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DEMENTIA: A NOTTINGHAMSHIRE PERSPECTIVE Dawn Smith, Chief Officer, NHS Nottingham City CCG Amanda Sullivan, Chief Officer, NHS Newark and Sherwood CCG National Priorities ‘Everyone Counts’ • The 2013/14 planning guidance requires all CCGs to publish a trajectory for the increased diagnosis of dementia over the next two years • Implement the ‘FAIR’ approach to dementia care ‘Finding people with dementia, Assessing and Investigating their symptoms and Referring for support The Prime Ministers Challenge on dementia (2012): Focuses on three key areas: • Driving improvements in health and care • Creating dementia friendly communities that understand how to help • Better research The National Dementia Strategy (2009) • Improved public and professional awareness and understanding of dementia • Earlier diagnosis and intervention • A higher quality of care for people living with dementia and their carers from diagnosis to end of life Estimated total direct cost of dementia in 2009: £10.1bn Why is it a priority locally? There are approximately: • 10,000 adults (65+) in Nottinghamshire and • 2,600 within Nottingham City who are currently living with dementia. – Of which an estimated 60% live in the community; 30% of which live alone • The number of people with dementia is expected to increase by 88% between 2010-2030 in Nottinghamshire County and by 30% in Nottingham City • The QOF Dementia register indicates that formal diagnosis of dementia across the shire is currently at: – 45% of people in Nottinghamshire County – 57% of people in Nottingham City • A 2012 utilisation review of MHSOP inpatient services identified: – 61% of all dementia related bed days could have been avoided with the appropriate support A carers perspective John’s story… John Astill Trustee Crossroads Care East Midlands and dementia carer What have we achieved so far? • Commissioned Memory Assessment Service – Additional social support for people newly diagnosed – Revised GP referral guidelines • Mental Health Intermediate Care services established across county • Using Assistive Technology to support patients and carers • Improved the quality of care in Care Homes – Staff training, including awareness and end of life issues; – Dementia Outreach Service county-wide – Quality monitoring includes dementia care • Improved services for people admitted to an acute hospital Strategic priorities for 2013-14 1. Increase diagnosis rates for dementia to support earlier intervention – NHS Nottingham City CCG: 60% by 2014 then 64% by 2015 – County CCGs: 60.2% by March 2014 and 61.5% by March 2015 Implementation of the new model of Memory Assessment Service Public and professional awareness raising campaigns 2. Improve access to services which support people with dementia and their carers in the community – Stabilisation through community based services e.g., Mental Health Intermediate Care Investing in support workers for carers e.g., Crossroads Care East Midlands commissioned to provide carer support and respite from 1 April 2013 3. Continue to improve quality standards in care homes – Dementia Outreach teams providing specialist support to care home residents – Dementia Care Matters programme being rolled out to selected care homes Strategic priorities for 2013-14 (2) 4. Continued workforce development and staff training – Use CQUIN to ensure acute and community provider staff trained in dementia – Dedicated training for social care staff including homecare workers 5. Delivering equalities: race, gender, sexual orientation, age, disability and belief – Funding for dedicated BME post within the Mental Health Services for Older People Directorate of NHT 6. Developing integrated approaches to care. Bringing health and social care models together and working in partnership across the wider community Any questions?