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.

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

  1. 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. 2. Our overall aim is to demonstrate Better Outcomes for More People for Same or Less Resource
  3. 3. How will we achieve this aim? QuickTime™ and a decompressor are needed to see this picture. The Road to Transformation Gareth Morgan
  4. 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. 5. Who are the sites?Perth and Kinross CHPNorth Lanarkshire CHP Midlothian CHP
  6. 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. 7. What are they doing?
  8. 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. 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
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  11. 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. 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. 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 - of-practice/dementia-demonstrator-sites.aspx
  14. 14. In summary Dementia Demonstrators are demonstrating better-more-less by redesigning pathways across whole system and sharing outcomes and learning widely
  15. 15. Thank you for listening QuESTMental Health Division Quality and Efficiency Support Team