Intelligent integration data and analysis – informing strategic planning

for future dementia services

Melissa Llano, Information Analyst, ISDParallel Session D: Care for Older People

Faculty of Public Health Conference 7th Nov 2014

Dementia: the situation

35.6 million people have dementia worldwide; 7.7 million new cases every year.

Scotland estimate 84,575.

Under diagnosed by ~ 50%

Prevalence increases with age

Integrated Resource Framework

Joint program: SG, NHS, COSLA Evidence-base to support strategic redesign of

health and social care services. Patient level-costed files, currently health only. Linked health and social care data to examine

resource use across and between populations. Focus on dementia

Partnership analysis

Cases identified via Primary Care registers. Dementia and non-dementia cohorts 65+.

Pattern of resource useProportion of health activity expenditure per patient:

Cost per capita: £4917 Cost per capita: £2417

Dementia Population Projections

Cost projections

Prediction is very difficult- especially about the future.Niels Bohr

Further analysis

Health activity cost per capita 65+; 12 months pre & post dementia diagnosis:

Total cost per capita: Pre-diagnosis: £4662 Post-diagnosis: £4580

Health & Social care linked analysis: Partnership B

Proportion of health & social care activity expenditure per capita:

Cost per capita:health- £11,105, social- £12,446

Cost per capita:health- £3,089. social- £1,538

Health and social care: future development

Continue with dementia analysis and other long-term conditions (comments & ideas welcome).

H&SC linked data to understand activity and resource at population and geographic levels.

On-going work underway using data looking at anticipatory care plans, delayed discharges, high resource cohorts, community ward, etc.

Ensure we make links with stakeholders so people are aware of the potential of data set.

Further Information & Contacts:

Website: http://www.isdscotland.org/Products-and-Services/Health-and-Social-Care-Integration/

Contact: melissa.llano@nhs.net or nss.isdIRF@nhs.net