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Integration and dementia – a voluntary sector perspective
@george_mcnamara
Rising to the Dementia Challenge• Increased awareness of dementia
• Diagnosis 67% - but wider variation
• Hospital dementia CQUIN
• Increasing numbers of Dementia Advisors
• Increasing number of dementia trained staff
• 1.5 million Dementia Friends
• Over 150 Dementia Friendly Communities
• First ever national Dementia Institute
Dementia-friendly health and care settings? Hospitals
• 3.2 million hospital bed days.• Over 40% of beds occupied by people
with dementia.• Excessive hospital stays.• High level of readmission.
Care homes • 70% of residents have dementia.• GP and acute care relationship.• Dementia friendly environment.• Community engagement.
Home care• Limited access to home care.• Services stretched or reduced.• High turnover of staff.
Dementia can be the success criteria for integrated health and social care.
Iris’ story: a fatal fall (Kent)Iris fell whilst in hospital causing significant harm. The fall directly contributed
to a quick deterioration of her dementia.
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David’s Story: when care is not personalised (Manchester) David’s story is one of inadequate staff training at hospital and how staff
struggles with challenging behaviour, poor quality care.
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alzheimers.org.uk
Key findingsFrom the FOI
• Maintaining diagnosis rates and focus on post-diagnosis support.
• Supporting Dementia Friendly Communities: Healthy New Towns, Health as a Social Movement.
• Each part of the country will develop plans for this by 2017, to be implemented by 2020.
• Local areas will integrate in different ways using a range of models which the government supports.
• 44 Sustainable Transformation Plans, NHSE Vanguards, Better Care Fund.
• City devolution deals: Greater Manchester, Cornwall, North East.
Delivering the FYFV: Dementia
Scale of the changeVanguard sites City Devolution deals
What is the gold standard for integrated dementia care?
Alzheimer’s Society service offer to
vanguard sites
Information and Advice Includes information relating to risk, diagnosis, This is me, communicating and
supporting people with dementia, person-centred care, community links and end of life
Key-worker (DA/DSW) can provide support across the whole pathway to care home provider, person with
dementia and family
Workforce training and development Enabling the workforce to support improved dementia outcomes across the whole
pathway
Community Engagement Improved well-being through Dementia Friendly Communities, Dementia Friends.
• Over 70% of people with dementia have co-morbidities
• What works for dementia, works for frail elderly
New models of care vanguards
