Transcript Presentation Title

Community Dementia Service
Herefordshire
Tim Wallin, Operational Manager
Diane Topham, Community Service Manager
Mark Hemming, Service Director
Prevalence
•
Estimates suggest 3,099 people living with dementia
in Herefordshire
•
Population of Herefordshire – 178,000
•
Current prevalence via GP Qof data – 35% which
represents circa 1,090 people with confirmed
diagnosis known to service
•
Target for 2014/15 – 1,358 people with confirmed
diagnosis of dementia known to service
18/07/2015 18/07/2015
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Community Dementia Service
• Community and Primary Care facing
• Able to provide early diagnosis and support
• Able to provide support, advice and education across
organisational boundaries
• Facilitate social integration and living well with dementia
• Include those with learning disabilities
• Provide support to Primary care and neighbourhood
teams
• Coordinate support following crisis or hospital admission,
working with key partners
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Functions of Community Dementia Service
Community Dementia Nurses
• Principle function is to provide ongoing support from
diagnosis to end of life
• Provide proactive intervention to reduce escalation of need
and to minimise crisis or admission to hospital
• To focus on facilitating supportive interagency and
‘community asset’ working with support for primary care, to
include district nursing and GP’s
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Care Home In-reach Service
• To support care providers with the management of
individuals with dementia, in particular challenging
behavior, so the person can be maintained in their
care setting for as long as possible
• Training for care home staff
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Specialist Memory Clinic
Work to the standards of the Memory Clinic National
Accreditation Programme to provide rapid specialist
assessment and diagnosis of suspected dementia
based on three appointment model.
• Assessment
• Diagnosis
• Initial support (including psychology, education
and signposting.
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Dementia Link Workers
• Commissioned by 2gether as a partnership with
the Alzheimer's Society.
• Provide advice, support to service users and
families
• Bring vast national and local expertise to the
service
• Use their established service and links to
community assets.
Work in Progress
• Continuing to review & refine pathway
• Working with practices to have a common data
set of people with dementia
• Working to increase diagnosis rates so that
people get appropriate support
• Active programme of training for care home
staff
Questions?