Salisbury Foundation Trust


Internal Reference Number: FOI_4981

Date Request Received: 02/04/2019 14:57:38

Date Request Replied To: 30/04/2019 09:00:11

This response was sent via: By Email

Request Summary: Parkinsons; policies on medication, training for staff etc.

Request Category: Charities

Question Number 1:
What training is provided/sourced by the Trust to raise awareness among staff (in particular ward based staff) about the needs of inpatients with Parkinson’s, particularly around timing of medication for these patients?
Answer To Question 1:
Education and training is provided by the Parkinson’s Disease Nurse Specialist post. However, this post has been vacant since September 2018. A new post holder came into post on 1 April 2019 and will be working towards developing a programme and training materials for the wards over the next few months.

Parkinson’s drugs are classed as critical medicines and are discussed at high risk medicines study days within the Trust.
Pharmacists are aware of the importance of the timing of Parkinson’s medicine. Ward pharmacists annotate drug charts with the times that Parkinson’s medicines are due and engage with nursing staff to administer at the appropriate times.
Question Number 2:
How many a) staff overall and b) ward based staff have undertaken such training during 2017/2018 and 2018/2019 to date?
Answer To Question 2:
No data available for a) or b).
Question Number 3:
Does the Trust have any kind of electronic (or other) alert system in place to flag to the Parkinson’s service when a person with the condition is admitted to hospital in a) a planned way and b) as an emergency?
Answer To Question 3:
Not currently. However, the new Parkinsons Disease Specialist is reviewing possibilities using e-whiteboards and our electronic patient record.
Question Number 4:
If the Trust does not have an alert system, how are the Parkinson’s specialist service notified and subsequently involved in the care of a person admitted with Parkinson’s (whether or not Parkinson’s is the reason for admission.)
Answer To Question 4:
The current method is via a referral from the ward teams to the elderly medicine team requesting a review of the patient.
Question Number 5:
Does the Trust have a self-administration of medication policy? If a policy does not currently exist, are there any current plans to implement one?
Answer To Question 5:
Question Number 6:
If a self-administration policy is not implemented, why is this the case?
Answer To Question 6:
Not applicable.
Question Number 7:
If a self-administration policy is not implemented, why is this the case?
Answer To Question 7:
Not applicable.
Question Number 8:
Does the Trust have a policy that allows carers to visit the person with Parkinson’s they care for outside of visiting hours?
Answer To Question 8:
The Trust is a signatory to John's Campaign which covers all carers whatever the patient's condition.
Question Number 9:
What training do ward staff receive to ensure they fully understand how a carer can support an inpatient with things such as mobilising and their medication regime etc?
Answer To Question 9:
Training on carer support of an inpatient is provided as part of the Trust's dementia training. There are quarterly full day study days provided along with short (half hour) ward based sessions for staff unable to leave the wards.
Question Number 10:
What systems and protocols are in place for ward staff to work with carers supporting the person with Parkinson’s in hospital to ensure flexibility when the need arises?
Answer To Question 10:
The Trust is a signatory to John's campaign which enables carers to stay with their relative 24/7 if they want to and support with washing, dressing, mobilisation, eating and drinking as they do at home. There is also a weekly carer's café for carers to attend to support with advice, information and signposting.
Question Number 11:
Is the Trust aware of the practical resources available from Parkinson’s UK to support Parkinson’s patients getting their medication on time (e.g. laminate bedside clocks, washbags) and how to access these resources?
Answer To Question 11:
The Trust is aware of the Parkinson’s UK website and these resources. The new Parkinson's Disease specialist will be using them and sharing these resources effectively.
Question Number 12:
Does the Trust make use of these practical resources?
Answer To Question 12:
Not currently but there are plans to do so.
Question Number 13:
Are incidents of a) missed Parkinson’s medication doses and b) delays to the administration of doses of Parkinson’s medication reported as patient safety incidents through local reporting arrangements?
Answer To Question 13:
a) Yes b) Yes
Question Number 14:
How many Parkinson’s patient safety incidents relating to medication were recorded in your Trust in the last reporting period?
Answer To Question 14:
29 Parkinson patient safety incidents related to medication were reported during 2018/19.
Question Number 15:
How many complaints has the Trust received about missed or delayed administration of Parkinson’s medication in a) 2017/2018 and b) 2018/2019 to date?
Answer To Question 15:
a) None b) None
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