Pathways to Dementia Diagnosis: A review of services in the south ...
Post-Diagnostic Support and Dementia Pathways Pathways and Post Diagnostic Support Dementia Task...
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Transcript of Post-Diagnostic Support and Dementia Pathways Pathways and Post Diagnostic Support Dementia Task...
Post-Diagnostic Support and Dementia Pathways
Pathways and Post Diagnostic SupportDementia Task Group
Post Diagnostic Support – 5 Pillars Model
HEAT Target
To deliver expected rates of dementia diagnosis and by 2015/16, all people newly diagnosed with dementia will have a minimum of a year’s worth of post-diagnostic support coordinated by a link worker, including the building of a person-centred support plan.
Can we achieve more than this?
Key areas of improvement
• What do we mean by ‘post-diagnostic support’• What is the current ‘pathway’: where are the gaps• Appropriate support at the right time
Challenges• People with dementia and carers navigating the system
themselves • Poor communication between agencies, lacking
coordination• Inconsistent access to information and services
Identified work streams
Implement effective joint working at local level• Sector based Integrated multi disciplinary network ‘virtual team’
Creation of integrated pathways• review of current services and practice• build on current practice in NHS, CEC and voluntary sector to
support people and their carers
Continuum of Care • Ensuring effective response and ongoing support from point of
diagnosis
Virtual Team
Integrated multi professional network• local multi-disciplinary team• Interagency case discussion • Co-ordination of ‘named worker’ and
reviews• Ongoing development of services and
best practice
Continuum of Care
HEAT Target: Named Worker Role• Provision of support and advice• Right information at the right time• Signposting to services• Participation in local multi-disciplinary network
Early Intervention and SupportAlzheimer Scotland Link Worker Model
• Training, line management and supervision provided by Alzheimer Scotland
• Distinct and clear remit• Ensures city wide consistency• Significant participation of third sector • Access to national network• Cost: (Alzheimer Scotland Salary Scale £23,544 - £26,064)
What do you think?
Who else needs to be involved?
How do we take this forward?