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Devolution and Dementia:
Opportunities to Transform Care
George McNamara, Alzheimer’s Society
Dr Ann Johnson, Alzheimer’s Society Ambassador
Professor Maxine Power, Dementia United
Complex web of care
Dementia-friendly?
Hospitals
• 3.2 million hospital bed days.
• Over 35% of beds occupied by people
with dementia.
• Excessive hospital stays.
• High level of readmission.
Care homes
• 70% of residents have dementia.
• GP and acute care relationship.
• Dementia friendly environment.
• Community engagement.
Home care
• Limited access to home care.
• Services stretched or reduced.
• High turnover of staff.
Dementia can be the success
criteria for integrated health
and social care.
• Maintaining diagnosis rates and focus on post-diagnosis support.
• Supporting Dementia Friendly Communities: Healthy New Towns, Health as
a Social Movement.
• 44 Sustainability Transformation Plans, NHSE Vanguards, Better Care
Fund.
• City devolution deals
• Local areas will integrate in different ways using a range of models which
the government supports.
Dementia and Devolution
Scale of the change
Vanguard sites City Devolution Deals
• If you get it right for dementia you get it right for everyone.
• Over 70% of people with dementia have co-morbidities
• Health system open to change and respond to the dementia challenge
• Innovation and future-proofing
• Reduced reliance on statutory services and improved health outcomes
Devolution and Dementia
Thank You
George McNamara
George.mcnamara@alzheimers.org.uk

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Devolution and dementia

  • 1. Devolution and Dementia: Opportunities to Transform Care George McNamara, Alzheimer’s Society Dr Ann Johnson, Alzheimer’s Society Ambassador Professor Maxine Power, Dementia United
  • 2.
  • 4. Dementia-friendly? Hospitals • 3.2 million hospital bed days. • Over 35% of beds occupied by people with dementia. • Excessive hospital stays. • High level of readmission. Care homes • 70% of residents have dementia. • GP and acute care relationship. • Dementia friendly environment. • Community engagement. Home care • Limited access to home care. • Services stretched or reduced. • High turnover of staff. Dementia can be the success criteria for integrated health and social care.
  • 5. • Maintaining diagnosis rates and focus on post-diagnosis support. • Supporting Dementia Friendly Communities: Healthy New Towns, Health as a Social Movement. • 44 Sustainability Transformation Plans, NHSE Vanguards, Better Care Fund. • City devolution deals • Local areas will integrate in different ways using a range of models which the government supports. Dementia and Devolution
  • 6. Scale of the change Vanguard sites City Devolution Deals
  • 7. • If you get it right for dementia you get it right for everyone. • Over 70% of people with dementia have co-morbidities • Health system open to change and respond to the dementia challenge • Innovation and future-proofing • Reduced reliance on statutory services and improved health outcomes Devolution and Dementia