Quality improvement in dementia care: from practice to research to policy to practice Sube Banerjee...
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![Page 1: Quality improvement in dementia care: from practice to research to policy to practice Sube Banerjee Professor of Mental Heath and Ageing, The Institute.](https://reader036.fdocuments.net/reader036/viewer/2022062619/55160f8955034694308b526b/html5/thumbnails/1.jpg)
Quality improvement in dementia care: from practice to research to policy to practice
Sube Banerjee
Professor of Mental Heath and Ageing, The Institute of Psychiatry, King’s College London
![Page 2: Quality improvement in dementia care: from practice to research to policy to practice Sube Banerjee Professor of Mental Heath and Ageing, The Institute.](https://reader036.fdocuments.net/reader036/viewer/2022062619/55160f8955034694308b526b/html5/thumbnails/2.jpg)
Services for early diagnosis and intervention in dementia for all – research based markers of quality
• Working for the whole population of people with dementia– ie has the capacity to see all new
cases of dementia in their population
• Working in a way that is complementary to existing services– About doing work that is not
being done by anybody
• Service content– Make diagnosis well– Break diagnosis well– Provide immediate support and
care immediately from diagnosis
Smith et al 2006, Psych MedBanerjee et al 2007, IJGP
ESTIMATED COSTS AND SAVINGS: 20% VARIANT
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Costs to health & social care Public sector savings Societal savings
…a quarter of this increase in quality of life and 10% diversion of people with dementia from residential care, to be cost-effective.
The net increase in public expenditure would justified by the expected benefits. Banerjee and Wittenberg (2009) IJGP
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Procurement templates and guidance
1. Early diagnosis 2. Care at home / care home
3. Care in hospital 4. Antipsychotic medication
Commissioning Framework & Assessment Tool
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Procurement templates and guidance
1. Early diagnosis 2. Care at home / care home
3. Care in hospital 4. Antipsychotic medication
Commissioning Framework & Assessment Tool
![Page 3: Quality improvement in dementia care: from practice to research to policy to practice Sube Banerjee Professor of Mental Heath and Ageing, The Institute.](https://reader036.fdocuments.net/reader036/viewer/2022062619/55160f8955034694308b526b/html5/thumbnails/3.jpg)
Ministerial review of use of antipsychotics in dementia – simple actionable messages from research
• Published November 2009
• Estimates for the report– 25% people with
dementia receiving an antipsychotic
– 180,000 people with dementia receiving an antipsychotic
• For UK– 1,800 deaths per year– 1,620 severe CVAEs per
year
![Page 4: Quality improvement in dementia care: from practice to research to policy to practice Sube Banerjee Professor of Mental Heath and Ageing, The Institute.](https://reader036.fdocuments.net/reader036/viewer/2022062619/55160f8955034694308b526b/html5/thumbnails/4.jpg)
CSDD scores by treatment group, unadjusted means with 95% CI (a lower CSDD score means less depressive symptoms)
Capturing the everyday miracle everyday miracle of the work done by staff in mental health teams
1.supportive and problem-solving interventions, 2.delivered by a CPN, often in their own household 3.focussed on problems of the patient and the carer4.covering dementia as well depression
![Page 5: Quality improvement in dementia care: from practice to research to policy to practice Sube Banerjee Professor of Mental Heath and Ageing, The Institute.](https://reader036.fdocuments.net/reader036/viewer/2022062619/55160f8955034694308b526b/html5/thumbnails/5.jpg)
Thank you!