1. Dementia Prevalence Calculator Improving the diagnosis of dementia, and diagnosis pathways Kate Schneider, NHS South of England (West)

2. NHS Outcomes Framework Enhancing quality of life for people with long-term conditions This domain will capture how successfully the NHS is supporting people with long-term conditions to live as normal a life as possible. Kate Schneider, NHS South of England (West)

3. In 2011/12, data indicated the average rate of diagnosis in England was only 43% (Alzheimer’s Society, 2011) Scale of the challenge Kate Schneider, NHS South of England (West)

4. The growth in the number of people with dementia Kate Schneider, NHS South of England (West)

5. A quantifiable ambition for diagnosis rates Prime Minister’s Challenge on Dementia, 2012; NHS Mandate,November 2012 Kate Schneider, NHS South of England (West)

6. A quantified ambition that increases the percentage of people with dementia who have a formal diagnosis should be embedded in the NHS and used to lever change All Party Parliamentary Group, Unlocking Diagnosis, July 2012 Kate Schneider, NHS South of England (West)

7. The diagnosis, treatment and care of people with dementia in England should be among the best in Europe NHS Mandate Kate Schneider, NHS South of England (West)

8. To make measurable progress towards achieving this by March 2015, in particular ensuring timely diagnosis and the best available treatment for everyone who needs it, including support for their carers. Our objective Kate Schneider, NHS South of England (West)

9. work with CCGs, driving significant improvements in diagnosis of dementia, and capturing this in a national ambition for diagnosis rates built up from local plans publish the expected level of diagnosis across the country through to March 2015 work with CCGs to support local proposals for making the best treatment available The NHS Commissioning Board will Kate Schneider, NHS South of England (West)

10. Dementia Prevalence Calculator (v1) Tools and resources Templates - Diagnosis Improvement Plans (CCGs; General Practice) Improving rates of diagnosis, and the diagnosis pathway Kate Schneider, NHS South of England (West)

11. NHS Outcomes Framework 2013-14; CCG Planning Guidance 2013-14 Domain 2: CB_A9: Estimated diagnosis rate for people with dementia Improving the ability of people living with dementia to cope with symptoms, and access treatment, care and support Kate Schneider, NHS South of England (West)

12. Inform prevalence data to quantify ambition, and inform demand/supply and unmet needs Review review, redesign, and commission diagnosis pathways to deliver ambitions Benchmark benchmark progress to improve diagnosis rates; support improvement; incentivize Improve design CCG diagnosis improvement plans to deliver quantified ambition Dementia Prevalence Calculator – CCGs & ATs Kate Schneider, NHS South of England (West)

13. Measure local prevalence among patients in care homes, and in the community Review review patients on the Practice’s dementia register and estimate the ‘diagnosis gap’ Consider consider prevalence by age group, and by severity; benchmark; set trajectories to 2015 Improve improve coding, case finding, indicative screening and education Dementia Prevalence Calculator - General Practices Kate Schneider, NHS South of England (West)

14. Measure local prevalence among patients in care homes, and in the community, adjusted Review estimate the ‘diagnosis gap’; understand needs – neighbourhoods, commmunities Consider consider prevalence by age group, and by severity; benchmark; set trajectories Improve public health interventions, local government strategies, community development Dementia Prevalence Calculator - Public Health, Health & Wellbeing Boards, LAs Kate Schneider, NHS South of England (West)

15. Bristol CCG:Bradford City CCG: Kate Schneider, NHS South of England (West)

16. Bristol CCG – hypothetical ambition Kate Schneider, NHS South of England (West)

17. Bristol CCG – ‘gap’ to 70% diagnosis rate

18. CCG - benchmarking

19. Diagnosis knowledge portal www.dementiapartnerships.org.uk/diagnosi s

20. Dementia diagnosis resource pack

21. Actions Resource Examples Key Step 1: Understand demand www.dementiapartnerships.org.uk/diagnosi s

22. Actions Resource Examples Key Step 9: Coding www.dementiapartnerships.org.uk/diagnosi s

23. Web-enabled DPC & modelling tool – April 2013 –Real time data –Real time heat map –Transparency –Knowledge portal –Positive practice –System dynamics modelling tool – dementia diagnosis pathways, April 2013 –Research, development, innovation opportunities Next steps Kate Schneider, NHS South of England (West)