Using the best available information, and knowledge of local need we have set out the following priorities and outcomes, and how we will achieve these:
To build upon the work to date to tackle dementia diagnosis rates, and provision of support we need to review our action plans and ensure they are fit for purpose, they focus on a boroughwide approach, and take on board the impact of COVID-19. Our action plans need to focus on key elements of dementia including:
- Preventing well
- Diagnosing well
- Living well
- Supporting well
- Planning well
A clear, concise, and realistic action plan that is developed by key partners and organisations and those living with dementia and their carers.
What we will do
Bring together key partners and organisations to co-produce a detailed dementia action plan for the whole borough that:
- Develops a person-centred approach that incorporates the views and feedback of those living with dementia and their carers
- Reviews progress to date, evaluates best practice and evidence-base
- Ensures a borough wide approach that tackles the health inequalities, and raises awareness of dementia – prevention, diagnosis, support, and how to become a dementia inclusive society
- Maps current and future needs along the NHS England’s Well Pathway for Dementia (9)
- Reviews and develops training and education of health professionals and partners
- Agrees realistic timescales and ensure robust sustainability of recommended actions
- Considers the impact of COVID-19 on our ageing population and how it has affected those living with dementia and their carers
- Takes into account other strategic and operational plans across the borough
To implement our action plan(s), and to monitor and review progress we need to create a group of key stakeholders to take on this accountability. The group will ensure that we are actively focusing on our outcomes, and that our work to tackle dementia will continue sustainably.
Our strategy and action plan(s) focus on the key elements of prevention, raising awareness of dementia (for timely diagnosis, and our society’s perceptions), and for support and future planning.
What will we do
- Review and redesign existing delivery and governance structures
- Establish a group to develop. take ownership and drive forward the action plan, with agreed clear lines of accountability for delivery and monitoring
- Assess and reflect on progress to date to ensure our actions are up to date and in line with prevention services, and the needs of those with dementia and their carers.
A Joint Strategic Needs Assessment – undertaken by Council and the Cheshire and Merseyside Integrated Care Board (ICB) - can help inform current and future health, care and wellbeing needs of our local community to support local decision making. The information from the JSNA can guide a dementia care pathway and further action planning to ensure we are tackling inequalities, and wider determinants that impact on health and wellbeing.
We need to ensure that if a person is showing signs of dementia, that they and their carers feel supported to seek a diagnosis. We need then to make sure that any diagnosis is made in a timely manner, and the person receives the right assessments and information. Ensuring the best possible experience of care and support post-diagnosis too.
We also need to ensure that we have the right resources in place to support dementia carers, providing a seamless link with health and carers services to ensure carers are referred at the point of diagnosis.
A collaborative approach between organisations, utilising existing resources in a system that places those with dementia at the heart of the service.
What will we do
- Work collaboratively to produce an updated Dementia JSNA to inform our pathway and future action planning
- Develop a single pathway which is deliverable boroughwide so that it is inclusive for all our residents, linking in with carers pathways where applicable
- Design a pathway that supports an integrated approach that has step-by-step guidance for locally commissioned services, and providers to ensure sustainable delivery
- Ensure the pathway focuses on timely responses to provide those living with dementia the support they need when it’s needed
- Periodically assess and review the pathway to ensure it continues to meet the needs of our residents
Measuring our success
Suggested indicators include
- Preventative indicators:
- Decrease in the percentage of adults that smoke
- Increase in the level of physical activity in adults
- Decrease in the rate of alcohol related admissions to hospital
- Decrease in excess weight in adults
- Decrease in the prevalence of depression
- Increase in the dementia diagnosis rate
- Proportion of adult carers who have as much social contact as they would like
- Carer- reported quality of life score
- Proportion of carers who are satisfied with the services they and the person they care for have received from Adult Social Care in the last 12 months
- Number of health and social care professionals directly involved in providing dementia care who are trained to at least Tier 2 of the Dementia Training Standards Framework
- Number of people receiving an annual dementia review
- Number of Dementia Friends trained across the borough
- Number of Dementia Friendly Communities