Dementia Demonstrator Sites - Transforming dementia services across health and social care

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Ruth Glassborow, National Lead, Mental Health, QuEST. Presentation given at Alzheimer Scotland Conference: Creativity and dementia – policy and practice. June 2012, Glasgow.

Santé & Médecine

Dementia Demonstrator Sites

Transforming dementia services
across health and social care
Ruth Glassborow, National Lead, Mental Health, QuEST

QuEST
Mental Health Division Quality 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 Transformation
Gareth Morgan

Why we think this will work

• 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

Who are the sites?

Perth and Kinross CHP

North Lanarkshire CHP

Midlothian CHP

How are they going about making the changes?

Process mapping, feedback from
Understand how well current people with dementia and carers,
system/processes work focus groups, SWOT analysis,
comparative data etc

eg Integrated Dementia Service; Integrated
Day Services; Family Group Conferencing;
Design a Better System
Comprehensive Case planning; post diagnostic
support teams etc

Mix of small scale tests of change and
Test/Implement the Change
larger scale pilots

Set of measures to evaluate impact
Evaluate the Change Integrated Resource Framework to
look at financial changes

Perth and Kinross CHP
Example of Work

• 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

North Lanarkshire CHP
Example 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

https://www.makinglifeeasier.org.uk/smartassist/northlanarkshire

Midlothian CHP
Example of Work
• 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

Key learning to date…

• 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

We are also sharing the learning…

2. Between the sites
3. To inform national policy
4. Between national programmes
5. 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

In summary Dementia Demonstrators are

demonstrating
better-more-less
by

redesigning pathways
across whole system
and

sharing
outcomes and learning widely

Thank you for listening

QuEST
Mental Health Division Quality and Efficiency Support Team

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