Meeting the needs of patients with dementia to reduce hospital stays: a qualitative exploration of patient pathways and services

Background This study formed part of a project investigating the impact of providing care to patients living with dementia on acute services across England. Aim It aimed to gain a better understanding of how to meet the needs of patients and identify areas of good practice across England. Methods Qualitative interviews were undertaken with 42 professionals within five areas of England, and a focus group with 7 carers. Findings Working practices to support patients living with dementia and their carers vary significantly by geographical area. The study identified many examples of good practice in preventing hospital admission, admission to hospital, hospital stays, discharge from hospital and post-discharge provision. Conclusion Different working practices have resulted in a lack of consistency in the provision of and access to services for patients with dementia as well as gaps in provision. However, a range of good practice examples were identified.