Proposed Interventions and Outputs - PowerPoint Presentation

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Proposed Interventions and OutputsTarget Outcomes Target ImpactMeaningful service user involvement and co-productionContinuation of remote and face to face service user groups including specific groups such as LGBTQ+Meaningful engagement from different groups living with dementia & their carers, who contribute and inform our delivery plans and projectsDelivery plan meets the needs of people with dementia and their carersIdentify the support needs of people living with dementia through stakeholder led QI and co-production Mobilise project team in partnership with UCLP Map provision of support services across London Identify variation in access to support services for those living with dementia across London Identify through co-production the support needs of Londoners living with dementia Development of an ICS outcomes-based framework that identifies best use of community assets Reduced variation on equity of access across London for support services needed to navigate patient journey.Improved patient experience of support offer locally.Reduced crisis access within secondary acute services as a result of limited support services offer in community.Improved primary care input to the support needs of those living with dementia.Improved consistency at ICS level through local delivery of support services for those living with dementia.Improved equity of access to timely and quality dementia assessment across LondonRefine memory services audit tool focussing on waiting times.Explore variation in waiting time data for access to memory assessment services pan LondonIdentify variation in dementia diagnosis rate, investigate local discrepancies and implications of variationsEmbed roll out of neuropsychological assessment guidance in memory services to support complex dementia diagnosis where appropriateShare new learning and enablers through community of practice to support the spread and adoption of best practice Reduced variation in waiting times for assessment & work towards London ambition 85% of people receiving diagnosis & starting treatment within 6 weeks of referral. Improved consistent offer across ICS for dementia diagnosis rates aiming for national ambition of 66.7% Improved equity of access to neuropsychological assessment for those who need it Improved equity of access for dementia assessment.Identify where health inequalities overlay dementia careDevelopment of a CHIME data-based tool to identify aspects of dementia pathway impacted by health inequalities.Explore with ICS commissioning local needs at sector level.Improved used of data to identify areas impacted by health inequalities and target support at those population groups & communities e.g., ethnic minority groups, digital exclusion, homeless etcImproved knowledge and capabilities in population health management in supporting the frailty population Reduced antipsychotic prescribing in dementia careContinue to build on antipsychotic guidance toolkit with partners in national team and Yorkshire and Humber Dementia Clinical NetworkRefine Dementia Antipsychotic Audit tool for pan London implementation.Support roll out of audit and toolkit across London to reduce over prescribing and sustain improvements Spread and adoption of Antipsychotic guidance toolkit for use in all care sectorsReduction in antipsychotic prescribing Reduced risk of mortality in dementia population Reduced risk of falls in dementia population Acute Hospital careBespoke trust support through external audit e.g., nutrition and hydration, site visit and recommendations for improvement.Provide community of practice for shared learning in acute hospital dementia leads Review NHS trusts’ staff dementia training dataIdentify variation in education training for acute care staff.Explore consistent educational offer across London for acute care staff on dementia knowledge and expertise.Collaborate with HEE on a consistent educational offer for London on dementia knowledge and skills.Improved experience in hospitals within Dementia population Wider spread and adoption of good practice to support implementation Consistent offer on dementia education developed to ensure enhanced workforce capabilities Improved hospital care leading to reduced length of stay and reduced adverse incidentsImproved transition of care back to community for people living with dementia Audiology and DementiaJoint working with Health Care Science team to identify gaps in service provision and access to audiology & memory services for those with dementia and hearing lossCollaboratively design and develop a checklist to detect early signs of memory impairment in audiology and good management of hearing impairment in memory services.Develop memory service and audiology directory pan LondonSuite of resources to support memory services and audiology services to deliver improved provision around dementia Increased patient experience in access in people living with dementiaImproved access for people living with dementia Integrated working enhanced between services for patient benefit.Improved prevention and early detection of cognitive impairment and seamless access to both servicesDementia Friendly LondonActively engage in the London Vision refresh with OHID, GLA and other partners advocating for updates to reflect London population needs related to dementiaWork with ADASS and Alzheimer’s Society on the impact of COVID and ongoing needs surveyContinued work – Dementia Friends and dementia friendly organisationsRaise the profile of people living with dementia in London and their specific needs.Deliver Dementia Friends training within clinical networks, medical directorate and local requests to assist in achieving London vision ambitionsLondon becomes the world’s first dementia friendly capital city – supporting people to live well and reducing health inequalitiesInter-network collaborationSupport roll out of PEOLC Early ID toolkit within Dementia forums and primary care networksSupport roll out and uptake of new London Urgent Care Plan in collaboration with PEOLC Clinical Network for those living with advanced dementiaWork with HEE and Frailty Clinical Network; support development of collaborative trainee partnerships between old age psychiatry and geriatric medicine Explore model of integrated working between Parkinson’s disease and memory services. Test bed pilot completed and identified as scalable. Support roll out of Virtual Ward/Hospital@Home regarding specialist dementia care needs with the Frailty Clinical Network Produce framework for commissioned pathways in frailty, dementia and Parkinson’s care Improved joint working between physical and mental health Framework for commissioned pathways in frailty, dementia and Parkinson’s care adopted by all London ICSsImproved understanding and knowledge within old age psychiatry and gerontology of where collaboration benefits holistic patient care.Improved access for people living with dementia and frailty to Virtual Ward/ Hospital@Home pathway care.Adoption and spread of early identification and targeted interventions to support people living with dementia at the end of their life. Improved alignment and collaborative working across Clinical Networks“We have the right to an early and accurate diagnosis, and to receive evidence based, appropriate, compassionate and properly funded care and treatment, from trained people who understand us and how dementia affects us. This must meet our needs wherever we live”KeyCommenced activityDevelopment PhaseClinical Network: DementiaClinical Director: Jeremy Issacs NHS Long Term Plan2022/23 priorities and operational planning guidanceCORE20Plus5PMs ChallengeLondon Vision