New Zealand Framework for Dementia Care

1. New Zealand Framework for Dementia Care Anne Foley Senior Advisor, Ministry of Health

3. Minister of Health’s Expectations • 2012/13 • Integrating primary care with other parts of the health service is vital for better management of long term conditions, mental health, an ageing population and patients in general • Achieved through better coordinated health and social services and the development of care pathways designed and supported by community and hospital clinicians • 2013/14 • Provide integrated services for older people, including primary and community care, to support independent living at home and avoiding hospital admissions • Continue working to implement the governments commitment to improving dementia care pathways

4. Government’s commitment • Government is committed to ensuring people with dementia receive quality services and live as good a life as possible – whether it is at home or in residential services • Government sees dementia as a priority area, which has been reflected in recent budgets – 2012/13 and 2014/15 • The DHBs are asked to report on the development of dementia care pathways in their quarterly reporting

5. New Zealand Framework for Dementia Care: Advisory Group • In August 2012 the Ministry of Health established a Dementia Care Advisory Group to develop the New Zealand Framework for Dementia Care. • The Sector Advisory Group was made up of: • DHB Clinical Champions • National Dementia Cooperative members • Primary Health Care representations

6. New Zealand Framework for Dementia Care: Advisory Group • The role of the Sector Advisory Group was to: • Provide a national perspective and approach • Provide clinical and sector expertise and knowledge in dementia care • Identify national good practice • Share information nationally • Develop local, regional and national networks • Disseminate information back to local, regional and national networks

7. Purpose of the New Zealand Framework for Dementia Care • The main objectives of the Framework are: • to provide leadership, guidance and support to DHBs as they work with primary, secondary and community health and support services to develop clear, consistent, well-resourced and easily accessible dementia care pathways • to help people with dementia and their families and whanau to maximise their independence and wellbeing by reducing stigmas and providing clear, comprehensive information and an integrated, holistic approach to dementia care and support • promote national consistency in dementia care while allowing for flexibility to adapt to local priorities and encourage innovation

8. New Zealand Framework for Dementia Care • The Framework has: • A vision • Three guiding principles • Five key elements for effective dementia care • Overarching factors that must be considered across all five key elements

10. New Zealand Framework for Dementia Care Vision “People with dementia, their family and whānau are valued partners in an integrated health and social support system. They are supported throughout their journey with dementia to maintain and maximise their abilities, optimise their sense of wellbeing and have control over their circumstances.”

11. New Zealand Framework for Dementia Care • Principles: • Following a person-centred and people directed approach • Providing accessible, proactive and integrated services that are flexible to meet a variety of needs • Developing the highest possible standard of care

12. New Zealand Framework for Dementia Care • Key elements: • Awareness and risk reduction • Assessment, diagnosis, early intervention and ongoing support • Living well • Meeting challenges to maximise wellbeing • End of life

13. New Zealand Framework for Dementia Care • Overarching factors: • Education and training for people with dementia and their families and whanau • Workforce education and training • Governance • Culturally appropriate services • Monitoring and evaluation • Readily accessible information • Family and whanau support • Funding streams • Advocacy

14. DHB Dementia Care Pathway Work • DHBs have developed local and regional dementia care pathway groups. • These groups will be continuing the development and implementation of dementia care pathways with a focus on the following for the 2014/15 year: • Work in partnership with the dementia sector and primary heatlh care organisations to improve awareness and responsiveness to dementia in primary health care • Support Alzheimers New Zealand’s next phase of its Dementia Awareness Campaign • Share learnings and resources across the region

15. Budget 2013 • Budget 2013 provided additional funding to support aged care and dementia services • $1.2 million over three years for dementia training for health care workers • $2 million over three years to support dementia awareness programmes and assist clinical teams in early dectection of dementia • $20 million additional funding over four years for home support services to help more older New Zealanders stay in their own homes longer • $12 million increase in funding for dementia bed subsidies over four years, to encourage further investment in dementia beds

16. Conclusion • Be involved in the Dementia Care Pathway workgroup in your area • Be aware of regional collaboration and seek regular updates • Encourage sharing of good practice • The focus going forward is to continue to work collaboratively across primary, community and secondary services

17. New Zealand Framework for Dementia Care • http://www.health.govt.nz/publication/new-zealand-framework-dementia-care