Alistair Burns D iagnosis of dementia On average in England 48 of people with dementia receive a diagnosis There is significant variation across the country NHS England have a ID: 388028
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Slide1
Dementia
Alistair BurnsSlide2
D
iagnosis of dementia
On average, in England, 48% of people with dementia receive a diagnosis There is significant variation across the country NHS England have a national ambition that two thirds of people with dementia receive a diagnosis and post diagnostic support
Dementia: state of the
nation report https://www.gov.uk/government/publications/dementia-care-and-supportSlide3
Effective support for carers
The quality of post diagnostic is key
eg life story workEvaluation of dementia advisers published in 2013 “The Dementia Guide” - over 100,000 copies distributedSlide4
Generic offers:
CCG report, GP booklet, Prevalence (coding, calculator, update)
Improve reportingImprove identification Improve recording Bridging the gapSlide5
Generic offers:
CCG report, GP booklet, Prevalence (coding, calculator, update)
Improve reportingDementia FriendsAwareness CampaignCommissioning for Quality and Innovation (CQUIN)Directed Enhanced Service (DES) Dementia Friendly Hospitals Slide6
Generic offers:
CCG report, GP booklet, Prevalence (coding, calculator, update)
Improve identification CCG Engagement visits, WebExsOffer of Support SCNs, Area Teams: AHSNs;
CQUIN, DES
Case Studies: best practice, economics
Dementia Advisors
Dementia PortalSlide7
Generic offers:
CCG report, GP booklet, Prevalence (coding, calculator, update)
Improve recording Nice Guidance Clarification re: scansCoding GuidanceCognitive
Tool KitIntelligence Network
: dataIntelligence from CCGs CSUs, SCNs
Slide8
Generic offers:
CCG report, GP booklet, Prevalence (coding, calculator, update)
Bridging the gapDES, CQUIN refreshRCGP Roadmap
Memory Clinic waiting times
Prevalence Update
Engagement with Royal Colleges & BMA
Care Homes Slide9
Generic offers:
CCG report, GP booklet, Prevalence (coding, calculator, update)
Improve reportingImprove identification Improve recording Bridging the gapDementia FriendsAwareness Campaign
Commissioning for Quality and Innovation (CQUIN)
Directed Enhanced Service (DES) Dementia Friendly Hospitals
CCG Engagement
visits, WebExs
Offer of Support
SCNs, Area Teams: AHSNs;
CQUIN, DES
Case Studies
:
best practice, economics
Dementia Advisors
Dementia Portal
Nice Guidance Clarification
re: scans
Coding
Guidance
Cognitive Tool KitIntelligence Network: dataIntelligence from CCGs CSUs, SCNs DES, CQUIN refreshRCGP RoadmapMemory Clinic waiting timesPrevalence UpdateEngagement with Royal Colleges & BMA Care Homes
Assurance Process
Slide10
Five thoughts/questions
Awareness of dementia is at its highest – great innovative practice abounds
We need to challenge primary/secondary care barriersIs dementia is the new diabetes? Is MCI the new renal impairment?Can dementia be “diagnosed” in primary care ?We need to link diagnosis and post diagnostic support Slide11
DementiaSlide12Slide13
DementiaSlide14
Generic offers:
CCG report, GP booklet, Prevalence (coding, calculator, update)
Improve reportingImprove identification Improve recording Bridging the gapDementia FriendsAwareness Campaign
Commissioning for Quality and Innovation (CQUIN)
Directed Enhanced Service (DES) Dementia Friendly Hospitals
CCG Engagement
visits, WebExs
Offer of Support
SCNs, Area Teams: AHSNs;
CQUIN, DES
Case Studies
:
best practice, economics
Dementia Advisors
Dementia Portal
Nice Guidance Clarification
re: scans
Coding
Guidance
Cognitive Tool KitIntelligence Network: dataIntelligence from CCGs CSUs, SCNs DES, CQUIN refreshRCGP RoadmapMemory Clinic waiting timesPrevalence UpdateEngagement with Royal Colleges & BMA Care Homes
Assurance Process