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