The creation of a Dementia Nurse Specialist role in an acute general hospital

Accessible summary•  Evidence indicates that the needs of older people with a mental disorder are not satisfactorily addressed in most UK district general hospitals. •  The creation of a Dementia Nurse Specialist role provided the opportunity to quantify the scope for targeted support. •  The results indicate that there is considerable scope for specialist intervention with patients, carers and nursing staff.Abstract Older people form the largest group occupying acute hospital beds and many of them will have undiagnosed mental health problems. The creation of a Dementia Nurse Specialist role in a district general hospital provided the opportunity to assess the extent of the previously unmet need among patients, carers and nursing staff. Over 30 patients were seen each month, while around 6 to 12 were diagnosed as having dementia. Other activities undertaken as part of the role included providing information and support for carers, and advice on management of behaviours and support for ward staff. The role also involved policy writing, pathway and local strategy planning, care plan development, and formal and informal teaching on dementia. It is argued that this fixed‐term post demonstrated that a Dementia Nurse Specialist could provide significant input in an acute hospital setting, by improving the experience of hospitalization for vulnerable older people and their carers.