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National Dementia Strategy‘We are in it together’
East MidlandsAnnette Lumb and Jillian Guild
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Building the Regional Support Team
Improvement Programme for the East Midlands
Annette Lumb Jill GuildSocial Care Programme Lead NHS Programme LeadEM Department of Health EM Strategic Health Authority
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Improvement Programme for the East Midlands
Our goal for the East Midlands
2009-2014
Improve awareness of dementia Diagnosis is made early to allow
for intervention Deliver high quality care and
support for those with dementia and their carers
2009-2010
Implement regional collaborative programme across 5 sub-localities
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Improvement Programme for the East Midlands
What have we been doing since the launch in February 2009?
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Improvement Programme for the East Midlands
Next Stage ReviewMental Health Reference Group
East Midlands Joint ImprovementPartnership (JIP) Executive
Board Chair: Mick Connell, Leicestershire County Council
East Midlands JIP and EarlyIntervention Programme Board
Board Chair: David Pearson,Nottinghamshire County Council
Regional Dementia StrategyDelivery Group
Board Chair: Ian Howarth, Regional ManagerAlzheimer's Society
Service Users, Families & Carers
Local CollaborativeSite
Derbyshire
Local CollaborativeSite
Leicestershire
Local CollaborativeSite
Lincolnshire
Local CollaborativeSite
Nottinghamshire
Local CollaborativeSite
Northamptonshire
“We are in it together”
East Midlands Joint ImprovementPartnership (JIP) Executive
Board Chair: Mick Connell, Leicestershire County Council
East Midlands JIP and EarlyIntervention Programme Board
Board Chair: David Pearson,Nottinghamshire County Council
Regional Dementia StrategyDelivery Group
Board Chair: Ian Howarth, Regional ManagerAlzheimer's Society
Service Users, Families & Carers
Local CollaborativeSite
Derbyshire
Local CollaborativeSite
Leicestershire
Local CollaborativeSite
Lincolnshire
Local CollaborativeSite
Nottinghamshire
Local CollaborativeSite
Northamptonshire
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Improvement Programme for the East Midlands
Regional Dementia Delivery Group:
We need a new one ! = Sponsor
Ian Howarth Alzheimer's Society = Chair
Different stakeholders such as people living with dementia and their families and carers, commissioners from health and social care, providers from public, independent and
third sector and clinicians
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People and their carers living with dementia
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Improvement Programme for the East Midlands Collaborative Programme
Diagnostic:
Data information packs Diagnostic Screening Tool Semi-Structured and Discovery
Interviews
Regional Workshops to create:
A care pathway A joint commissioning strategy
Regional Vision event:• Inspired local people to act
developed a shared vision• Designed what services could
look like• Shared stories about living well
with dementia
Master Classes to support:
Develop joint commissioning strategy
Develop costed plans Develop business cases System Dynamic Modelling
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Draft Commissioning
Strategy
BusinessCases
Implementationof Service
ImprovementPriorities
Agreed Commissioning
Strategy
CostedPlan
PurchasingPlan
Diagnostic Screening Tool
Semi Structured & Discovery Interviews
Data Collection Packs
MasterClass
MasterClass
MasterClass
PHASE 2 WORKSHOPS
Data, Research and Analysis Group
PHASE 1 PHASE 2 PHASE 3 PHASE 4 PHASE 5
East MidlandsDementia Strategy:Programme Overview 2009 /10
Workshops1. Diagnostic 2. Analysis3. Develop New Pathway4. Refine New Pathway5. Implementation
Regional Regional Sub - Locality Level
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National Audit Office GP Survey
Results January 2010
Aim of the survey was to:
• Get GP’s views on the National Dementia Strategy (NDS)
• What extent GP’s involvement in the NDS• GP’s attitudes towards dementia• GP’s knowledge of dementia
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Results
• 1001 GP’s responded to the survey
• At least 5% from each of the 10 English SHA’s
• Majority of the GPs that responded qualified after 1990
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Results cont.
Positive shift in attitude
• 80% agreeing that it is important to actively look for early signs of dementia
• Slight improvement in GP’s attitudes towards dementia management from 2006-2009
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Results cont.
• 71% they were confident in diagnosing• 58% confident about giving advice• 73% GPs felt lack of time was why they could
not do enough for people with dementia• 69% GPs felt that they was a lack of social care
support services to their practices• GPs had most difficulty with coordinating support
services for carers and people with dementia
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Results cont.
• 57% GPs still unaware of local care pathways
• 90% have a QoF register for dementia patients
• 80% of those registers prompt to review the patient regularly
• Reviews – 54% are a general health check
• Only 12% are on assessment of need
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Results cont.
• 38% did not know about the strategy• 88% are not familiar with the strategy • 1.5% were involved in National Dementia
Strategy consultation• 13% GPs had personally implemented change• 87% had done nothing • 18% of GPs reported that their discussions
about the strategy had taken place with practice colleagues and staff
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Results cont.
Finally!
GP’s knowledge quiz to test their knowledge on dementia and related issues was:
• 2004 = 49%
• 2009 = 49%
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Improvement Programme for the East Midlands
Desired Outcomes:
• Better Use of Resources• Effective Leadership• Improved health and well-being of individuals• Improved quality of Life of services users, their families and carers• Freedom from discrimination • Individuals maintain their dignity and respect• Individuals have increased choice and control
Contact details: [email protected]; [email protected]