where club members often join them to simply sit with them or to brush their fur. The effect the project has had - and continues to have - on members is captured and illustrated in photography.

Alzheimer's Support

Arts 4 Dementia:- Reawakening - Living Well With Dementia Using the Arts

Free weekly art, music, drama and dance sessions for people experiencing mild memory loss and early stage dementia, and their companions. They are led by arts facilitators trained to understand the challenges people face as symptoms of the various types of dementia set in, their communication needs, existing skills and how best to access them.

Arts 4 Dementia

End of Life

Developing Excellence in End of Life Care for Residents with Dementia Living in Nursing Homes

Aim to enable care home staff to achieve excellence in delivering end of life care for people with dementia; support them to live and die in their normal place of care; prevent avoidable hospital admissions at end of life; enhance relative/ carer experience of EOL care. 6 nursing homes; 2 dementia EOL champions in each.

St Michael's Hospice

The Journey of Dementia

Explore if learning using interactive theatre approach produces a transformational learning experience for participants. Audience watches a topic of relevance with unresolved challenges. Play is stopped and replayed through a skilled facilitator and audience can stop the play and demonstrate alternative solutions by replacing an actor. Used in Faculty of Health Sciences teaching 250 student nurses.

University of Southampton

PEACE - Proactive Elderly Advanced Care

PEACE is an anticipatory end of life care plan for those with dementia who no longer have capacity to make end of life decisions for themselves. Experienced nurses helped guide families to understand issues and options. Liaised with nursing home to ensure understanding of care plan and disseminated it to relevant organisations.

Poole Hospital NHS FT

Portsmouth Dementia Adviser Service

The Dementia Adviser (DA) Service supports people with dementia, and their carers, to live well in the community through the provision of information, advice and sign-posting that is individually tailored, right and relevant throughout their dementia journey. DAs work in collaboration with health and social care services, and community organisations and act as the single point of contact.

Alzheimer's Society

End of life care

This project aims to achieve excellence in end of life care for people with dementia living in nursing homes.

Dementia Challenge Fund

End of life care planning for patients with dementia in Dorset

This project aims to stop the cycle of readmission in crisis by improving end of life care planning starting when a person with dementia is first admitted to a Dorset hospital in an emergency.

Poole Hospital NHS FT

Enabling Through Education and Training

A strategy document to support better care and better outcomes for people with dementia. 1. Ensuring dementia awareness in workforce 2. Implement HEE education programme 3. Support delivery in 330 general practices 4. Support workforce in 9 acute care providers 5. Support community care workforce 6. Work with Local Authorities and 3rd sector 7. Ensure quality of provision of education 8. Champion user and carer led evaluation 9. Increase HE-W presence and influence in dementia community

Health Education Wessex

Neurological Information Booklet

A directory of health, social and community information/support for people with long term neurological conditions and carers. Leaflet to give basic information and direct people to the booklet

Hampshire Neurological Alliance

End of Life Care - Dementia Training Programme

Jointly funded by Dorset CCG and the National Council of Palliative Care (NCPC) to deliver training to health and social care staff, but also the third and independent sectors, most importantly carers too. As part of this programme 'Train the Trainer (TET) will be completed. Carers will attend 2 sessions - 1 basic training and 1 TET so they can continue to deliver this programme with a professional facilitator.

Dorset CCG