Case Number 6641
Request Date 02/04/2019
Completion Date 13/04/2019

 

Details of the Request

Training and staff awareness

Q1. 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?

Q2. How many a) staff overall and b) ward based staff have undertaken such training during 2017/2018 and 2018/2019 to date?

 

Alert system

Q1. 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?

Q2. 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.)

 

Self-administration of medication policies

Q1. 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?

Q2. If a self-administration policy is not implemented, why is this the case?

Q3. If a self-administration policy is in place what systems and protocols are in place to a) ensure full and effective implementation and b) monitor its implementation?

 

Carers

Q1. Does the Trust have a policy that allows carers to visit the person with Parkinson’s they care for outside of visiting hours?

 

Details of the Response

Training and staff awareness

Q1. 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?

There is no formal training provided.

 

Q2. How many a) staff overall and b) ward based staff have undertaken such training during 2017/2018 and 2018/2019 to date?

No formal training has taken place.

 

Alert system

Q1. 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?

Not in place.

 

Q2. 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.)

The Parkinson nurses are community based but also have a base in the inpatient wards. If patients are admitted to hospital and they are known to the nurses, or the patient or carer notifies the nurses, they may visit the patients on the wards.

 

Self-administration of medication policies

Q1. 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?

Yes in date.

 

Q3. If a self-administration policy is not implemented, why is this the case?

N/A.

 

Q2. If a self-administration policy is in place what systems and protocols are in place to a) ensure full and effective implementation and b) monitor its implementation?

Nurses identify and assess patients following the policy and monitor and evaluate with the MDT and patient/carers on an ongoing basis.

 

Carers

Q1. Does the Trust have a policy that allows carers to visit the person with Parkinson’s they care for outside of visiting hours?

Yes

 

Q2. 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?

No specific training

 

Q3. 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?

Nothing specific

 

Practical resources

Q1. 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?

No

 

Q2. Does the Trust make use of these practical resources?

Possibly on an individual basis if made aware by the patient or carer.

 

Patient safety incidents

Q1. 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?

Yes

 

a) From the financial year 2017/2018

  • 2 missed in October 2017
  • 1 missed in April 2017
  • 1 missed in September 2017
  • 1 missed in May 2017
  • 1 missed in November 2017
  • 1 missed in Feb 2018

 

From the financial year 2018/2019

  • 1 missed in October 2018
  • 1 missed in Feb 2019
  • 1 missed in August 2018
  • 1 missed in November 2018

 

b) From the financial year 2017/2018

  • 1 delay in September 2017

 

Q2. a) How many Parkinson’s patient safety incidents relating to medication were recorded in your Trust in the last reporting period?

6 patient safety incidents in 2018/19.

 

Q3. 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?

  • 2017/2018 – 0
  • 2018/2019 – 0