People with dementia and their carers

1. People with dementia and their carers Di Reed Strategy and Delivery Manager Mental Health

2. Numbers • 787 people on the GP’s dementia registers • Expected prevalence of 1651 • Therefore only 47.7% have a diagnosis • In comparison with other areas we are 73 out of 178

3. Diagnosis • Only 47.7% of people with dementia have a formal diagnosis • Middlesbrough fits the national picture • Early diagnosis means a better prognosis

4. What we are doing to improve the diagnosis rate • Raising awareness through the response the Prime Minister’s Challenge on Dementia • The Mayor launched Middlesbrough’s response to the challenge in dementia awareness week • Identifying GP surgeries who are less likely to refer

5. Diagnosis • Memory clinic - TEVW • Currently diagnose people within 6 – 8 weeks • 1 – 2 weeks – initial assessment • 2 – 6 weeks – CT scan • 6 – 8 weeks – diagnostic appointment

6. Support post diagnosis • Medication – majority of people are prescribed medication. Those who are not usually have heart problems or low blood pressure. Memory clinic will work with GPs to manage physical problems to enable medication to be prescribed.

7. Support post diagnosis cont… • Social care • Support services – Sanctuary • Advice re. DVLA • Advice re. finances e.g. Lasting Power of Attorney

8. ‘This is me’ • Completing a ‘pen picture’ of that person that they can take with them wherever they go to remind people who they are, their likes and dislikes and wishes and feelings.

9. Support services for people with dementia and their carers • Cognitive stimulation – individual and groups • Befriending • Day Services • Personal budgets • Sitting services • Assisted shopping • Social activities • Sanctuary Support Group

10. Support services cont… • Staying Put Agency – enabling people to stay at home • Telecare • Education and information • Fire safety checks

11. As the illness progresses • Intensive Community Liaison Service – TEWV • Work with people to enable them to remain at home for as long as possible. • Work with care homes to provide the best care and treatment

12. As the illness progresses cont… • Respite care • Residential care • Nursing care • Specialist challenging behaviour care

13. BME Services • Becon and Aapna Services • Raising awareness of dementia and the need for an early diagnosis • Support groups and activities • Telephone support • Influencing the development of services to ensure that language and culture is taken into account

14. South Tees Foundation Trust • Launching the dementia strategy in July 2013 and the priorities are: • Information • Improving care • Education • Developing partnerships • Improving environments so that South Tees will become a dementia friendly hospital • Staff awareness and training

15. What we still need to do • Make Middlesbrough a dementia friendly community e.g. shops, transport etc • Increase awareness so that people will go to their GP • Improve end of life care for people with dementia