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Dementia Demonstrator Sites - Transforming dementia services across health and social care

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Ruth Glassborow, National Lead, Mental Health, QuEST. Presentation given at Alzheimer Scotland Conference: Creativity and dementia – policy and practice. June 2012, Glasgow.

Ruth Glassborow, National Lead, Mental Health, QuEST. Presentation given at Alzheimer Scotland Conference: Creativity and dementia – policy and practice. June 2012, Glasgow.

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  • 1. Dementia Demonstrator Sites Transforming dementia services across health and social care Ruth Glassborow, National Lead, Mental Health, QuEST QuESTMental Health Division Quality and Efficiency Support Team
  • 2. Our overall aim is to demonstrate Better Outcomes for More People for Same or Less Resource
  • 3. How will we achieve this aim? QuickTime™ and a decompressor are needed to see this picture. The Road to Transformation Gareth Morgan
  • 4. Why we think this will work• Because we use more resource by doing the wrong things or doing the right things too late• We use resources un-necessarily by providing interventions people don’t want or need
  • 5. Who are the sites?Perth and Kinross CHPNorth Lanarkshire CHP Midlothian CHP
  • 6. How are they going about making the changes? Process mapping, feedback from Understand how well current people with dementia and carers, system/processes work focus groups, SWOT analysis, comparative data etc eg Integrated Dementia Service; Integrated Day Services; Family Group Conferencing; Design a Better System Comprehensive Case planning; post diagnostic support teams etc Mix of small scale tests of change and Test/Implement the Change larger scale pilots Set of measures to evaluate impact Evaluate the Change Integrated Resource Framework to look at financial changes
  • 7. What are they doing?
  • 8. Perth and Kinross CHP Example of Work• Closed Strathmore Dementia Unit (12 beds) – all resources moved to the community• Testing a range of services including: – Open Access Memory Clinics – Improved post diagnostic support – Care Home Liaison Service – Intensive community support in a crisis – Comprehensive case planning – Hospital inpatient liaison and transitional care
  • 9. North Lanarkshire CHP Example of Work• Motherwell - Dementia Capable Community• Dementia Café• Post diagnostic support• Making Life Easier (Assistive Technology)• Integrated Day Service• Reminiscence Activity – Motherwell FC/Alzheimer Scotland – Ravenscraig Steelworks site• Housing Staff Skills Development
  • 10. https://www.makinglifeeasier.org.uk/smartassist/northlanarkshire
  • 11. Midlothian CHP Example of Work• User and Carer Narrative work• Family Group Conferencing -12 month pilot from Mar 12 with 10-15 individuals• Single health and social care multidisciplinary co-located dementia team which forms one stop service from diagnosis to end of life• Post diagnostic support team – LAC/AS/SW• Comprehensive skills audit and training programme
  • 12. Key learning to date…• Housing• Interagency working – including third sector• Value of data – qualitative and quantitative• Cross site peer support• Some dedicated time to lead the work pays back ten-fold• Integrated Resource Framework• Closer working nationally• Integration with wider redesign work
  • 13. We are also sharing the learning…2. Between the sites3. To inform national policy4. Between national programmes5. To other services across Scotland • Launching web-ex sessions – 13th & 27th July 11am • Alzheimer Scotland Newsletter • Community of Practice -http://www.knowledge.scot.nhs.uk/dementia/communities- of-practice/dementia-demonstrator-sites.aspx
  • 14. In summary Dementia Demonstrators are demonstrating better-more-less by redesigning pathways across whole system and sharing outcomes and learning widely
  • 15. Thank you for listening QuESTMental Health Division Quality and Efficiency Support Team

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