Derbyshire County Council

Derbyshire County Council (DCC) provides social care services for the people of Derbyshire. This includes assessment and provision of personal budgets to enable those eligible to receive care services to meet their eligible needs. DCC also provides a range of services including care support in people’s own homes, day opportunities and residential care services. Many services are provided in partnership with other organisations e.g. intermediate care (with the Derbyshire Health Service); extra care (in partnership with Housing Providers). Significant investment is also made in preventative services to support people’s independence and prevent further deterioration. These include: assistive technology, Dementia Support Service, Welfare benefits support, minor home adaptations, befriending services, advocacy services and the handy van scheme.

Updated:
23 March 2017
Location:
East Midlands
Sectors:
Care, Local Authorities, Commissioners Sector, Health, Local DAA Members, Social Care
Local Alliances:
Derbyshire Dementia Action Alliance , Chesterfield Dementia Action Alliance, Buxton & High Peak Dementia Action Alliance, Erewash Dementia Action Alliance, South Derbyshire Dementia Action Alliance, Amber Valley 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?

Derbyshire County Council works closely with the NHS Derbyshire Clinical Commissioning Groups and other strategic partners to deliver better outcomes for people with Dementia and their carers. The seven outcomes listed by the Dementia Action Alliance are incorporated into our Joint Dementia Strategy 2014-19 and are considered within our commissioning plans and contract monitoring processes. We are also now using the Dementia Well Pathway to map our Dementia services across all 5 stages of this pathway to ensure support is available at all stages. In terms of working towards better outcomes, Derbyshire County Council are involved in developing the following which are monitored by a Joint Dementia Commissioning Group bi-monthly:

- Opening of new Community Care Centres and Extra Care Housing

- Consultation and re-procurement of the Dementia Support Service

- Development and expansion of Dementia Re-ablement Services

- Facilitate the development of local dementia action alliances (DAAs) and dementia-friendly communities across Derbyshire

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

We are working at a time when numbers of older people and incidence of dementia are rising. Resources are anticipated to remain constrained for the foreseeable future so the over-arching challenge is to invest to save. The actions listed present both a challenge and an opportunity as it will require Commissioners from DCC and the CCG’s to work closer together to continue to develop and improve dementia services. Success in doing should achieve a good measure of ownership of the outcomes across the organisations and evidence of co-production with people with Dementia and their carers.

2. Actions

  • Derbyshire Joint Dementia Commissioning Strategy

    This will be the latest Derbyshire County response to the views of local people and key national frameworks such as the National Dementia Strategy. It will list specific commissioning intentions for a range of initiatives some of which may already exist but may be modified; others may be new.

    A Joint Commissioning Group has been set up successfully to jointly work on the strategy review. Any difficulties so far have been successfully addressed within this forum and will continue to be resolved in this way.

    Status:
    Implementation

    2014 - Fourth Quarter Update

    The Joint Derbyshire Dementia Commissioning Strategy is now in place and is being delivered by the County Council and the Derbyshire based Clinical Commissioning Groups. The strategy, shaped by public engagement, identified four key areas where improvements are needed to help people and their carers live well with dementia. These areas are:

    Improve joint working,Improve communication,Person-centred services,Training and development

    Implementation of the strategy is overseen by the Joint Derbyshire Dementia Commissioning Group with regular reporting and monitoring taking place via North and South Derbyshire Implementation Groups which also include commissioned service providers. (The South Group includes representatives from Derby City as well).

    Despite being in its infancy a number of achievements have already been delivered through the strategy including:

    ‘Working Towards Dementia Friendly Community’ status obtained by the Derbyshire Dementia Action Alliance; Dementia Environment Fund work completed at four Derbyshire County Council Residential Care Homes to improve quality of life for people living with dementia; Development of a Derbyshire Dementia dashboard; Dementia awareness and signposting included in the Public Health commissioned NHS Health Check programme for introduction in April 2015; Re-procurement of a number of public health lifestyle and behaviour change programmes from 1 December 2014 that prevent or reduce the impact of dementia e.g. smoking cessation services, weight management programmes etc.

    The projects outlined in the original action plan concerning the Council’s Accommodation, Care and Support strategy, are due for completion during 2015-16. This includes:

    two new Community Care Centres -  Meadow View and Florence Shipley in Darley Dale and Heanor respectively; two new Extra Care schemes at Maple Mews (Alfreton) and Smithybrook View (Clay Cross); a combined Extra Care and Community Care Centre in Long Eaton (Lacemaker Court).

