Barnsley MBC and Barnsley’s Older People’s Expert Partnership & Joint Agency Group

Barnsley Council; through the ‘Older People & Vulnerable Adults Commissioning team & its partnership arrangements’, is working collaboratively to support local organisations and commissioned services to continue to deliver against: 1. the NDS outcomes , 2. the ‘Dementia Challenge’ and also respond to emerging priorities for service users /the carers and families of the person with a dementia , whilst equally reflecting the strategic ambition of the Community.

Updated:
22 June 2016
Location:
Yorkshire and Humber
Sectors:
Health, Care, Housing Sector, Telecare, Schools, Local Authorities, Clinical Commissioning Group, Education Sector, Commissioners Sector
Local Alliances:
Yorkshire & Humber Dementia Action Alliance, Barnsley Dementia Action Alliance

1. Action Plan

1. The National Dementia Declaration lists seven outcomes that the DAA are seeking to achieve for people with dementia and their carers. How would you describe your organisation’s role in delivering better outcomes for people with dementia and their carers?

Led by the Older People & Vulnerable Adult - Joint Commissioning team ;on behalf of BMBC, NHSB( now BCCG), BHNFT and a range of third sector and independent sector providers, the strategy group produced a local strategy and action plan which gained approval in August 2010. The local strategy and action sparked a number of developments during 2010/11 and again thus far in 2011/12. The multi-agency stakeholder group set up to scope and draft the strategy is now overseeing implementation, monitoring and measuring of the actions and outcomes against the NDS headline objectives. In terms of organisational governance arrangements, the Multi-Agency Dementia Implementation Group reports into the ‘Older People & Vulnerable Adults Expert Partnership group ‘ which in turn reports into the Joint Commissioning Executive & Joint Program Boards. In addition, BMBC cabinet recently agreed to sign the declaration on the basis of the positive work that has taken place thus far and to demonstrate our collective commitment to the objectives listed.

2. What are the challenges to delivering these outcomes from the perspective of your organisation?

The mutli-agency stakeholder monitoring and implementation group start from a position of high level agreement on the objectives and actions that need to be made to effect change and deliver the desired outcomes in Barnsley. Since August 2010 there has been significant progress achieved against some of the early actions and this has demonstrated the strength and value of partnership approach, especially when backed up with project management principles and processes. Initially the group identified a number of potential risks, the most significant being the possibility of creating an unmanageable number of diagnostic referrals and support requirements for carer’s as a result of campaigning however these challenges are being mitigated by ensuring that pathways and service configurations were being undertaken to be more conducive to population needs . Sustaining level of organisational commitment is an increasing challenge within a changing landscape. The extent of support and sign up to this local process of multi-agency working and adherence to the rigour of the commissioning cycle has meant that a great deal has been achieved in a short space of time. Much still remains to be done and our biggest challenge will be to maintain the rate of activity and support of all stakeholders.

2. Actions

  • Re-direct Resources from Traditional Ward Based Provision

    To re-direct resources from traditional ward based provision to a more dynamic community support model in line with NDS outcomes. This will be achieved by recommissioning.

    Status:
    Completed

    2014 - Third Quarter Update

    The new dementia service will provides support to hospital base staff through a dedicated liaison officer from memory service. During the pilot phase from 1st January 2015 , reconfigured pathway will enable improved identification and referral of person with a dementia or cognitive impairment into the dementia service. This quarter will focus on mobilisation. 

  • Reconfigure Dementia Services pathway

    To re-draft the Memory Services’ service specification while contributing to the re-organisation of resources to support earlier/timely and more accurate diagnosis and support. More define referral protocols and support for person with dementia /carer's along the whole life journey.   

    Status:
    Completed

    2016 - First Quarter Update

    Pilot service evaluated and full implementation of service model agreed.

    The service provides assessment and diagnosis as well as dementia adviser suppoprt in an integrated way - new service model.  

    2015 - First Quarter Update

    Pilot service in place and will be in opration for 12 months

    2014 - Fourth Quarter Update

    Pilot service mobilisation started .

