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‘Dementia & Northern Ireland ’

‘Dementia & Northern Ireland ’. Report on the Project 2009-12. Impact of DSDC NI project. Every GP practice 700 organisations 1624 people newsletters/ ebulletins 70 – 3 day Design 125 design awareness. 200 staff in acute care got education and an resource pack. Best Practice

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‘Dementia & Northern Ireland ’

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  1. ‘Dementia & Northern Ireland ’ Report on the Project 2009-12

  2. Impact of DSDC NI project • Every GP practice • 700 organisations • 1624 people newsletters/ ebulletins • 70 – 3 day Design • 125 design awareness

  3. 200 staff in acute care got education and an resource pack

  4. Best Practice 106 facilitators educated 848 healthcare assistants over six months in a culture change programme

  5. 2010 - International Award

  6. What is dementia? • Dementia is a term for a set of symptoms that result from various brain illnesses. • Memory • Communication • Relationships • Terminal condition

  7. Dementia in Northern Ireland • 19,000 in 2011 • 60,000 by 2051 • £400m pa inc £150m informal carer costs • Source: DHSSPSNI(2010) - Improving dementia services in Northern Ireland: a regional strategy

  8. Drivers for Change • Demographics • Economics • Policy • Standards • Practice • Values • People

  9. Drivers for change • Dementia strategy (pending) • Public spending cuts • NICE – Dementia Guidelines • NICE – Delirium Guidelines • NAO – Improving dementia services • Time for Action (anti-psychotics) • Always a Last Resort (anti-psychotics) • Dementia & People with Learning Disabilities

  10. Drivers for change........ • Counting the Cost • Support. Stay. Save. • Home from Home • National Audit Office – Falls • National Audit Office – End of Life Care • Death by Indifference Mencap

  11. More to come • Listening Well • .......the voice of people with dementia

  12. The £20bn Question • UK estimates - 35% increase in costs between 2010 & 2018 • NI – now £400m (incl. £150m informal carer costs) • NI – 2018 £540m

  13. The £20Bn Question • Whole systems approach • Hospitals • Community services • Care homes • Domiciliary care 2011 – All Party Parliamentary Group report

  14. High impact actions • Collaboration & integration • Sharing expertise • Early intervention • Improved co-ordination of services • Training in dementia care • Diagnosis • Supporting carers • Sharing best practice

  15. Case study -Acute care • Counting the Cost – 25% beds • Average cost bed day £225 • Average LoS – 30 days pre-intervention • Average LoS – 13.9 post-intervention • 54% reduction in LoS • £6750 reduced to £3128

  16. Case study – Community Care/ Nursing Homes interface • Cost of nursing homes - £82m pa in Northern Ireland ( estimate) • APPG report estimate 10% saving potential (UK) • Postpone admission • Improve community & carers support infrastructure Source: Paying for Care

  17. Care Options & NI Comparators with UK • Higher rate of institutional care • Lowest rate receipt of home care • Lowest rate receipt of day care • Source: 2007 Dementia UK NI Supplement

  18. Big issues for discussion • Acute care • Environmental design • Staff training & best practice • Day Care & Home Care • Learning Disability • Governance , Quality & Efficiency

  19. High Impact interventions on offer • Training of staff & carers • Environmental design • Diagnosis & early intervention • Information & awareness

  20. References • Design Council (2011) -Design Challenge: Living well with dementia • DHSSPSNI (2010) draft – Improving dementia services in Northern Ireland - a regional strategy • NICE (2007) Dementia – The NICE – SCIE Guideline on supporting people with dementia & their carers in Health & Social Care • NICE (2010) Clinical Guideline103 Delirium : diagnosis, prevention and management • NAO (2007) Improving services and support for people with dementia • Bannerjee S ( 2009) Time for Action http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_108302.pdf • APPG (2007) Always a Last Resort • RC Psych (2009) Dementia & People with Learning Disability • Alzheimer Society ( 2009) Counting the Cost • Alzheimer Society ( 2010) Support. Stay. Save. • Alzheimer Society ( 2007) Home from Home • NAO(2009) Falls prevention in the elderly . http://www.patient.co.uk/doctor/Prevention-of-Falls-in-the-Elderly.htm • NAO (2010) End of Life Care Strategy 2nd Annual Report http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_118810 • Mencap (2007) Death by Indifference • Alzheimer’s Society ( 2009) Listening Well • APPG ( 2011) The £20 billion question

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