Delivering integrated care for people with dementia

April 12th, 2016 @george_mcnamara

@george_mcnamara

Dementia-friendly health and care settings?

Hospitals • 3.2 million hospital bed days. • Over 40% of beds occupied by people

with dementia. • Excessive hospital stays. • High level of readmission.

Care homes • 70% of residents have dementia. • GP and acute care relationship. • Dementia friendly environment. • Community engagement.

Home care • Limited access to home care. • Services stretched or reduced. • High turnover of staff.

Dementia can be the success criteria for integrated health and social care.

@george_mcnamara

Iris’ story: a fatal fall (Kent) Iris fell whilst in hospital causing significant harm. The fall directly contributed

to a quick deterioration of her dementia.

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David’s Story: when care is not personalised (Manchester) David’s story is one of inadequate staff training at hospital and how staff

struggles with challenging behaviour, poor quality care.

@george_mcnamara

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alzheimers.org.uk

Key findings

From the FOI

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External Change • The government will integrate health and social care services by 2020. • Each part of the country will develop plans for this by 2017, to be implemented by

2020. • Local areas will integrate in different ways using a range of models which the

government supports.

• 44 Sustainable Transformation Plans • NHSE Vanguards, Better Care Fund • City devolution deals: Greater Manchester, Cornwall, North East.

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Scale of the change Vanguard sites City Devolution deals

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What is the gold standard for integrated dementia care?

Alzheimer’s Society service offer to

vanguard sites

Information and Advice Includes information relating to risk, diagnosis, This is me, communicating and

supporting people with dementia, person-centred care, community links and end of life

Key-worker (DA/DSW) can provide support across the whole pathway to care home provider, person with

dementia and family

Workforce training and development Enabling the workforce to support improved dementia outcomes across the whole

pathway

Community Engagement Improved well-being through Dementia Friendly Communities, Dementia Friends.

• Over 70% of people with dementia have co-morbidities • What works for dementia, works for frail elderly

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New models of care vanguards: Airedale and Partners

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GM-Devo: Dementia United www.dementiaunited.net

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Let’s Keep Building… 5 Year Plan

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Thank you

@george_mcnamara