National Dementia Strategy Implementation in Hertfordshire

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National Dementia Strategy Implementation in
Hertfordshire

• Mark Janes
• Head of Strategic Commissioning

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Everything starts somewhere, although many
physicists disagree.
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Give anyone a lever long enough and they can
change the world. Its unreliable levers that are
the problem.
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Raising Awareness and understanding

• A public information campaign to improve public
  understanding about dementia

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Early Diagnosis and support

• Early diagnosis through the development of
  specialist memory assessment services
• Improving access to information about dementia
  following diagnosis
• The development of a dementia care adviser role
• Developing peer support networks for people with
  dementia and their carers

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Living well with dementia

• Improved community personal support
• Implementing the carers Strategy for people with
  dementia
• Improved care in general hospitals
• Improved Intermediate care for dementia
• Supportive Housing and telecare
• Improved care home care
• Improved end of life care

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Making the change

• Improved workforce education
• Joint planning
• Performance monitoring and evaluation through
  inspection
• Dementia research
• Effective national and regional support for
  implementation

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Model
Social care
Health and wellbeing
Health services
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Dementia care

• NDS
• People with dementia their carers helped to
  live well with dementia, no matter what the stage
  of their condition or where they are in the
  health social care system
• To Achieve the Vision
• Encourage help seeking and help offering by
  changing public and professional attitudes
  understanding and behaviour
• Make early diagnosis, treatment support the
  rule rather than the exception
• Enable people with dementia carers to live well
  with dementia by the provision of good quality
  care for all from diagnosis to end-of-life

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• The people who really run organisations are
  usually found several levels down, where it is
  still possible to get things done.

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National Dementia Strategy Implementation Group

• A Hertfordshire National Strategy Implementation
  Group is being set up to drive forward the agenda
  set out in the document.
• Group to be Co-Chaired between PCT and
  Hertfordshire Adult Care Services
• Will not duplicate existing work streams but will
  build on them and initiate project groups to
  undertake work where gaps exist
• Will develop a joint commissioning strategy for
  dementia for Hertfordshire.

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Work groups

• Early intervention and diagnosis
• Quality of care
• Workforce development
• Developing the commissioning strategy

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The hippo of recollection stirred in the muddy
waters of the mind.
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Early Intervention and diagnosis

• Recognised as gap at present
• To be initial focus of work programme
• 4,000 people across Hertfordshire diagnosed out
  of a possible 12,000 which will rise to 15,000 by
  2020
• Development of community based services to
  facilitate earlier intervention and diagnosis
• Engage with voluntary sector to provide
  information, advice and support

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Om began to feel the acute depression that
steals over every realist in the presence of an
optimist.
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Improving Quality of Care

• Across health and social care commissioning cycle
• From diagnosis to end of life.

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Quality
Home Care Residential
Care Nursing care
Advice support Information Sheltered housing
GPs Primary Care Memory clinics HPFT
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Ill be more enthusiastic about encouraging
thinking outside the box when theres evidence of
any thinking going on inside it.
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Work force development

• Partnership between social care and health.
• Hertfordshire Care Providers Association.
• Across the range of provision.
• Great deal of training currently.
• Coordination, level, quality.

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Day services
Day services
Luncheon clubs
Day Hospitals
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Accommodation services
Residential Care Nursing Care
Sheltered Housing Extra care Housing
HPFT assessment and treatment beds Continuing
Care
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Inside every old man there's a young man who
wonders what happened
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