dementia demonstrator sites - transforming dementia services across health and social care
DESCRIPTION
Ruth Glassborow, National Lead, Mental Health, QuEST. Presentation given at Alzheimer Scotland Conference: Creativity and dementia – policy and practice. June 2012, Glasgow.TRANSCRIPT
Dementia Demonstrator SitesTransforming dementia services across health and social care
Ruth Glassborow, National Lead, Mental Health, QuEST
Mental Health DivisionQuESTQuality and Efficiency Support Team
Our 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 TransformationGareth Morgan
• 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
Why we think this will work
Who are the sites?
Perth and Kinross CHP
North Lanarkshire CHP
Midlothian CHP
Understand how well current system/processes work
Design a Better System
Test/Implement the Change
Evaluate the Change
Process mapping, feedback from people with dementia and carers,
focus groups, SWOT analysis, comparative data etc
eg Integrated Dementia Service; Integrated Day Services; Family Group Conferencing;
Comprehensive Case planning; post diagnostic support teams etc
Mix of small scale tests of change and larger scale pilots
Set of measures to evaluate impact
Integrated Resource Framework to look at financial changes
How are they going about making the changes?
What are they doing?
• Closed Strathmore Dementia Unit (12 beds) – all resources moved to the community
• Testing a range of services including:– Open Access Memory Clinics– Improved post diagnostic support– Care Home Liaison Service– Intensive community support in a crisis– Comprehensive case planning– Hospital inpatient liaison and transitional care
Perth and Kinross CHPExample of Work
• Motherwell - Dementia Capable Community• Dementia Café • Post diagnostic support• Making Life Easier (Assistive Technology)• Integrated Day Service• Reminiscence Activity
– Motherwell FC/Alzheimer Scotland – Ravenscraig Steelworks site
• Housing Staff Skills Development
North Lanarkshire CHPExample of Work
https://www.makinglifeeasier.org.uk/smartassist/northlanarkshire
• User and Carer Narrative work• Family Group Conferencing -12 month pilot from
Mar 12 with 10-15 individuals• Single health and social care multidisciplinary
co-located dementia team which forms one stop service from diagnosis to end of life
• Post diagnostic support team – LAC/AS/SW
• Comprehensive skills audit and training programme
Midlothian CHPExample of Work
• Housing • Interagency working – including third sector• Value of data – qualitative and quantitative• Cross site peer support• Some dedicated time to lead the work pays back ten-
fold• Integrated Resource Framework• Closer working nationally• Integration with wider redesign work
Key learning to date…
1. Between the sites2. To inform national policy3. Between national programmes 4. To other services across Scotland
• Launching web-ex sessions – 13th & 27th July 11am
• Alzheimer Scotland Newsletter• Community of Practice
-http://www.knowledge.scot.nhs.uk/dementia/communities-of-practice/dementia-demonstrator-sites.aspx
We are also sharing the learning…
demonstrating better-more-less
by
redesigning pathways across whole system
and
sharing outcomes and learning widely
In summary Dementia Demonstrators are
Thank you for listening
Mental Health DivisionQuESTQuality and Efficiency Support Team