Dementia Risk Reduction Melanie Earlam PHE 27th September 2016

Public Health England (PHE) wants to reduce the prevalence and incidence of dementia. So in March 2016 PHE published the Guidance - Health matters: midlife approaches to reduce dementia risk. The guidance looks at: The scale of the challenge What are the risk factors that can lead to dementia? What steps can be taken to lower the risk of dementia? Dementia is not an inevitable part of ageing. This resource for health professionals and local authorities makes the case for action in midlife to promote healthy lifestyles that can reduce the risk of dementia.

England only: In 2013 the number people with dementia in England was estimated at 686,000 Without public health intervention has been forecast to increase by 40% by 2025

PHE: Promoting risk reduction messages Internal promotion Communication master briefing pack with key messages, facts & figures PHE Centre leads dementia network as mechanism to cascade information established with cross cutting policy leads Matrix meetings to support alignment with other programmes – e.g. One You, NHS Health Checks External promotion Key message: ‘What’s good for the heart is good for the brain’ Dementia Awareness Week – rated as the most engaging PHE social media communications in May 2015. Health Matters on midlife approaches to dementia: a new resource for public health professionals which brings together important facts, figures and evidence of effective (and cost-effective) interventions to tackle major public health problems Reducing the Risk of Dementia 10/06/16

PHE: Enhancing data through the Dementia Intelligence Network For the first time, we have made available, in one place, a suite of healthy behaviour dementia risk indicators through the Dementia Intelligence Network 1) Prevalence quantifying the occurrence of dementia in the population 2) Preventing well - possible modifiable and non-modifiable risk factors for dementia 3) Diagnosing well - journey from detection to diagnosis and immediate post diagnosis care 4) Living well - living independently with dementia, health and social care as well as information and planning services 5) Supporting well - provision of higher dependency care including hospital activity, home care and care home provision 6) Dying well - provision of good end of life care for people with dementia UK piloting the WHO global observatory, to support better data globally fingertips.phe.org.uk/profile-group/mental-health/profile/dementia Reducing the Risk of Dementia 10/06/16

Physical Activity Impact on dementia We know that physical activity can reduce cognitive decline and prevent dementia. And that by recommending physical activity to patients with mental health problems and dementia their outcomes can and do improve.

Healthmatters Getting every adult active every day Health matters: getting every adult active every day Guidance published in July 2016 - Recommendations The benefits of physical activity Physical activity and health inequalities How we can increase population physical activity 1. Active society 2. Moving professionals 3. Active environments 4. Moving at scale Reducing the Risk of Dementia- what does the evidence tell us?

Have produced a 30 minute e-learning module on: The health benefits of physical activity: depression, anxiety, sleep, and dementia. The module covers the importance and effectiveness of physical exercise as both a preventer and combatant to depression, anxiety, sleeplessness, and dementia, plus how recommend it to patients. With multimedia video. http://learning.bmj.com/learning/module- intro/.html?locale=en_GB&moduleId=10052400& Reducing the Risk of Dementia- what does the evidence tell us?

NHS Health Checks Dementia Pilots

‘What’s good for your heart is good for your brain’. Celebrating launch of the new NHS Health Check Dementia Pilots for people in midlife   ‘What’s good for your heart is good for your brain’. Manchester City “Unlike cancer or heart disease, people are unaware that there are positive steps they can take to improve their health and reduce their risk of dementia. “ Dr Charles Alessi, Senior Advisor Bury This week sees the launch of the new NHS Health Check Dementia Pilots. Public Health England is working with Alzheimer’s Research UK and Alzheimer’s Society to extend the dementia risk reduction component of the NHS Health Check to all 40-64 year olds at sites in Birmingham, Bury, Manchester and Southampton. This will see over 250 GP practices raising awareness about dementia risk reduction amongst people in midlife as part of the health check for the first time, and will also test a community based model for sharing the message ‘What’s good for your heart is good for your head’. Dr Charles Alessi, Senior Advisor, said “Recent surveys have highlighted that awareness of dementia risk reduction is very low. Unlike cancer or heart disease, people are unaware that there are positive steps they can take to improve their health and reduce their risk of dementia. “ Dr Andrew Coward, GP in Birmingham said “Extending the NHS Health Check will raise awareness of dementia for those in middle age, which is a key time, by signposting to local services, and giving practical steps to reduce risk of developing dementia.” 3 The outcome of this project is an increase in awareness of dementia risk reduction among people aged 40-64 accessing Health Checks from the pilot sites, in addition to developing the required evidence to justify roll-out of the pilot project to all NHS Health Check sites. Birmingham Southampton City

Dementia in the NHS Health Check Staff in the pilot areas have been trained by the Alzheimer's Society to deliver interventions. Practitioners are asked to include the following key messages in their conversation: • Increased risks of cardiovascular disease also increase risk of developing dementia • What is good for the heart is good for the brain • Adopting a healthy lifestyle can reduce risk of dementia • There are local services available to support people to make healthy lifestyle changes. Dementia is a disease, not an inevitable part of ageing Reducing the Risk of Dementia- what does the evidence tell us?

Like cancer, cardiovascular disease and many other conditions, dementia is not inevitable. There are things one can do to reduce the risk of getting these conditions. • By making changes and adopting a healthier lifestyle people can reduce risk of developing dementia. • Approximately 30% of cases of dementia may be avoided through adopting healthier lifestyles. Is the Health Check recipient aware that the following actions can reduce the chance of getting dementia, along with cancer, cardiovascular disease and diabetes? • Being physically active everyday • Eating a healthy balanced diet and maintaining a healthy weight • Not drinking too much alcohol • Giving up smoking • Connecting with people around them There are local services available to support living a healthy lifestyle Reducing the Risk of Dementia- what does the evidence tell us?

Questions…? Melanie.earlam@phe.gov.uk Reducing the Risk of Dementia- what does the evidence tell us?