Leadership Group Meeting Date May 2017 Dr Daniel Harwood Clinical - - PowerPoint PPT Presentation
Dementia Clinical Leadership Group Meeting Date May 2017 Dr Daniel Harwood Clinical Director Dementia Clinical Network National Update Achieving Better Access Implementation Guide for memory services awaiting publication date New
Date
Dr Daniel Harwood Clinical Director Dementia Clinical Network
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Estimated prevalence now taken from GP register April diagnosis rates – published 12/05
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individual tailored advice
Key themes – areas of potential missed diagnosis:
action plans forward
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60.9% 96.8% 0% 20% 40% 60% 80% 100%
Date
Dr Jeremy Isaacs
May 2017
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Share best practice, offer bespoke education and work to decrease variation in Memory Services
Support engagement of Join Dementia Research and collaboration of Clinical Research Network Leads with memory services
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Achievements (since last CLG) 17/18 Planned activity Audit Audit completed Preliminary results presented Work with service leads of key areas of variation to gain consensus Pathway Mapping Meeting with 7 memory services (17 in total) Create tool kit Service user views 1:1 pathway advice for services Network meetings Meeting in March 17 – prisons, audit Meeting June 17 – police, research project, taking alcohol history Research Engagement with Join Dementia Research programme manager in working group Research engagement support tool
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500 patients across 10 services
Data Variation between services Average wait referral to diagnosis 5 – 23 weeks Patients deemed not to require imaging 6 - 43% CT scan performed within 30 days 0 – 95% MRI scan performed within 30 days 8 – 75% Proportion of patients diagnosed with MCI 3 – 28% Of patients diagnosed with dementia- subtype proportion Alzheimer's: 25 – 77% Vascular: 3% - 22% Unspecified: 0 – 22% Proportion of appropriate patients prescribed an anti dementia medication 43 – 100%
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Also marked variation in:
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Digital
Workforce
autonomously?
Scanning
Under 65
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Date
Tim McLachlan Dr Sujoy Mukherjee
May 2017
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Aim of the working group
communities
work across London on BAME populations
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Achievements since last CLG (January 2017)
educational, cognitive tests.
Planned activity 17/18
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Date
Professor Siobhan Gregory
May 2017
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Aim of the working group
review process
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Achievements since last SCLG (Jan 17)
in first 48 hours of care
Planned activity 17/18
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involvement
Date
Dr Nerida Burnie
May 2017
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Support GP leads across London to develop effective leadership roles in their CCGs:
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Achievements since last SCLG (Jan 17)
Planned activity 17/18
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Struggles Initiatives Educational needs Care Plans Coding clean up Care Planning Diagnosis Rates Dementia nurse link worker Post diagnostic support Memory service waits Memory service referral audit Behavioural and psychological symptoms Medicine management
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Date
Sian Jones – UCL Partners Rebecca Jarvis – Health Innovation Network
May 2017
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with UCL Partners (UCLP) and the Health Innovation Network (HIN), dementia awareness training to care home staff will be undertaken by UCLP across North Central and East London and by the HIN across South London.
amongst care home staff working in residential and nursing homes, thereby facilitating better support for individuals with dementia, and their families. This will be achieved through the delivery of a sustainable dementia training package which can be cascaded to care homes using a ‘train-the trainer’ approach.
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Achievements since last meeting (Jan 17) UCLP (NCEL region, target of 24 care homes):
HIN (South London region, target of 12 care homes):
Planned activity
currently held first training session
presenting at conferences and joint reporting
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UCLP:
Care Home Manager Quote: “The training has been a real plus to all staff who have undertaken it. We have even received good feedback from families who are happy with levels of staff awareness in caring for their family member. I see the training being a real benefit to the care home, now and in the future.”
Totally Confident (Pre) Totally Confident (Post) How confident do you feel in recognising that a person may have dementia? 18% 58% How confident do you feel in communicating with a person who has dementia? 27% 69% How confident do you feel supporting an individual with dementia using person-centred values? 48% 80% How confident are you in encouraging a person with dementia to get involved in research? 14% 53% How confident do you feel referring a person you think has dementia to a GP? 26% 65%
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for families and friends
posters to promote with families and friends
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health
Diagnosis Rate
target
benchmark
care
homes
psychiatry
LOS
friendly
my care
place
care plan
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√ √ GP’s focus on complex – √ √ √ √ √ √ √ √ – √ – √ √ √ √ √ √ √ √ √ √ – √
Diagnosis Rate
hubs
project
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hospital
dementia mental health beds
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GP focus
health and social care
Advance care plans
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