Dementia A GPs view on commissioning
9
Providers Network meeting Dr Martin Freeman Dr Nick Cartmell
-
Upload
reese-roberson -
Category
Documents
-
view
24 -
download
0
description
Dementia A GPs view on commissioning. Providers Network meeting Dr Martin Freeman Dr Nick Cartmell. The challenges on-going. Resource limitation More for less Conflicting demands Strategy documents ( a threat or an opportunity?). The challenges - new world. - PowerPoint PPT Presentation
Transcript of Dementia A GPs view on commissioning
Providers Network meetingDr Martin Freeman
Dr Nick Cartmell
Resource limitation More for less Conflicting demands Strategy documents ( a threat or an
opportunity?)
Out with the old / In with the new Consortia Increased GP / clinical involvement Health and well being boards Commissioning board What else?
Demographic shift – issues of capacity Early diagnosis – increased prevalence Living well with dementia – issues of long
term support Management of problems Medicines management – anti dementia &
antipsychotic drugs.
A long term condition Much of LTC management is core work for
primary care What bits can primary care do?
- GP core contract ?- or other professional with special interest ?
What should be commissioned from providers?
Do we have agreed standards?
A pathway – who develops and owns? Partnership v Commissioner/Provider split Provider – responsive or proactive?
What is the USP of a provider service?
Early ? Which patients ? Exclusion of physical cause – role of scans? Diagnosis includes subtype – how
important? Shared definition of MCI and actions? Giving the diagnosis ? Care planning? The person - the carer ? Education
Long term support / navigation Assessment and management of symptoms Medicines management Planning
What is your USP?◦ Memory assessment◦ Longer term support
What needs to be in place? - agreed standards? /commissioning pack? - what else What behaviours need to change?
