Delirium

In 2016-17 the Northern England Clinical Network, in conjunction with partners (City Hospitals Sunderland NHSFT, Tees, Esk and Wear Valleys NHSFT), has been offering fully funded training events for staff of acute and mental health trusts in the region. The Network was successful in obtaining funding from Health Education England (North East) to provide a delirium training package across the North East in collaboration with Newcastle University.

Preventing and managing delirium is a national priority which is supported by the NICE Quality Standards, published in July 2014. Therefore, we were keen to promote awareness and to work with hospital trusts to deliver a training package. The package is delivered in a half-day roadshow session, consisting of a series of formal and informal interactive training sessions to provide awareness, training and ongoing access to delirium best practice. There is also a lunchtime market place, which is usually placed in a prominent position where staff may pass and be able to collect resources. Following this, short face to face training sessions are delivered. Training materials can be provided in a format which host trusts could integrate into existing training provision.

There is no cost implication involved for individual trusts. All that is required is a suitable venue to deliver the half-day training and the release of staff to take part. We also require a commitment from trusts to agree to the future use of delirium training for all staff. The training package is delivered by a Consultant and/or Specialist Practitioner/Nurse.

Several successful events have taken place in 2016, with more due to be staged in 2017.

In addition to this program, the network is also very supportive of the #icanpreventdelirium collaboration of local organisations and their work. You can learn more about it via this YouTube video.

Delirium CQUIN 2016/17

The majority of health services users are elderly, with up to 70% of acute hospital beds occupied by older people . Furthermore, up to half of these may have some form of cognitive impairment – notably dementia and/or delirium . Delirium is one of the most common complications of hospitalisation in older adults, affecting up to 50% of all older patients admitted to hospital.

The recent national Delirium and Dementia CQUIN which ran from 2012-2016 has been extremely successful in raising the profile of people with cognitive disorders in the acute hospital. The CQUIN primarily focussed on identification of people with delirium and dementia and was designed to identify people with a possible underlying diagnosis of dementia. This CQUIN is to be retired and identification of people with dementia and delirium is due to be included in standard contracts. However, the gains of the national CQUIN are only the beginning of improving care in this domain. Evidence based interventions during admission were not incentivised by the national CQUIN.

This new Delirium and Dementia CQUIN template is made available for all CCGs to select as a local CQUIN, in order to build on the progress made as a result of the previous national CQUIN.

Read more and download delirium CQUIN document