Lincolnshire County Council

Lincolnshire County Council supports the vision of living well with dementia. The existing Lincolnshire Joint Strategy for Dementia Care was launched in 2010 and is due for renewal in March 2014. Commissioners propose to refresh the existing Strategy and determine future strategic options. The Council with its partners is focusing on the key areas outlined in the Prime Minister’s Challenge on Dementia (2012): 1. Creating dementia friendly communities 2. Driving improvements in health and care 3. Delivering the National Carers’ Strategy for dementia carers

Updated:
7 November 2016
Location:
East Midlands
Sectors:
Local Authorities
Local Alliances:
Lincoln Dementia Action Alliance, South Lincolnshire Dementia Action Alliance , West Lindsey Dementia Action Alliance, Boston Dementia Action Alliance , Skegness Area Dementia Action Alliance, South West Lincolnshire Dementia Action Alliance, East Lindsey Dementia Action Alliance

1. Action Plan

1. The National Dementia Declaration lists a number of outcomes that we 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?

Lincolnshire County Council will work with its partners to enable people to know that should they or a family member have dementia they will be able to get the information and support they need in order to live well with dementia.

Plans to develop and improve dementia services are already in progress. Department of Health funding made available through NHS Lincolnshire is being used to support a number of initiatives consistent with national and local priorities.

Publication of the National Dementia Strategy “Living Well with Dementia” on 3 February 2009 identifies that positive input from health, social care, the third sector and carers of people with dementia can make all the difference between living well with dementia and having a poor quality of life.

This Lincolnshire Strategy is intended to simply and briefly identify the work we have undertaken to date, it outlines the services currently provided and shows the approach we are taking to ensure that Lincolnshire meets the challenges of the National Dementia Strategy and the aspirations of the people who live here.

We must recognise the financial constraints and challenges facing both health and social care. 

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

The number of people with dementia in Lincolnshire was estimated at 10,700 in 2012. It is projected this figure will grow to over 17,800 by 2023 and to 19,500 by 2030: a rise of 82 %. Greatest increases are anticipated in South Kesteven and West Lindsey.  

The Department of Health confirmed four priority areas for local delivery of the strategy:

1. Early diagnosis and intervention

2. Improved care in general hospitals

3. Living well with dementia in care homes

4. Reduced use of antipsychotic medication 

 “The Lincolnshire Joint  Strategy for Dementia Care 2010 - 2014 ”  was published in 2010 following work by health and social care commissioners providers in partnership with patients, service users, carers and stakeholder agencies. The Lincolnshire Strategy lists 16 priorities for action to help Lincolnshire people live well with dementia   

The current position confronting commissioners in Lincolnshire is:

1. We have limited resources and growing demand 

2. Knowledge of the true scale of need is inadequate

3. Resources are still deployed separately by separate agencies 

4. Resources are not always deployed where the need is greatest.

Since 2010 health and social care have been working to deliver improvements consistent with the Joint Strategy but we need to challenge our performance, and be prepared to afford dementia a higher priority in our planning.    

Health and social care commissioners conclude that the Joint Dementia Strategy should be re – examined, refreshed and a new strategic framework adopted.

Features of the refresh can be found as our actions.

2. Actions

  • Potential Dementia Support Network

    Proposals for a Dementia Support Network (DSN) have been drawn up and are being actively considered by LCC in the first instance, primarily to secure funding.  The proposals envisage a county wide pilot scheme to prove it works and secure longer term funding. The DSN would be an integral part of a clear pathway and provide practical support to people with dementia following diagnosis. The DSN would achieve this by creating a fund to support independent sector agencies to provide a range of relevant services.     

    Status:
    Delivered

    2015 - Fourth Quarter Update

    A further funding alocation has been made to a range of organisations throughout Lincolnshire. 

    2015 - Second Quarter Update

    A DSN fund has been established by Lincolnshire County Council and the Lincolnshire CCGs and is administered by Lincolnshire Partnership NHS Foundation Trust. Community organisations and groups which support people with dementia were invited to submit bids for funding by April 2015 for a share of the initial funding allocation of £195,000. The first DSN awards have now been made. A second round of bids has now opened with awards expected September 2015. 

    A Dementia Family Support Service has also been commissioned and an agreement for three years has been signed with the Alzheimer's Society to provide this service from October 2015.   

