Improving dementia care in a challenging sector ________________________________________________________________________________________ alzheimers.org.uk

Setting the scene There are currently 800,000 people with dementia in the UK. One in three people over 65 will die with dementia Dementia costs the UK £23 billion. ________________________________________________________________________________________ alzheimers.org.uk

W hy dementia is the biggest care challenge 80% of people living in care homes have a form of dementia or severe memory problems. Up to a quarter of hospital beds occupied by someone with dementia. People with dementia frequent users of home care services. ________________________________________________________________________________________ alzheimers.org.uk

Prime Minister’s Challenge Launched on 26 March 2012 Three work streams: Driving improvements in health and care Creating dementia-friendly communities that understand how to help Better research Improving formal care services is a key priority of the Challenge ________________________________________________________________________________________ alzheimers.org.uk

Progress with the Challenge 69 signatories to Dementia Care and Support Compact £300m for innovative housing solutions Awareness of alternatives to hospitalisation Innovation Challenge Prize E-learning dementia training ________________________________________________________________________________________ alzheimers.org.uk

________________________________________________________________________________________ alzheimers.org.uk What do we know about the state of care? Unacceptable variation in the quality of care across all care settings. Low expectations, 2013 Attitudes on choice, care and community for people with dementia in care homes Support. Stay. Save Care and support of people with dementia in their own homes Counting the Cost, 2009 Caring for people with dementia on hospital wards

Meeting the challenge of dementia High quality care can: Contribute to maintaining quality of life Helping to retain independence Potentially reduce pressure on more costly care settings, such as acute hospitals Poor quality care can: Deny people with dementia opportunities for a good quality of life Lead to higher overall care costs through early admissions to care homes and avoidable admissions to hospital Impact on the health and mental health of carers. ________________________________________________________________________________________ alzheimers.org.uk

________________________________________________________________________________________ alzheimers.org.uk Principles of good quality care Provided by staff trained in providing good dementia care who have access to specialist support Focused on meeting needs and aspirations Promoting of dignity and respect and maintaining human rights Closely coordinated between different professionals and services across health, social care and housing

Launched October 2010 More than 100 organisations Each developed action plan on dementia ________________________________________________________________________________________ alzheimers.org.uk Examples of working together

Call to Action from DAA launched on October 15th We want every hospital in England to commit to becoming a dementia friendly hospital, working in partnership with their local DAA So far, 74 hospitals have signed up ________________________________________________________________________________________ alzheimers.org.uk The Right Care: Creating dementia friendly hospitals

Focussed Intervention Training and Support (FITS) Being rolled out to 150 care homes Trial reduced use of antipsychotics by almost 50% 10 days of training including: awareness and understanding of dementia delivering person-centred care managing behavioural symptoms regular supervision sessions Goal Attainment Scaling (GAS) to assess impact ________________________________________________________________________________________ alzheimers.org.uk

Thank you ________________________________________________________________________________________ alzheimers.org.uk