    An Extra Care scheme at Potters Place in Chesterfield opened in September 2014 and the Council has recently been granted planning permission for a combined Extra Care and Community Care Centre in Buxton.

  • Facilitate the development of local dementia action alliances (DAAs) and dementia-friendly communities across Derbyshire

    - Identify partners to develop local DAAs across Derbyshire

    - Organise initial meeting/s to promote information sharing between partners and promote the formation of local DAAs

    - Raise awareness of the need for more dementia-friendly communities and DAAs amonst key stakeholders 

    - Support the development of DAAs by contributing resources such as staff time, facilities etc. 

    Status:
    Being implemented
  • Opening of new Community Care Centres and Extra Care Housing

    Derbyshire County Council has invested heavily in new Community Care Centres and Extra Care Housing for people with Dementia. The centres provide a dementia friendly hub for the local community with integrated services tailored to the needs of the community they serve. Services available include; residential care, intermediate care, respite, day opportunities, peer support groups and specialist information and advice.

    The projects outlined in the original action plan concerning the Council’s Accommodation, Care and Support strategy, are due for completion during 2015-16. This includes: two new Community Care Centres - Meadow View and Florence Shipley in Darley Dale and Heanor respectively; two new Extra Care schemes at Maple Mews (Alfreton) and Smithybrook View (Clay Cross); a combined Extra Care and Community Care Centre in Long Eaton (Lacemaker Court).

    Our Community Care Centres are built as dementia friendly physical environments and have supported and staff continue to support our local DAAs. In 2016 Oakland Village in Swadlincote and Florence Shipley in Heanor hosted the launch of DAAs in South Derbyshire and Amber Valley respectively.

    An Extra Care scheme at Potters Place in Chesterfield opened in September 2014 and the Council has recently been granted planning permission for a combined Extra Care and Community Care Centre in Buxton.

    Status:
    Implementation

    2016 - Third Quarter Update

    New Action

  • Consultation and re-procurement of the Dementia Support Service

    In February and March 2016 Derbyshire County Council, Derby City Council and representatives on behalf of the four NHS Derbyshire Clinical Commissioning Groups consulted with stakeholders, including people with Dementia, carers, health and social care professionals and the third sector about the support required to live well with Dementia in the community.

    The results highlighted the importance of particular types of support that are important for people living with Dementia, their carers and professionals who support them including advice and information, carer support, peer support and activities.

    This feedback has been used to help shape the service contract which has been procured for the provision of a Derbyshire Dementia Support Service and the Dementia Support Service in Derby City and will ensure consistency of local provision. The Consultation Report is available on the Derbyshire website here.

    The re-procurement is being undertaken in Summer 2016 with the new contracts due to commence in December 2016.

    Status:
    Implementation

    2016 - Third Quarter Update

    New Action

  • Development and expansion of Dementia Re-ablement Services

    Specialist Dementia Home Care services in Swadlincote, Chesterfield and the Shires / Langwith area of Bolsover have been explored and piloted with different models of care to meet the needs of people with Dementia. A significant feature of all the Specialist Home Care Services in Derbyshire is the emphasis placed on a time-limited (6-8 week) intervention to achieve stabilisation of a potential crisis situation.

    The current specialist home care services in Derbyshire have proved to be effective in reducing carer stress, maintaining independence in the community; improving well-being, reducing or delaying admissions to care homes and reducing hospital bed stays. Reviews of the services in relation to these outcomes suggest that they offer good value for money and can deliver financial efficiencies.

    The next stage of development is to expand the service model in an affordable, effective way. Joint funding has been agreed with SDCCG to develop a new service re-branded as ‘Dementia Re-ablement’ in the Amber Valley area. There is ambition to expand this model to other areas in the county using money from the Better Care Fund. It is hoped the Amber Valley Service will be in operation by December 2016.

    Status:
    Implementation

    2016 - Third Quarter Update

    New Action

  • Raise awareness of dementia among council staff, departments and across Derbyshire

    - Provide regular Dementia Friends Information Sessions for staff targeting those working in Adult Care and those who working directly with the public

    - Other aims for the delivery of these sessions include supporting staff who may have been affected by dementia, promoting dementia risk reduction and early diagnosis, highlighting where to find information about local dementia services

    - Encourage staff attending Information Sessions to become Dementia Champions so they can continue to deliver to their own teams

    - Help deliver events to raise awareness of dementia across Derbyshire to promote local services and deliver Dementia Friends Information Sessions for staff in localities

    Status:
    Implementation

    2016 - Third Quarter Update

    New Action