nhs 5yfv vanguards- george mcnamara presentation
TRANSCRIPT
Working with Vanguard Sites: A Voluntary Sector Perspective
George McNamaraAlzheimer’s Society
@george_mcnamara
• Dementia still remains a national and international challenge.
• Improvements made in some areas, but not yet the transformational change that people with dementia deserve.
• Overall a mixed picture of progress.
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.
Scale of the changeVanguard sites City Devolution deals
New opportunities to raise ambitions?
• Delivering the Prime Minister’s challenge on dementia 2020 – focus on system and societal change
• Better Care Fund• The NHS Five Year Forward View and Vanguards – driving
integration and person- centred care• Greater Manchester Devolution
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Working with the Sutton VanguardEnhanced Health in Care Homes
Enhancing health in care homesChallenge on Dementia 2020
People with dementia ‘I statements’
‘I was given information
about reducing my personal risk of getting
dementia’
‘I was diagnosed in a timely way’
‘I am able to make decisions and know what
to do to help myself and who else can help’
‘I am treated with dignity and
respect’ ‘I get treatment
and support, which are best
for my dementia and
my life’
‘Those around me are
supported’ ‘I feel included
as part of society’
‘I am confident my
end life wishes will
be respected’
‘I can expect a good death’
NHSE ‘The well
pathway for dementia’1
PREVENTING WELL
Risk of people developing dementia is minimised
DIAGNOSING WELL Timely
diagnosis, integrated care
plan, and review within the first
year
SUPPORTING WELL
Access to safe high quality health and
social care for people with
dementia and carers
LIVING WELL People with
dementia can live normally in safe and accepting
communities
DYING WELL
People living with
dementia die with dignity in the place
of their choosing
CQC Key lines of enquiry
Safe Effective Caring Responsive Well-led
‘A good life with
dementia’2
A GOOD DIAGNOSIS
for those showing
symptoms of dementia after admission to
residential care
SKILLED WORKFORCE appropriately
trained in dementia care and support
LIVING WELL in the home maintaining
activities and interest in life and hobbies
and integrated health and social care
SUPPORTING CARERS and loved ones to
provide advice, information and
maintaining positive
relationships
PART OF THE
COMMUNITY ensuring the
place of home is also an
integral part of the community
Alzheimer’s Society
support to care homes
Dementia Resource pack Includes information relating to risk, diagnosis, This is me, communicating and
supporting people with dementia, person-centred care, community links and end of life Linked Key-worker (cluster led Dementia Support Worker)
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 and Oomph!
Local outcomes
People’s physical, psychological and social needs met
People are supported to remain
independent
Social connectedness for
care home residents
Improved medicines
management in care homes
1 Key points of dementia support (currently in draft) 2 Findings of research by Deborah Sturdy and George McNamara on a good life in residential care for people with dementia, 2015
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Other examples
North East Urgent Care
NetworkTower Hamlets
Integrated Provider
Partnership
Greater Manchester Devolution and Dementia
Let’s Keep Building…5 Year Plan
Overcoming Barriers
• Developing a shared language• Consistent understanding on role of the
voluntary sector• Addressing variable levels of engagement• How and when to involve the voluntary sector• National v local learnings
What are the outcomes?• Person-centred care• Improved outcomes• Efficient allocation of resources• Better value for money• Future-proofing services
“If it works for dementia, it works for integration”
Thank you
George McNamara, Alzheimer’s Societywww.alzheimers.org.uk
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alzheimers.org.uk