Penny Ellis Dave Wood August 2016 Doncaster Best Dementia Model

Prime Minister’s challenge on dementia Our vision is to create a society by 2020 where every person with dementia, and their carers and families, from all backgrounds, walks of life and in all parts of the country – people of different ages, gender, sexual orientation, ability or ethnicity for example, receive high quality, compassionate care from diagnosis through to end of life care. Specific aspirations for 2020 include −Alzheimer’s Society delivering an additional 3 million Dementia Friends in England −Over half of people living in areas that have been recognised as Dementia Friendly Communities, according to the guidance developed by Alzheimer’s Society working with the British Standards Institute. −All businesses encouraged and supported to become dementia friendly, with all industry sectors developing Dementia Friendly Charters and working with business leaders to make individual commitments −Funding for dementia research on track to be doubled by 2025 −High quality dementia care at home which is personalised −Doncasters dementia strategy

Dementia-friendly Technology Charter Aims Enable every person with dementia to have the opportunity to benefit from technology appropriate to their needs To outline and encourage high level principals and best practice for those organisations providing services to people with dementia First year ambitions Charter published and communicated Work towards having all CCGs*, local authority and housing commissioners signed up All service and technology providers signed up

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General thoughts on technology? 5 Seemed a good idea, but you would need to get used to it Everyone is different, some people see them as intrusive, others view them as another way to stay as independent They need to be user friendly Can offer families peace of mind It should be introduced earlier in order for people with dementia to be able to be involved in the decision making and to have the opportunity to familiarise themselves with the technology Direct feedback from the Alzheimer’s Society Service User Review Panels

Types of technology 6 Safety Enabling people with dementia to live as fully as possible without putting themselves and others at risk Health Supporting people to manage, assess and treat co-morbidities and improve health outcomes Enhancing Devices or apps to improve the quality of life for people with dementia Service blueprintStandardsTimely referral Timely assessment ResponseMonitoringService set-upEthics/consentRe-evaluation Components of a good quality technology service

Service analysis and design Analyses the current situation and defines and develops a tailored local solution Analysis of the existing ‘As Is’ processes and costs through workshops with operational staff Facilitation of a ‘visioning’ workshop with staff and stakeholders to gather improvement ideas and gain commitment to the change programme Design of a tailored ‘To Be’ solution in line with the Tunstall best practice delivery model Development of a change gap analysis to move from the ‘As Is’ to the ‘To Be’ Recommendation of Key Performance Indicators to measure success Creation of an implementation plan for the Delivery phase DESIGN

Profiling and benefit identification Analyses the market potential and produces a plan to deliver financial benefits and customer focused outcomes Support Doncaster’s Dementia Strategy and outcomes Analysis of local demographic data to understand the resident profile and target market Production of a Service Development Plan to demonstrate the benefits of the use of technologies to support people and their carers. DESIGN

Engagement and Delivery Increasing and/or maintaining peoples level of understanding about products and services Measuring and unifying standards, and reinforcing organisational aims Promote services to users of technologies and their carers Efficient processes agreed to enable people and organisations to acquire relevant skills and knowledge quickly and professionally to deliver services Delivering your vision DELIVERY

Service optimisation and Benefits realisation Embeds connected care technologies and services within care pathways and identifies additional opportunities Drives marketing and communications actions and identifies new opportunities Identifies and recommends system and process improvements Monitoring of the Service Development Plan to ensure that the anticipated benefits and outcomes are realised Drive the realisation of benefits for people and organisations - Application of continuous improvement methodologies to ensure that the service is embedded within care pathways and additional ‘added value’ offerings are reviewed. DEVELOPMENT

Evidence | Telecare for People with Dementia: Evaluation of Renfrewshire Project 320 people with dementia were provided with telecare in Renfrewshire in the five years to 31 March 2012, equivalent to 31% of all users of Renfrewshire telecare under this programme −Over 67% of savings from avoided hospital admissions or shorter lengths of stay −A further 24% of savings from care home admissions avoided. Renfrewshire Partnership gave estimated net savings attributable to the 325 clients with dementia, over the five-year period, of over £2.8 million, equivalent to about £8,650 per client receiving a telecare system. −88 admissions to care homes avoided, saving 606 days each, at a daily saving of £48.06 (£29,124 per event), giving total savings of £2.55 million; −114 hospital admissions avoided, saving almost 20 days each, at a saving per day of £336, giving total savings of £0.75 million; −Delayed discharges avoided, saving £0.45 million; −Other savings from avoided sleep-overs (£110,910) and respite care (£30,060) renfrewshire-project-final-evaluation-report/r/a11G W97wIAC

Carers and Technology Benefits of TECS for carers include: −Less stress and worry - Peace of mind about the person you are looking after −Better sleep and more time to relax or pursue own interests −Greater sense of freedom – alerted if an accident/problem occurs with the person you are caring for Benefits of TECS for the person being cared for include: −Less hospital admissions −Better quality of life −Better health outcomes −More independence 13

Thank You Any Questions?