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Dementia A GPs view on commissioning

Dementia A GPs view on commissioning. Providers Network meeting Dr Martin Freeman Dr Nick Cartmell. The challenges on-going. Resource limitation More for less Conflicting demands Strategy documents ( a threat or an opportunity?). The challenges - new world.

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Dementia A GPs view on commissioning

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  1. DementiaA GPs view on commissioning Providers Network meeting Dr Martin Freeman Dr Nick Cartmell

  2. The challenges on-going • Resource limitation • More for less • Conflicting demands • Strategy documents ( a threat or an opportunity?)

  3. The challenges- new world • Out with the old / In with the new • Consortia • Increased GP / clinical involvement • Health and well being boards • Commissioning board • What else?

  4. The challenges- dementia • Demographic shift – issues of capacity • Early diagnosis – increased prevalence • Living well with dementia – issues of long term support • Management of problems • Medicines management – anti dementia & antipsychotic drugs.

  5. The challengesDementia – A long term condition. • A long term condition • Much of LTC management is core work for primary care • What bits can primary care do? - GP core contract ? - or other professional with special interest ? • What should be commissioned from providers?

  6. A challenge to us all • Do we have agreed standards? • A pathway – who develops and owns? • Partnership v Commissioner/Provider split • Provider – responsive or proactive? • What is the USP of a provider service?

  7. Memory assessment – proposed standards • Early ? • Which patients ? • Exclusion of physical cause – role of scans? • Diagnosis includes subtype – how important? • Shared definition of MCI and actions? • Giving the diagnosis ? • Care planning? • The person - the carer ? • Education

  8. Living well with dementia& problem management • Long term support / navigation • Assessment and management of symptoms • Medicines management • Planning

  9. Discussion - the future • What is your USP? • Memory assessment • Longer term support • What needs to be in place? - agreed standards? /commissioning pack? - what else • What behaviours need to change?

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