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Dementia Care in London
Working Together forBetter Mental Health
29 February 2012
Gordon King
Scale of the challenge• Nearly one in every hundred Londoners has dementia
• 64,600 people in London with dementia including over 1,500 with young onset
• Increase expected by nearly 16% across London to 75,000 by 2021. Wide borough variation
• Up to 65,000 people with substantial or critical care needs in 10 years
• SUS data shows 93% of acute admissions for dementia are unplanned
• Nearly 4000 people with a diagnosis admitted to acute beds 3 times or more
• 41% of people with dementia are on GP dementia registers
How do Health and Social care systems respond to increasing demand in the current climate?
• What new thinking or progress is being made across London?
• National Dementia Strategy (DH, 2009); Dementia Services Guide (CSL/LHP, 2009); Dementia Commissioning Pack (DH, 2011); London Dementia Needs Assessment (NHSL, 2011)
• NHS London clinically led project to improve dementia care and prescribing (established March 2011). Highlights include
• High impact taskforce to reduce antipsychotic training
• GP skills and awareness programme
• Early diagnosis
• Acute trust training
How do Health and Social care systems respond to increasing demand in the current climate?
• Mental health liaison model for dementia project (NCL cluster with LHP support)• QIPP project to reduce dementia related acute trust
admissions & readmissions, shorten stays & reduce variation through a MH liaison model
• Readiness to grasp problems of fragmented systems with fractures & variation within commissioning, service provision & improvement/redesign
• Model developed now part of cluster contract negotiations for 2012/13
• LHP will produce report with lessons for London - significant potential savings modelled for the health & social care economy in the capital through “whole system” commissioning
How do Health and Social care systems respond to increasing demand in the current climate?
• Joint Improvement Partnership / London Councils• Social care and dementia• How do we begin to robustly commission a new model for
residential care?• Integrated pathways require integrated commissioning• How do we get whole system approach to dementia in
London which has both health and social care drivers & levers working together?
• London-wide opportunities
• Identify up to 3 pieces of work likely to make the most significant impact on the commissioning or provision of dementia services in London over the next year & rank them in priority order (10-12 mins)
• Taking the top priority, what would be the major challenges in delivering this piece of work? (8-10 mins)
• What are the key levers in the system, who needs to be involved or engaged to ensure success & how will that success be measured? (8-10 mins)
• Feedback briefly to whole group (2 mins maximum each group)
Small group work sessions