    2014 - Third Quarter Update

    Pilot of the new servuce model agreed and start date confirmed

    2014 - Third Quarter Update

    New service pilot start date agreed ( 1st JANUARY 2015) . Service offer includes closer support for person with dementia and carers within the community. Dementia Advisors will be working with specific groups of GP practices to offer both pre , during and  post diagnosis support to live well with  dementia.  This quarter will see approval of mobilisation plan and finalisation of the evaluation program scope which will include service user and carers.     

    2014 - Second Quarter Update

    Service & Pathway review completed. New configuration approved along with revised performance /quality schedule. Implementation plan is being developed to pilot new configuration for a 12 months period to gauge benefit to service users and their carers. Start date of service yet to be agreed. Monitoring will be inlcusive of all key partners.   

    The new dementia service will provide support to hospital base staff through a dedicated liaison officer from memory service. During the pilot phase from 1st January 2015 , reconfigured pathway will enable improved identification and referral of person with a dementia or cognitive impairment into the dementia service. This quarter will focus on mobilisation.

  • Re-commission Local Third Sector

    To review and inform new service specification for the local third sector taking into account the increase support requirements for users' and carer's needs .

    Status:
    Completed

    2015 - First Quarter Update

    Service has been commissioned 

    2014 - Fourth Quarter Update

    Service has been co-produced and procurement undertaken with service users .

    2014 - Third Quarter Update

    New service model is being developed to focus on supporting both the person with dementia and the carer within the community.  This quarter will see completion of a service specification and model with contribution from users and carers.  

  • Improve Level of Care Provided

    To improve the level of care provided for those with dementia within care homes and Domiciliary care services by introducing a dementia champions program in conjunction with the BMBC Workforce Development Team which will train a cohort of individuals to be advocates of best practise whilst challenging poor practice within their provider organisations.

    The program has evolved since 2011 to now support both participant and employer to sign up to the DFC /DAA campaign.  This is the fourth cohort supported by BMBC and to date has delivered up to 40 Champions.   There is significant evidence where Champions are taking lead role in pro-actively sharing skills and knowledge beyond organisational boundaries resulting in improving joint working practices. Training programmes are being delivered across the service sector.        

    Status:
    Delivery

    2014 - Third Quarter Update

    'Meeting the Dementia Challenge' event was delivered on the 21st Oct with sponsorship from local Authority. This has enable to promote the dementia awareness campaign in the community and also to launch the dementiacarer.net support website. 94% attendance was achieved from across the service sector and businesses within the Barnsley area. In particular services  grasp the opportunity to network and share good practices as well as sign up to the campaign of improving care with community.  By way of tangible outcome achieved , commissioners will monitor access to the carer support database and referrals into support services. This will be shared at the next event.      

  • Review and Reconfigure Day Services

    Review Day Services as part of the overall strategy to further enhance infrastructures in the community. The aim is to develop easily accessible ‘Health and Wellbeing Centres’ conducive to wider needs of the population.

    New centres have been commissioned across the Borough with one centre specifically designed for people living with a dementia or memory problem.  There is ongoing review of service outputs and outcomes for service users with a view to inform future developments .

    Status:
    Completed

  • Sustaining Independence & Re ablement back into the community

    Review and reposition Intermediate Care Services to support a wider client group ;inclusive of people with memory problem and /or with an early onset  dementia,  with a view to increase independent living back into the community following a short period of acute illness.

    Scope of reconfiguration has been finalised and this now includes dedicated bed base service for people with memory problem and /or early onset of dementia.

    A more define liaison function between the Intermediate Care and new dementia service pathway has been developed.

    Status:
    Completed

    2016 - First Quarter Update

    Service specification for Intermediate care inlcudes the provision of rehab support to people with mild cognitive impairement either with or without a diagnosis.  The servuce will be fully commisisoned by July 2017 

    2014 - Third Quarter Update

    Implementation program is progressing . Pilot start date is scheduled from April 2015. Mobilisation plan is currently being formulated.