Hopefully many of you will be very familiar with this slide which highlights that the aim of the Dementia Demonstrators is to demonstrate in practice that it is possible to deliver better outcomes for people with dementia, for more people with the same or less resource
So how are we going to do this? Well the approach of the dementia demonstrators is to look at redesigning services across health and social care. So its not about doing what we currently do more efficiently – instead it is about finding new ways of delivering services, developing new pathways of care with the needs of the person and their families very much at the centre of that redesign process.
So why do we think a redesign of care across health and social care will deliver the better – more – less aim. a) Poor quality care or not providing support earlier enough is both distressing for the individual and also costs more money in the longer term – as you end up having to do it again or you end up with people deteriorating quicker and needing much more intensive input. b) Our second hypothesis is that sometimes we do things to people that they don’t want or don’t need Feed in something from the Midlothian Narrative Research here – as integration PID says that research confirmed this finding We know that these are the big issues being faced across Scotland, and as part of the strategy implementation, we wanted to demonstrate that it is possible in real life to address them.
These are our three sites – they are all health and social care partnerships – as we believe that vital for meeting our aims is redesigning care across traditional boundaries – and that includes, when appropriate, moving resources around across traditional health and social care boundaries. As part of this work, we’ve also come to realise the importance of involving the housing sector as well as key partners.
So that’s the theory – but what are they actually doing you ask? Well every site is testing different changes – but the one thing they have in common is that they are all doing things across the whole pathway. This diagram summarises that meet the overall aim of better outcomes for more people with same or less resource they are all doing something around each of these seven key areas Earlier diagnosis Post diagnostic support Improving support to stay in own home Acute Hospitals Care Homes Skills of Staff Individuals with dementia and carers as partners If you are like me though – that’s still not concrete enough and you’ll be sitting there thinking – come on Ruth – give us the details – what exactly are they doing. Well I haven’t got time today to tell you everything they are doing – it is loads – but I’m going to briefly highlight some of the key change initiatives they are involved in
Parallel Session 4.7 Understanding Potential and Evaluating Actual Impacts of Change
Crossing boundariesto improve outcomes
Today• Brief overview of work (10 mins)• Opportunity to then visit two tables (30 mins each).• At tables • 10 min overview from site about initiative • 20 min group discussion• Examples are from dementia demonstrators but principles behind work have broader application
Dementia Demonstrators overall aim is to demonstrate Better Outcomes for More People for Same or Less Resource
How will we achieve this aim? QuickTime™ and a decompressor are needed to see this picture. The Road to Transformation Gareth Morgan
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
Who are the sites?Perth and Kinross CHPNorth Lanarkshire CHP Midlothian CHP
Thank you for comingIf you want to keep up to date on the work of theDementia Demonstrators then we are in process ofsetting up a Community of Practice on the DementiaManaged Knowledge Networkhttp://www.knowledge.scot.nhs.uk/dementia/communities