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Transforming the quality of dementia care consultation on a National Dementia Strategy Presenter nam

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To develop a national dementia strategy and implementation plan by October 2008 ... and carers, to provide advice and to signpost them to access the care needed ... – PowerPoint PPT presentation

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Title: Transforming the quality of dementia care consultation on a National Dementia Strategy Presenter nam


1
Transforming the quality of dementia care
consultation on a National Dementia Strategy
Presenter name
2
Policy Commitment
  • To develop a national dementia strategy and
    implementation plan by October 2008 with the
    following themes
  • Improving awareness
  • Early diagnosis and intervention
  • Improving the quality of care for people with
    dementia from diagnosis
  • General hospital care
  • Care homes
  • Intermediate care
  • Care in peoples own homes

3
Strategy Timeline
  • August 2007 - Ministerial announcement
  • October 07 to March 08 - External Reference Group
    (ERG) meets
  • Jan to March 08 Regional Listening and
    engagement events
  • March 08 - ERG report submitted to Minister and
    to DH
  • April - draft Strategy ? internal DH circulation
  • June - draft Strategy to be published for
    consultation until 11th September 08
  • October 08 - Strategy published

4
Key themes of draft Strategy
  • Improving awareness
  • Early and better diagnosis
  • Improved quality of care
  • Delivering the Strategy

5
Who is the Strategy for?
  • People with dementia
  • Carers
  • Commissioners
  • Providers
  • Local authority corporate functions
  • Acute health trusts
  • Regulation and inspection bodies
  • Workforce and skills training bodies

6
Recommendation 1 Increased public and
professional awareness of dementia
  • Public information campaigns at national and
    local levels making use of the personal
    narratives of people with dementia and their
    carers

7
Recommendation 2 - An informed and effective
workforce for people with dementia
  • Those responsible for professional and
    vocational education ensuring that the core
    curriculum and training of all those who work
    with older people and others who may have
    dementia enables them to work effectively with
    people with dementia and their carers. Care
    providers auditing dementia training and
    competencies. Commissioners including training
    and competencies in dementia care as part of the
    specification for services commissioned.

8
Consultation questions
  • Are these outcomes, recommendations and the
    suggested means of achieving them the right ones?
  • Is there anything that has been missed to help us
    improve public and professional awareness of
    dementia?

9
Recommendation 3 Good quality early diagnosis
and intervention for all
  • Commissioning a specific service to carry out
    the specific function of early diagnosis and
    intervention, working in a way that complements
    existing services

10
Recommendation 4 Good quality information for
those with dementia and their carers
  • Development of a comprehensive package of high
    quality information, to be given out following
    diagnosis and during care as needed. To include
    information on the nature of the condition, its
    treatment and support available nationally and
    locally

11
Recommendation 5 Enabling continuity of support
and advice
  • Development of a dementia care adviser role.
    Not responsible for the provision of services
    themselves, they could provide a single point of
    contact for people with dementia and carers, to
    provide advice and to signpost them to access the
    care needed

12
Consultation questions
  • Is there anything that has been missed to help us
    enable early diagnosis and intervention?
  • Do you agree that the diagnosis of dementia
    should be made by a specialist?
  • How open should referral systems to a memory
    service be? Should people be able to refer
    themselves, or should they have to go to their GP
    first?
  • How would the dementia care adviser be able to
    ensure continuity of care?

13
Recommendation 6 - Improved quality of care in
general hospitals
  • General hospitals developing an explicit care
    pathway for the management of people with
    dementia on their wards, identifying a senior
    clinician to lead its development and delivery.
    Complemented by the provision of older peoples
    mental health liaison teams for general hospitals
    to provide specialist assessments and expertise

14
Recommendation 7 Improve home care for people
with dementia
  • Commissioners and providers reviewing the
    specification of the services they buy to ensure
    that the home care services that are commissioned
    are personalised, offer flexible support, and are
    appropriate to meet the needs of the individual
    with dementia. People with more complex needs
    are likely to require a specialist home care
    service

15
Recommendation 8 - Improve respite care/short
breaks for people with dementia and their family
carers
  • Respite care/short term breaks that provide
    valued and enjoyable experiences for people with
    dementia as well as their family carers that are
    flexible and responsive and that can be provided
    in a variety of settings including the home of
    the person with dementia

