Development of an activities care crew to support patients.

Improving care for people with dementia in acute hospitals is a priority in the UK. The Royal Berkshire Hospital in Reading has implemented a range of initiatives, including environmental changes to older people's care wards, development of workforce skills and knowledge, engagement with third sector providers, use of volunteers, and the development of an activities care crew. This article focuses on the work of the activities care crew. The care crew formation, using monies from vacant posts, has supported the provision of one-to-one nursing and engagement of patients in meaningful activities. Overall, the initiatives have reduced the number of falls with serious harm, improved the experience of people with dementia and their families, and supported partnership working with patients, families and multidisciplinary teams.