Los miedos

Key commitments

Increased diagnosis rates through existing health checks for over-65s

Ambition for diagnosis rates across the country

Dementia

Commissioning for Quality and Innovation (CQUIN)

Status

On track

Local Authorities now have a statutory responsibility to give everyone aged 65-74 having an NHS Health Check information at the time to raise awareness of dementia and the availability of memory services, which offer advice and assistance to people who may be experiencing memory difficulties, including making a diagnosis of dementia. Training tools and an information leaflet have been produced to support this.

The ambition that, by 2015, two thirds of people with dementia should have a diagnosis, with appropriate post diagnostic support has been agreed with NHS England and a programme to support and monitor this, to include use of the Dementia Prevalence Calculator, an Expert

Reference Group and commissioning support tools and well as the recently published NICE guidance.

Completed

The revised national dementia CQUIN for 2013/14 was published in

February 2013, incorporating new elements on leadership and support for carers.

The current CQUIN has led to over 4,000 referrals a month which will contribute to improving diagnosis rates for dementia

Key commitments Status

Innovation Challenge

Prize of £1 million On track

The £1 million Breakthrough Challenge for Dementia was launched by the Secretary of State for Health on 25 June 2012.

The aim of the challenge is to achieve a dramatic reduction in the

proportion of people who have undiagnosed dementia, with evidence of a step change in the diagnosis rate and a strong service response.

The NHS Innovation Challenge Prize for Dementia in collaboration with Janssen Healthcare Innovation will also award up to £150,000 for solutions that provide an integrated care pathway for people with dementia. The challenge was defined based on suggestions submitted from people involved with dementia care as healthcare providers, carers, patients and patient groups, which were reviewed by a team of dementia and innovation experts.

The challenge will be launched shortly and will remain open to

applications from across the Health and Social care sector for a period of four months. It will be assessed by a panel of experts from the NHS, social care industry and academia as well as individuals living and working with people with dementia.

Care and Support

Compact Ongoing

From 10 signatories a year ago, to date, there are now 148 signatories representing nearly 3,000 care services committed to delivering high quality, personalised care to people with dementia and their carers. NHS information offer Completed

The DementiaChoices website (www.nhs.uk/dementiachoices) was launched at this year’s Healthcare Innovation EXPO event.

■

■ All of the regional sites have been launched: NHS London launched the

myhealthlondon dementia website in November 2012.

■

■ The Our Health website launched in the South of England on 3 January

2013. So far, there has been an average of 10,000 visitors per month.

■

■ The Live Well dementia website launched in the North of England on

7 March 2013.

■

Key commitments Status

Work with the profession to identify how best to improve early diagnosis of dementia

On track

We are investigating how we can work more proactively with primary care to support timely diagnosis of dementia, exploring areas around

awareness, training and the use of technology, including memory tests and tests that look at executive function, which are affected by vascular dementia.

Work is underway with the Royal College of General Practirioners to develop a toolkit to support GPs to understand dementia, as well as help their families and carers. The toolkit will be published in early 2014. NHS Improving Quality is establishing a programme of work to support improvement in diagnosis and management.

NICE to consider ways of improving the dementia indicators in the QOF

On track.

The consultation on potential new indicators for consideration for the 2014/15 QOF closed on Monday 4 February 2013.

The results of the consultation will be considered by the Independent Primary Care QOF Indicator Advisory Committee in June 2013 along with the results of the piloting across a representative sample of general practices. The Committee will then recommend which of these indicators should be included on the NICE menu for consideration for the 2014/15 QOF. Call on the Royal

Colleges to respond to the challenge of dementia by bringing forward plans to ensure that all their members are capable and competent in dementia care

On track

The Royal College of Nursing have developed a published a resource supporting the further implementation of its five principles for improving the quality of care for people with dementia. This works complements the Department of Health’s Nursing vision.

NHS England and the Department of Health are working with Health Education England who have adopted dementia as one of their priorities. Ensure that memory

clinics are established in all parts of the

country and drive up the proportion of memory services that are accredited

On track.

There are now 69 services registered with the Royal College of Psychiatrists Memory Services National Accreditation programme, double the number registered last year.

The Royal College of Psychiatrists has been commissioned to conduct a survey of memory services and this will report later this year.

Key commitments Status

Guarantee a written integrated personalised care plan to people with dementia

On track

NHS England has put personalised care and care planning central to enhancing the quality of life for all people with long term conditions, including dementia.

As part of the NHS Outcomes Framework, NHS England are developing an indicator to measure the effectiveness of post-diagnosis care in sustaining independence and improving quality of life.

There will be better

support for carers On track.

Provision within the care and support Bill includes a new duty on local authorities to meet carers’ eligible needs for support. This is supported by a DH commitment to make an extra £175 million available to councils to meet additional costs of improving both assessment and support for carers.

The NHS should also ensure that a range of psychological therapies are commissioned and made available to carers of people with dementia in line with NICE/SCIE guidelines

On track

The NHS Outcomes Framework for 2013/14 includes a new measure relating to psychological therapies.

By September 2012 we will launch pilots of dementia clinical networks aimed at spreading clinical expertise

Complete

A national strategic clinical network (SCN) for mental health, dementia and neurological conditions has launched. SCNs will bring together groups of health professionals to support commissioners to improve services for a particular condition in order to improve the quality of care and outcomes for patients.

SCNs will be supported and funded through network support teams covering 12 defined geographical areas. The support teams will be hosted by NHS England. A meeting of the leads of the 12 networks is planned for June 2013.

Key commitments Status

Welcome the Nursing and Care Quality Forum’s forthcoming views on what should be done to address the needs of people with dementia as part of its work to spread best practice in nursing and care in all care settings.

Ongoing

The Nursing and Care Quality Forum has been active in highlighting the issues, which need to be addressed in improving care. As part of its work the Forum has collected, and is due to publish soon, examples of best practice in nursing and care in all health and care settings. A number of these examples focus specifically on dementia patients, addressing issues such as mapping and personalising services for them and effective ways of seeking feedback from patients to help service improvement in many different settings.