National Dementia Strategy ‘We are in it together’ East Midlands Annette Lumb and Jillian Guild

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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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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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What have we been doing since the launch in February 2009?

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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


Leicestershire


Lincolnshire


Nottinghamshire


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


Derbyshire


Leicestershire


Lincolnshire


Nottinghamshire


Northamptonshire

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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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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]

mailto:[email protected]

National Dementia Strategy ‘We are in it together’ East Midlands Annette Lumb and Jillian Guild

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Transcript of National Dementia Strategy ‘We are in it together’ East Midlands Annette Lumb and Jillian Guild