How the Dementia Demonstrator Sites in Scotland are working to achieve better dementia care
Context
Dementia Strategy Five Key Challenges <ul><li>Diagnosis </li></ul><ul><li>Post diagnostic information and support </li></u...
Underpinning Challenge Better – More - Less <ul><li>Better  Outcomes </li></ul><ul><li>for </li></ul><ul><li>More  People ...
<ul><li>We use more resource by doing things wrong or too late  ( Failure Demand ) </li></ul><ul><li>We use resources un-n...
<ul><li>Designing services that meet peoples needs  </li></ul><ul><li>or </li></ul><ul><li>Person Centred Care </li></ul>T...
The Road to Transformation? Source: Gareth Morgan
Who is doing it?
Our commitment was for… One whole system dementia pathway redesign project
Picking the Dementia Demonstrator Sites Perth and Kinross CHP North Lanarkshire CHP Midlothian CHP
Support for Change J oint  I mprovement  T eam 75k Q uality   and  E fficiency  S upport  T eam H ealthcare  I mprovement ...
What are they doing?
<ul><li>NHS, Local Authority and Voluntary Sector  </li></ul><ul><li>Redesigning with focus on intervening earlier </li></...
<ul><li>Understand current health and social care system </li></ul><ul><li>(map pathways, use data, SWOT existing services...
<ul><li>Mapping Pathways </li></ul><ul><li>identify opportunities for redesign/improvement </li></ul><ul><li>Implement cha...
<ul><li>Closed a 12 bed dementia assessment unit - all resources moved into community </li></ul><ul><li>Set up multidiscip...
How will we share learning?
<ul><li>Each change initiative – case study which includes economic analysis </li></ul><ul><li>Evaluation of national prog...
<ul><li>For each change initiative: </li></ul><ul><li>Qualitative Template  </li></ul><ul><li>(why, what did, outcomes, wh...
Economic Case for Change Cost Consequence Analysis Cost of service  after change Cost of service  prior to change Recurren...
Summary
<ul><li>demonstrating  </li></ul><ul><li>more-better-less </li></ul><ul><li>by </li></ul><ul><li>redesigning   pathways  <...
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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.

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

Published in: Health & Medicine
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How the Dementia Demonstrator Sites in Scotland are working to achieve better dementia care

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

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