Henry Simmons – Chief Executive

Shifting the paradigm!

Vision for change

Early diagnosis

Post Diagnosis

IntegratedCare

Acute General Health Care

AdvancedIllness

Dementia Friendly Community

Lessons from Acute Care

Negative paradigm‒ Don’t get stuck in older

persons care‒ Care of the “elderly” is not

that skilled‒ Why are they here?‒ I did not sign up for this‒ We need more dementia

specialist units‒ We are too busy for this

New paradigm• Caring for older people is

Acute Care and it is highly skilled.

• Dementia, delirium and depression in an over 65 year old person is most common presentation.

• We all need skills and confidence in dementia care

• We can provide quality care in situ.

Negative paradigm

Damaged psychological

contract

Impacts on :BehaviourCommitmentMotivationMoraleEngagement

Poor standardsStressDenialDissatisfactionMove the problemPoor outcomes

Leads to:Embracing EngagingChangeLeadershipTransforming

Repairs broken

psychologicalcontract

ASDNDCStandardsPE10 actions

New Paradigm

Paradigm shift in Acute Care

Specialist dementia care

Negative paradigm‒ Burden‒ Poor career choice‒ No investment‒ Is it needed- generic is ok‒ Not a priority‒ No sense of exceptional‒ Not highly skilled‒ Not valued‒ Less quality staff

New paradigm• Most highly skilled area in

health and social care practice

• Needs best quality staff• Exceptional human

intervention• Exceptional environments• An area worth investing in• A well supported ,

challenging and dynamic arena

• Good career choice

Negative paradigm

Damaging psychological

contract

Impacts on :BehaviourCommitmentMotivationMoraleEngagement

High turnoverHigh absencePoor motivationPoor qualityLoss of hopeLack of worthLack of investment

Need a new visionNew sense of valueNew commitment

Need to work together and

repairbroken

psychologicalcontract

Need focus on staff,

leadership and

investment

New Paradigm

Paradigm shift in specialist dementia care