    2015 - First Quarter Update

    A DSN fund has been established by Lincolnshire County Council and the Lincolnshire CCGs. Community organisations and groups which support people with dementia will be invited to submit bids by 7 April 2015 for a share of the initial funding allocation of £195,000. The DSN is being administered by Lincolnshire Partnership NHS Foundation Trust. Commissioners are considering further investment in the fund.    

    2014 - Second Quarter Update

    Plans for a Dementia Support Network and a Dementia Family Support Service (DFSS) have been developed and are being considered by LCC and NHS commissioners. No time table for delivery has currently been agreed. 

    The proposed DFFS would complement the DSN by targeting support to informal carers of people with dementia.      

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    A  Family Support Service is also being proposed for implementation in April 2014. This would provide a dedicated support service for carers to run in parallel with the Support Network.  

  • Develop proposals for integrated approach to community working for dementia

    As part of the work led by Lincolnshire County Council Adult Care with regard to the refresh of the Lincolnshire Joint Dementia Strategy and the development of a Lincolnshire Customer Journey and Pathway for Dementia, a significant amount of thought and discussion has been undertaken with regard to gaps in service, national strategy and system redesign.

    Status:
    Implementation

    2016 - Third Quarter Update

    The commissioning and implementation of the Dementia Family Support Service (DFSS)and the Dementia Support Network (DSN) have addressed the major issues of gaps in service, and the priorities of national policy. 

    2015 - Fourth Quarter Update

    This action is still being considered by commissioners. There is no current delivery time table.   

    2015 - Second Quarter Update

    The commissioning and implementation of the Dementia Support Network and the Dementia Family Support Service address many of the issues of service integration. 

    2015 - First Quarter Update

    This action is still being considered by commissioners. There is no current  delivery time table.  

    2014 - Second Quarter Update

    This action is still being considered by commissioners. There is no current delivery time table.   

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    An initial Dementia Pathway has been produced to aid discussion as part of a paper suggesting a potential Lincolnshire Dementia Partnership.

  • Contribute further to the development of dementia friendly communities

    Support Dementia Action Alliance, Dementia Friends and other initiatives.  

    Status:
    Delivered

    2014 - Fourth Quarter Update

    Lincolnshire County Council continues to suport Lincoln DAA and South Lincolnshire DAA and other initiatives to promote dementia friendly communities.  

    2014 - Second Quarter Update

    Lincolnshire County Council continues to suport Lincoln DAA and South Lincolnshire DAA. 

    A number of staff are acredited Dementia Friends Champions and hold regular Dementia Friends information sesisons. Two DF sessions for council members have been held and twelve councillors are now DFs.    

    2014 - First Quarter Update

    in progress

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    Lincolnshire County Council continues to suport the work of both DAAs in the county. The Council has publicised the Dementia Friends campaign through internal media and encourages staff to become Dementia Friends or Dementia Friends Champions.   

  • Increase the range and diverstiy of support in consultation with people affected by dementia

    It is proposed that a mechanism be established where funding can be provided to providers, organisations and groups through contracts for specific services, and through grant mechanisms for localised issues, gaps, and innovation.

    Status:
    Delivered

    2015 - First Quarter Update

    A funding mechasnism for dementia related community groups has been incorportated in the Dementia Support Network project due to open April 2015.   

    2014 - Second Quarter Update

    Following scoping,this action has been incorporated in the proposed Dementia Support Network. Please refer to that action.    

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    Commissioners are examining ways existing funding streams could be used to und this initiative. 

  • Detailed review of dementia pathway and prosed shift from maintenance services to prevention

    While it would seem that a preventative approach will be a feature of the pathway in the future, significant disinvestment in maintenance services in order to fund the development of new preventative services can be difficult to achieve without double funding, or by reassigning funding on a case by case basis. Significant investment or reinvestment would be required as a result. Efficacy data from other areas, and to an extent from local provision, demonstrates that this approach can both create efficiencies and improve outcomes.

    Status:
    Being implemented

    2015 - Fourth Quarter Update

    A detailed review of care pathways remains to be achieved.

    However the development of the DSN and DFSS has required a shift of funding priorities and represents a commitment to better maintenance and preventative services.   

    2015 - Second Quarter Update

    A detailed review of care pathways remains to be achieved.

    However the development of a DSN and DFSS has required a shift of funding priorities and represents a commitment to better maintenance and preventative services.   

    2015 - First Quarter Update

    Commissioners have developed joint structures to inform budget setting and strategic investment decisions.  

    2014 - Second Quarter Update

    Discussions continue with NHS partners to plan future budgets.  

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress