Devolution and Dementia: Opportunities to Transform Care

George McNamara, Alzheimer’s Society Dr Ann Johnson, Alzheimer’s Society AmbassadorProfessor Maxine Power, Dementia United

Complex web of care

Dementia-friendly?Hospitals• 3.2 million hospital bed days.• Over 35% of beds occupied by people

with dementia.• Excessive hospital stays.• High level of readmission.

Care homes • 70% of residents have dementia.• GP and acute care relationship.• Dementia friendly environment.• Community engagement.

Home care• Limited access to home care.• Services stretched or reduced.• High turnover of staff.

Dementia can be the success criteria for integrated health and social care.

• Maintaining diagnosis rates and focus on post-diagnosis support.

• Supporting Dementia Friendly Communities: Healthy New Towns, Health as a Social Movement.

• 44 Sustainability Transformation Plans, NHSE Vanguards, Better Care Fund.

• City devolution deals

• Local areas will integrate in different ways using a range of models which the government supports.

Dementia and Devolution

Scale of the changeVanguard sites City Devolution Deals

• If you get it right for dementia you get it right for everyone.

• Over 70% of people with dementia have co-morbidities

• Health system open to change and respond to the dementia challenge

• Innovation and future-proofing

• Reduced reliance on statutory services and improved health outcomes

Devolution and Dementia

Thank You

George McNamaraGeorge.mcnamara@alzheimers.org.uk