1. Dementia in The West Midlands Dr Khesh Sidhu Deputy Medical Director NHS West Midlands

2. Outline WMCBSA Dementia Prevalence Populations Projections Results

3. WMCBSA West Midlands Commissioning Business Support Agency Dudley 2y old PCT and SHA Funded NHS organisation

4. Who are they and what do they do? Data-warehouse SUS downloads Monitors activity against contracts Activates payments after data is reconciled Data Cleaning Monitoring Account management Other analyses

5. Who is there? IT Account managers Finance IS Analysts Public Health Consultant

6. What sort of analyses Data quality Comparative data – Eg Access rates Qualitimetrics Death Data PCT specific demography

7. Dementia The term ‘dementia’ is used to describe a collection of symptoms, including a decline in memory, reasoning and communication skills, and a gradual loss of skills needed to carry out daily activities. Dementia can affect people of any age, but is most common in older people. One in six people over 80 One in 14 people over 65

8. Dementia Age, genetic, background, medical history and lifestyle Types Alzheimer’s disease Vascular dementia Fronto-temporal dementia Other rare forms of dementia

9. Prevalence

11. Prevalence of Young Onset Dementia

12. Populations Projections vs Estimates PCT registrant vs population resident NSTS (NHS Strategic Tracing Service) – NB not totally accurate

13. Projections 2003 and 2004 based projections Normally available for LA, regions and SHAs NOT PCTs

14. Projections Some PCTs are coterminous with LA Sandwell Solihull Walsall Others are split Birmingham – South, HoBT and BEN

15. So.... Method: Apply Dementia rates to PCT registrant populations = putative prevalence by PCT Extrapolate population projections to PCT registrant populations = putative prevalence projections

17. So.... Method: Apply Dementia rates to PCT registrant populations = putative prevalence by PCT Extrapolate population projections to PCT registrant populations = putative prevalence projections

18. PCT Labels PCT 5y specific age bands 5y age band specific dementia prevalence

19. Estimated 5y age band specific dementia prevalence for each PCT

20. How Valid?

22. Results

25. Summary WMCBSA Dementia Prevalence Populations Projections Results Not easy – it’s big, out there and coming to a place close to you