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Health and Social Care Today



Jane Silvester, Associate Director for Social Care

National Institute for Health and Care Excellence (NICE)
The Care Quality Commission (CQC) has highlighted that there is a lack of adequate care being provided for people with dementia and their families. Promoting an improved level of personalised care requires greater integration in the commissioning of dementia services and taking a more person-centred approach in the provision of care and support. NICE has produced quality standards and a range of support tools to support collaboration and improve the lives of those living with dementia and their carers.

Jo Bell, Inspection Manager

Care Quality Commission
The Care Quality Commission is undertaking a themed inspection programme looking at the quality of dementia care. The inspections will look into the quality of support provided to people with dementia, how the care provided aims to reduce admissions to hospitals and how services work together.  A subsequent national report will highlight key themes, what works well and what needs to improve.
The Dementia Action Alliance is a social movement which aims to change societys attitudes towards dementia. Our ultimate aim is to ensure that people with dementia can continue to play an active part in community and family life for as long as possible. The Alliance has attracted members from across the private, public and voluntary sectors and these organisations commit to actions to become dementia friendly. The movement also supports the development of Local Alliances in cities, towns and district. In turn, these local groups help to support Dementia Friendly Communities to bring the dementia friendly agenda down to grass roots level, and so begin to create better understanding and acceptance of dementia, helping reduce stigma and challenging negative attitudes towards the disease.
At the G8 summit nations committed to developing research with a view to look to cure dementia. Pledges of funding and the creation of the World Dementia Council have since been announced but how will it help in combatting this condition?
Three Clinical Commissioning Groups in County Durham and Darlington, with support from its Commissioning Support Unit, adopted a collaborative approach to developing a dementia strategy that enshrines the principles in the State of the Nation Report on Care for People with Dementia.
This presentation discusses a proven process that was used to develop the dementia strategy, and the steps being taken to implement it.It also focuses on lessons learnt during the process.
It will outline the steps taken by a large stakeholder group, to stock take on what we had achieved; commission Healthwatch to engage with people with dementia; and to engage with clinicians between different foundation trusts to advise on how to most effectively address gaps that we identified. The drivers behind the mandate and supporting principles to enable us to work together are shared. The challenges and successes in completing the strategys sign off by the Health and Wellbeing Boards are highlighted. New areas such as the initiating of a Dementia Health Needs Assessment; the need for a must do project to establish a central point of information; attention to the needs of offenders with dementia, those who live alone, who call on the police for support etc. are also noted. Finally, a long term view on the need to extend a model of care to people with dementia and their carers who are living in the community is also highlighted.
Following the development of the strategy, specific steps have been taken forward by the Implementation Group for the strategy to categorise and prioritise the actions drawn from ten key priority areas, into manageable workstreams for lead organisations to be accountable for implementing are shared. The challenges in achieving a manageable implementation plan, are shared, in balancing inspirational expectations, against capacities, capabilities and funding resources for new commissioning intentions. Anyone who needs to develop a new strategy for dementia would benefit from this presentation.
How seemingly small changes / design decisions can actually make significant changes to people living with dementia - and therefore staff, family and friends.
Question and Answer Panel Session
At one time infectious diseases were regarded the greatest risk to health only to be superseded in the last half century by the likes of cancer and heart disease. Advancements in medical research and treatment have meant the usual suspects are now eclipsed by dementia as being one of the greatest global challenges for health and social care. The UK is committed to tackling the consequences this dreadful condition presents and the UK has used the presidency of the G8 to take the lead in combating dementia by 2025.

Mary Hattie, Commission Officer

Mental Welfare Commission for Scotland
This report details the findings when 52 NHS units providing longer-term care for people with dementia were visited. While it was found that many people were receiving good quality care in a suitable environment, however it also revealed units where care and/or the environment were poor, and where the rights and dignity of people with dementia were not adequately respected.A series of recommendations have been made within the report.