Improving dementia care in a challenging sector
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Improving dementia care in a challenging sector. ________________________________________________________________________________________ alzheimers.org.uk. Setting the scene. There are currently 800,000 people with dementia in the UK. One in three people over 65 will die with dementia

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Improving dementia care in a challenging sector

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Improving dementia care in a challenging sector

Improving dementia care in a challenging sector

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alzheimers.org.uk


Setting the scene

Setting the scene

  • There are currently 800,000 people with dementia in the UK.

  • One in three people over 65 will die with dementia

  • Dementia costs the UK £23 billion.

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alzheimers.org.uk


W hy dementia is the biggest care challenge

Why dementia is the biggest care challenge

  • 80% of people living in care homes have a form of dementia or severe memory problems.

  • Up to a quarter of hospital beds occupied by someone with dementia.

  • People with dementia frequent users of home care services.

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alzheimers.org.uk


Prime minister s challenge

Prime Minister’s Challenge

  • Launched on 26 March 2012

  • Three work streams:

    • Driving improvements in health and care

    • Creating dementia-friendly communities that understand how to help

    • Better research

  • Improving formal care services is a key priority of the Challenge

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alzheimers.org.uk


Progress with the challenge

Progress with the Challenge

  • 69 signatories to Dementia Care and Support Compact

  • £300m for innovative housing solutions

  • Awareness of alternatives to hospitalisation

  • Innovation Challenge Prize

  • E-learning dementia training

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alzheimers.org.uk


Improving dementia care in a challenging sector

What do we know about the state of care?

  • Unacceptable variation in the quality of care across all care settings.

  • Low expectations, 2013Attitudes on choice, care and community for people with dementia in care homes

  • Support. Stay. Save. 2011Care and support of people with dementia in their own homes

  • Counting the Cost, 2009Caring for people with dementia on hospital wards

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alzheimers.org.uk


Meeting the challenge of dementia

High quality care can:

Contribute to maintaining quality of life

Helping to retain independence

Potentially reduce pressure on more costly care settings, such as acute hospitals

Poor quality care can:

Deny people with dementia opportunities for a good quality of life

Lead to higher overall care costs through early admissions to care homes and avoidable admissions to hospital

Impact on the health and mental health of carers.

Meeting the challenge of dementia

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alzheimers.org.uk


Improving dementia care in a challenging sector

Principles of good quality care

  • Provided by staff trained in providing good dementia care who have access to specialist support

  • Focused on meeting needs and aspirations

  • Promoting of dignity and respect and maintaining human rights

  • Closely coordinated between different professionals and services across health, social care and housing

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alzheimers.org.uk


Improving dementia care in a challenging sector

Examples of working together

  • Launched October 2010

  • More than 100 organisations

  • Each developed action plan on dementia

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alzheimers.org.uk


Improving dementia care in a challenging sector

The Right Care:

Creating dementia friendly hospitals

  • Call to Action from DAA launched on October 15th

  • We want every hospital in England to commit to becoming a dementia friendly hospital, working in partnership with their local DAA

  • So far, 74 hospitals have signed up

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alzheimers.org.uk


Focussed intervention training and support fits

Focussed Intervention Training and Support (FITS)

  • Being rolled out to 150 care homes

  • Trial reduced use of antipsychotics by almost 50%

  • 10 days of training including:

    • awareness and understanding of dementia

    • delivering person-centred care

    • managing behavioural symptoms

    • regular supervision sessions

  • Goal Attainment Scaling (GAS) to assess impact

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alzheimers.org.uk


Thank you

Thank you

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alzheimers.org.uk


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