Living well with dementia: implementing the National Dementia Strategy

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Living well with dementiaimplementing the
National Dementia Strategy

• Neil Hunt
• Chief Executive

2
The Context

• Currently 570,000 people with dementia in England
  (700,000 in UK)
• Numbers likely to double in the next 30 years
• Cost currently is 17 billion
• Costs likely to treble to more than 50 billion
• NDS published 3 Feb 2009

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The Key Themes of the National Dementia Strategy

• Raising professional and public awareness and
  understanding
• Early diagnosis and support
• Living well with dementia
• Delivering the National Dementia Strategy

Older People and Dementia Programme
3
5 April, 2016
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The Priorities for implementation

• 17 Objectives, of which 7 are priorities
• Good-quality early diagnosis and intervention for
  all
• Improved community personal support services
• Implementing the Carers Strategy
• Improved quality of care for people with dementia
  in general hospitals
• Living well with dementia in care homes
• An informed and effective workforce for people
  with dementia and
• A joint commissioning strategy for dementia.

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Joining up at policy level

• Policy level were joining up our work
• Putting People First at the heart of all our work
• Linking the National Dementia Strategy with
• Carers Strategy linking demonstration sites and
  evaluations
• End of Life Care Strategy joint activities
  across programmes
• Prevention Package dementia and intermediate
  care
• Developing commissioning across health and care

6
DH implementation process

• DH Dementia programme Board
• Oversee implementation over next 5 years
• Implementation Reference Group
• Key stakeholders. Meet twice year. First meeting
  22 July. Next meeting Nov 25 09
• NDS Implementation Group
• Clinical and nurse advisor, policy and
  implementation leads
• National - driving programmes for each of the 17
  themes
• Regional development and implementation support
• Regional Implementation Programme
• DH Implementation teams developed in each region
• Partnerships with Joint Improvement Partnerships,
  SHA, Alzheimers Society,
• Funding
• 150 million over 2 years 60 2009/10 and 90
  2010/11
• PCT baseline budgets

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Implementing the strategy 2009-14
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IMPLEMENTATION ACTIVITY

• Two year programme of implementation support
  (within this Comprehensive Spending Review)
• Designated national lead for each Objective
• Work with national bodies and/or across regions
• Project plans for each Objective to be published
• Regional implementation programmes
• Regional partnerships with SHA, Joint Improvement
  Partnerships, Alzheimers Society, ADASS etc
• Agree regional priorities
• Support to localities

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Government levers

• Departmental Strategic Objectives
• The NHS Operating Framework
• The World Class Commissioning
• The QOF, PbR
• Care Quality Commission
• National indicators for NHS and social care

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Early progress some examples

• Joint Commissioning Framework published June 09
• Major national research summit in July 09,
  Cause, Care and Cure
• Dementia portal and web based information for
  public and professionals
• Champions providing leadership in their sectors
• Clinical leadership Prof Sube Banerjee
• NHS leadership Sir Ian Carruthers
• Care Home leadership Martin Green
• Public awareness media campaign, Spring 2010
• Demonstrator Sites for Peer Support and Dementia
  Advisor
• Workforce
• engaged key national organisations
• Commissioned mapping of training and education
  what exists, whats needed and what are the gaps

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Key events in coming months

• Publication of National Audit Office report
  late November
• Publication of report on prescribing of
  anti-psychotic drugs to people with dementia
• Dementia Congress 3-5 November
• Memory Services Conference 17 November
• Implementation Reference Group 25 November
• Public Accounts Committee hearing 2 December
• NDS launch anniversary event early February
  2010

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Conclusion

• Strategy widely welcomed
• Good progress on implementation
• High profile in terms media and other interest
• Priority indicated from the centre
• All party support
• National and regional support in place