16
Recommendation 9 A Joint commissioning strategy
for dementia
  • A joint commissioning strategy by local
    authorities, PCTs and others, based on a Joint
    Strategic Needs Assessment generating a
    comprehensive integrated pathway of care to cover
    the full range of generic and specialist home
    support services, rehabilitation and intermediate
    care and residential and nursing care services.
    It would define the specification for each
    element of the pathway against which services
    would be procured and performance managed. It
    would take account of the allocation of personal
    budgets for people with dementia and the
    implications of self directed commissioning

17
Recommendation 10 Intermediate care for people
with dementia
  • Updating Department of Health guidance on
    intermediate care to ensure that the needs of
    people with dementia are properly addressed.
    PCTs and local authorities reviewing services to
    ensure that people with dementia have access to
    re-ablement home care and rehabilitation
    services, including intermediate care

18
Recommendation 11 - Improved dementia care in
care homes
  • Care homes developing a policy for good quality
    care for people with dementia the appointment of
    a senior member of staff to lead the development
    and delivery of the policy the policy being
    monitored and its provision being part of the
    contracting process. Commissioning specialist
    mental health in-reach services into care homes
    as well as enabling in-reach from other
    professionals such as community pharmacists,
    community dentists, optometry and geriatricians

19
Recommendation 12 Improved registration and
inspection of care homes
  • Given that the large majority of people in care
    homes have dementia, this might be achieved by
    registration procedures requiring all care homes
    being able to demonstrate that they can provide
    good quality care for people with dementia,
    unless there are specific reasons for exemption

20
Consultation questions
  • Is there anything that has been missed which
    would help to ensure high-quality care and
    support for people with dementia and their
    families?
  • What more could be done in acute care, home care
    and care homes?
  • What could be done to make the personalisation of
    care agenda (including individual budgets) work
    for people with dementia and their family carers?

21
Recommendation 13 Clear information on the
delivery of the strategy
  • National baseline measurement of dementia
    service content and resources. Subsequently, an
    independent programme of successive assessments
    completed on a national basis to deliver
    information on the growth and activity of
    services for people with dementia and their
    carers, comparing services against agreed
    benchmarks at one, three and five years.

22
Recommendation 14 A clear picture of research
evidence and needs
  • A strategic review of UK dementia research,
    conducted or facilitated by the Department of
    Health, which sets out how research funders,
    charities and industry can work together to
    deliver the programme of dementia research needed
    on prevention, cause, cure and care.

23
Recommendation 15 Effective support of
implementation
  • Central DH support with regional and local
    implementation

24
Consultation questions
  • Is there anything that has been missed to help us
    deliver the National Dementia Strategy?
  • What are your priorities for implementation?
    What can and should be done first?
  • What should the timetable for implementation be?
  • Does this draft Strategy fully address issues of
    equality and diversity, and the needs of
  • particular groups?
  • What can you or your organisation do to help
    implement these recommendations?

25
Links to other current strategies
  • Carers Strategy
  • End of Life Strategy
  • Our NHS, Our Future
  • Putting People First
  • NICE commissioning guide for memory assessment
    services
  • Independent Living Strategy
  • Darzi Review

26
What next?
  • Consultation process
  • Analysis of responses
  • Redrafting of Strategy, where responses indicate
  • Launch of final Strategy October
  • Implementation Plan

27
What does this mean for you?
  • Thinking of your locality, what will this mean
    for -
  • People with dementia
  • Carers
  • Commissioners
  • Providers
  • Staff
  • General public
  • Do you know what you already have in your
    locality?
  • Do you know what you need?
  • What needs to happen in your area to
  • Start the process?
  • Make a difference?

28
The challenge for you
  • How will you ensure that people with dementia and
    their carers have a voice in the development
    delivery of your services?
  • How will you make the cultural shifts required?
  • How will you ensure the commitment and investment
    required?
  • Do you have local leadership?
  • Do you have real local partnerships that work?
  • How will you know that local changes/developments
    have made a difference to peoples lives?
  • Are you ready?

29
Useful links
  • www.dh.gov.uk/dementia
  • www.dh.gov.uk/consultations
  • www.changeagentteam.org.uk
  • Dementia.strategy_at_dh.gsi.gov.uk
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