DementiaAlistair Burns

Diagnosis of dementia

• On average, in England, 48% of people with dementia receive a diagnosis

• There is significant

variation across the country • NHS England have a

national ambition that two thirds of people with dementia receive a diagnosis and post diagnostic support Dementia: state of the nation report

https://www.gov.uk/government/publications/demen

tia-care-and-support

Effective support for carers

• The quality of post diagnostic is key eg life story work

• Evaluation of dementia advisers published in 2013

• “The Dementia Guide” - over 100,000 copies distributed

Generic offers: CCG report, GP booklet, Prevalence (coding, calculator, update)

Improve reporting

Improve identification

Improve recording

Bridging the gap

Generic offers: CCG report, GP booklet, Prevalence (coding, calculator, update)

Improve reporting

Dementia Friends

Awareness Campaign

Commissioning for Quality and Innovation (CQUIN)

Directed Enhanced Service (DES)

Dementia Friendly Hospitals

Generic offers: CCG report, GP booklet, Prevalence (coding, calculator, update)

Improve identification

CCG Engagement visits, WebExs

Offer of Support SCNs, Area Teams: AHSNs;

CQUIN, DES

Case Studies: best practice, economics

Dementia Advisors

Dementia Portal

Generic offers: CCG report, GP booklet, Prevalence (coding, calculator, update)

Improve recording

Nice Guidance Clarification re: scans

Coding Guidance

Cognitive Tool Kit

Intelligence Network: data

Intelligence from CCGs CSUs, SCNs

Generic offers: CCG report, GP booklet, Prevalence (coding, calculator, update)

Bridging the gap

DES, CQUIN refresh

RCGP Roadmap

Memory Clinic waiting times

Prevalence Update

Engagement with Royal Colleges & BMA

Care Homes

Generic offers: CCG report, GP booklet, Prevalence (coding, calculator, update)

Improve reporting

Improve identification

Improve recording

Bridging the gap

Dementia Friends

Awareness Campaign

Commissioning for Quality and Innovation (CQUIN)

Directed Enhanced Service (DES)

Dementia Friendly Hospitals

CCG Engagement visits, WebExs

Offer of Support SCNs, Area Teams: AHSNs;

CQUIN, DES

Case Studies: best practice, economics

Dementia Advisors

Dementia Portal

Nice Guidance Clarification re: scans

Coding Guidance

Cognitive Tool Kit

Intelligence Network: data

Intelligence from CCGs CSUs, SCNs

DES, CQUIN refresh

RCGP Roadmap

Memory Clinic waiting times

Prevalence Update

Engagement with Royal Colleges & BMA

Care Homes

Assurance Process

Five thoughts/questions

• Awareness of dementia is at its highest – great innovative practice abounds

• We need to challenge primary/secondary care barriers

• Is dementia is the new diabetes? Is MCI the new renal impairment?

• Can dementia be “diagnosed” in primary care ?• We need to link diagnosis and post diagnostic support

Dementia

Dementia

Generic offers: CCG report, GP booklet, Prevalence (coding, calculator, update)

Improve reporting

Improve identification

Improve recording

Bridging the gap

Dementia Friends

Awareness Campaign

Commissioning for Quality and Innovation (CQUIN)

Directed Enhanced Service (DES)

Dementia Friendly Hospitals

CCG Engagement visits, WebExs

Offer of Support SCNs, Area Teams: AHSNs;

CQUIN, DES

Case Studies: best practice, economics

Dementia Advisors

Dementia Portal

Nice Guidance Clarification re: scans

Coding Guidance

Cognitive Tool Kit

Intelligence Network: data

Intelligence from CCGs CSUs, SCNs

DES, CQUIN refresh

RCGP Roadmap

Memory Clinic waiting times

Prevalence Update

Engagement with Royal Colleges & BMA

Care Homes

Assurance Process