13 August 2014

Dementia Services and BSC CCG Presented by Dr Andrew CowardChair, BSC CCG

The facts

Between now and 2030 the number of people with dementia in the UK will double to 1.1 million

This will have a profound effect on health and social care, as well as carers, Government and business

The Secretary of State has said, “Dementia is one of the biggest challenges we face. Our ambition is to become one of the best countries in the world for dementia care”.

Prevention and health promotion are vital

A five year delay in the onset of dementia can result in a 49% reduction in projected dementia prevalence, and reduce deaths by 30%

Early targeted support can result in a 23% reduction in the need for institutional care

So, both healthy lifestyles and early diagnosis are pivotal

BSC Governing Body and Network Areas

A Community CCG

Our PPLEA:

Prevention Partnership Localism Education Access and Quality of Primary

Care

A patient’s storyAn 83 yr-old was diagnosed with dementia two years ago and referred to Moseley Hall Hospital. There he saw two doctors, a health visitor and had sessions with a clinical psychiatrist.  On his third visit he was discharged and told to go to his GP for re-referral when his condition worsened.  Despite early diagnosis being a key to success, there are more services available for those with a more advanced condition. There is insufficient community support for those with an early diagnosis.  The patient’s GP carries out regular blood tests and sees the patient on request but can do little else. The patient currently attends sessions run by the Alzheimer’s Society, funded by the council.  The patient’s wife felt that early diagnosis is pointless if support is not there. The patient’s condition has deteriorated and he has been referred to a consultant, Social Services and the Admiral Nurses. There are only two Admiral Nurses for the whole of Birmingham.

What have we done?1. Worked in engaged networks

2. Shared data: Big variance One practice at 15%

3. Focused on long-term conditions and local improvement schemes

Our operational plan

Moving forward 1. Commissioning of NHS Health Checks and GP Dementia Direct

Enhanced Services2. Training for GPs, primary care professionals and nursing home

staff on recognition and identification of dementia3. Dementia CQUIN in place across acute trusts 4. Acute psychiatric liaison service5. Letter recently sent out to every GP in the city6. Targeted patients in care homes to ensure they are on their

practice’s dementia register

Moving forward 7. Targeted practices with low diagnosis rates8. Funding of dementia/memory cafes and dementia support

workers9. Intermediate and other bedded step-up and step-down care10. Discharge to assess schemes for people with dementia11. Development of dementia-friendly hospital environments

Net effect: a reduction in inequalities of access for people withdementia and a positive assurance of the impact of diagnosis

“Years ago I recognised my kinship with all living things, and I made up my mind that I was not one bit better than the meanest on the earth. I said then and I say now, that while there is a lower class, I am in it; while there is a criminal element, I am of it; while there is a soul in prison, I am not free.”

Eugene V Debs

Questions

Thank you