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How the Dementia Demonstrator Sites in Scotland are working to achieve better dementia care

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Ruth Glassborow, National Programme Manager, Mental Health Collaborative, Scottish Government. …

Ruth Glassborow, National Programme Manager, Mental Health Collaborative, Scottish Government.

Presentation from Alzheimer Scotland conference 2011 - Creating Better Dementia Care.

Published in: Health & Medicine

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  • 1. How the Dementia Demonstrator Sites in Scotland are working to achieve better dementia care
  • 2. Context
  • 3. Dementia Strategy Five Key Challenges
    • Diagnosis
    • Post diagnostic information and support
    • General healthcare and dementia
    • Treating people with dignity and respect
    • Support for carers
  • 4. Underpinning Challenge Better – More - Less
    • Better Outcomes
    • for
    • More People
    • for
    • Same or Less Resource
  • 5.
    • We use more resource by doing things wrong or too late ( Failure Demand )
    • We use resources un-necessarily by providing interventions people don’t want or need ( Created Demand )
    Redesigning dementia care, our underpinning hypothesis is…
  • 6.
    • Designing services that meet peoples needs
    • or
    • Person Centred Care
    The solution to addressing this is…..
  • 7. The Road to Transformation? Source: Gareth Morgan
  • 8. Who is doing it?
  • 9. Our commitment was for… One whole system dementia pathway redesign project
  • 10. Picking the Dementia Demonstrator Sites Perth and Kinross CHP North Lanarkshire CHP Midlothian CHP
  • 11. Support for Change J oint I mprovement T eam 75k Q uality and E fficiency S upport T eam H ealthcare I mprovement S cotland I mprovement S ervice A lzheimer S cotland
  • 12. What are they doing?
  • 13.
    • NHS, Local Authority and Voluntary Sector
    • Redesigning with focus on intervening earlier
    • Testing use of talking points with dementia
    • Evaluating financial and non-financial outcomes
    All three sites
  • 14.
    • Understand current health and social care system
    • (map pathways, use data, SWOT existing services, user & carer narratives )
    • identify opportunities for redesign/improvement
    • Implement changes
    Midlothian
  • 15.
    • Mapping Pathways
    • identify opportunities for redesign/improvement
    • Implement changes
    Lanarkshire
  • 16.
    • Closed a 12 bed dementia assessment unit - all resources moved into community
    • Set up multidisciplinary community team operating 7 days a week and testing a range of service developments through this
    Perth and Kinross
  • 17. How will we share learning?
  • 18.
    • Each change initiative – case study which includes economic analysis
    • Evaluation of national programme support
    • National learning event – 29 th Sept
    • Developing other mechanisms
    Sharing the learning
  • 19.
    • For each change initiative:
    • Qualitative Template
    • (why, what did, outcomes, what learnt, key contextual factors)
    • +
    • C ost C onsequence A nalysis Template
    Economic Case for Change Testing the Cost Consequence Analysis
  • 20. Economic Case for Change Cost Consequence Analysis Cost of service after change Cost of service prior to change Recurrent savings or costs of change - = Collect data on relevant changes to outcomes of care and changes to the experience of those receiving care Collect information on the non-recurrent costs of making the change CONSEQUENCES COST
  • 21. Summary
  • 22.
    • demonstrating
    • more-better-less
    • by
    • redesigning pathways
    • across whole system
    • and
    • sharing
    • outcomes and learning widely
    In summary Dementia Demonstrators are
  • 23. Thank you for listening