Northern England Strategic Clinical Network Conference

15th May 2015Dementia Update

Dr Louise AllanClinical lead for dementia

Outline

• What have we achieved?• What’s happening now?• What opportunities do we have?• How can you help?

Outline

• What have we achieved?• What’s happening now?• What opportunities do we have?• How can you help?

Recorded dementia prevalence

• National NHS Outcome Framework indicator• Dementia Prevalence calculator– Numerator: GP QOF registers– Denominator: Estimated dementia prevalence for the area– Taken from Alzheimer's Society 2007 report

• Various levers to improve• Commissioning of memory service DES x2, Hospital CQUIN,

Coding work (Dementia Quality toolkit, RAID data)

National and regional performanceNational: DPC 60.8% (NHS OF 61.6%)

• 4 Regions:– North: 66.4%– Midlands and East of England: 58.3%– London: 62.3%– South of England: 57.6%

• 13 Sub regions:– Cumbria/ North East: 68.3%– Lancs/ Manchester: 68.0%– Yorks/ Humber: 65.2%– Cheshire/ Mersey :64.0%

• 24 Area teams– Durham, Darlington

and Tees: 72.7% (1st)– Cumbria,

Northumberland, Tyne and Wear: 65.8% (8th)

Our CCG performanceOct-14 Mar-15

HAST 73.6 80.89DDES 71.7 75.58South Tyneside 72.6 74.3Darlington 69.2 72.35Sunderland 67.7 71.07Gateshead 68.2 69.96Newcastle N&E 61.7 69.06North Durham 61.5 67.36South Tees 63.2 66.51North Tyneside 58.6 66.01Hamb & Rich 55.7 65.2Newcastle West 57.9 64.08Northumberland 53.2 62.33Cumbria 58.4 61.93

Mapping project

• CCGs visited– HAST– North Tyneside– Newcastle West– Sunderland– North Durham– Cumbria

• Providers visited– Memory protection service, South of Tyne

CQUIN Task and Finish group

• Review of different approaches used in our acute hospitals

• Proposed CQUIN based on NICE quality standards for Delirium

• Not possible to implement this year• Aiming to di this in 2016/17

Sharing and learning event

Outline

• What have we achieved?• What’s happening now?• What opportunities do we have?• How can you help?

Task and finish projects• Pathway work for all people with cognitive

disorders• Guidance on Diagnosis of dementia in acute

hospitals• Standardisation of notification of diagnosis to

GPs• HENE funded Delirium Roadshow

Outline

• What have we achieved?• What’s happening now?• What opportunities do we have?• How can you help?

Opportunities

Support based on need rather than diagnosis Joining up with health and social care for

patient and carer Involvement in Parkinson’s Excellence

Network Joint work with the AHSN

Delphi Exercise on Dementia standards Spreading innovation projects

Outline

• What have we achieved?• What’s happening now?• What opportunities do we have?• How can you help?

Working together

• Please join the mailing list• Please join task and finish groups• Feedback your ideas!