1. Dementia Care in London Working Together for Better Mental Health 29 February 2012 Gordon King

2. Scale of the challenge Nearly one in every hundred Londoners has dementia 64,600 people in London with dementia including over 1,500 with young onset Increase expected by nearly 16% across London to 75,000 by 2021. Wide borough variation Up to 65,000 people with substantial or critical care needs in 10 years SUS data shows 93% of acute admissions for dementia are unplanned Nearly 4000 people with a diagnosis admitted to acute beds 3 times or more 41% of people with dementia are on GP dementia registers

3. How do Health and Social care systems respond to increasing demand in the current climate? What new thinking or progress is being made across London? National Dementia Strategy (DH, 2009); Dementia Services Guide (CSL/LHP, 2009); Dementia Commissioning Pack (DH, 2011); London Dementia Needs Assessment (NHSL, 2011) NHS London clinically led project to improve dementia care and prescribing (established March 2011). Highlights include High impact taskforce to reduce antipsychotic training GP skills and awareness programme Early diagnosis Acute trust training

4. How do Health and Social care systems respond to increasing demand in the current climate? Mental health liaison model for dementia project (NCL cluster with LHP support) QIPP project to reduce dementia related acute trust admissions & readmissions, shorten stays & reduce variation through a MH liaison model Readiness to grasp problems of fragmented systems with fractures & variation within commissioning, service provision & improvement/redesign Model developed now part of cluster contract negotiations for 2012/13 LHP will produce report with lessons for London - significant potential savings modelled for the health & social care economy in the capital through “whole system” commissioning

5. How do Health and Social care systems respond to increasing demand in the current climate? Joint Improvement Partnership / London Councils Social care and dementia How do we begin to robustly commission a new model for residential care? Integrated pathways require integrated commissioning How do we get whole system approach to dementia in London which has both health and social care drivers & levers working together? London-wide opportunities

6. What can we do next year for maximum impact?

7. Identify up to 3 pieces of work likely to make the most significant impact on the commissioning or provision of dementia services in London over the next year & rank them in priority order (10-12 mins) Taking the top priority, what would be the major challenges in delivering this piece of work? (8-10 mins) What are the key levers in the system, who needs to be involved or engaged to ensure success & how will that success be measured? (8-10 mins) Feedback briefly to whole group (2 mins maximum each group) Small group work sessions

8. Thank you