Dementia Alistair Burns
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Transcript of Dementia Alistair Burns
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