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North Yorkshire County Council - Health and Adult Services

North Yorkshire County Council serves a population of more than 602,000 over 3,300 square miles. In addition to commissioning and providing adult social care services, Health and Adult Services is now responsible for improving public health in North Yorkshire. Health and Adult Services is committed to developing and delivering a local dementia strategy together with local partners, working towards improving outcomes for people with dementia and their carers.

29 June 2018
Yorkshire and Humber
Health, Other
Local Alliances:
Yorkshire & Humber Dementia Action Alliance, Hambleton Dementia Action Alliance, Scarborough Dementia Action Alliance, Richmondshire Dementia Action Alliance, Ryedale Dementia Action Alliance, Whitby DAA Collaborative

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?

North Yorkshire County Council’s Health and Adult Services is a commissioner and provider of adult care services.  Health and Adult Services  has developed a joint dementia strategy spanning 2011-2013 setting out key priorities and actions with local partners in response to the National Dementia Strategy ‘Living Well With Dementia’.  The local strategy aims to develop services for people with dementia that:

-    are sensitive to each person’s circumstances

-    support people to live independent, productive, fulfilling and active lives for as long as possible

-    encourages people and their carers to be actively involved in the decisions about their care

-    support people in negotiating their way along the care pathway as and when they choose as appropriate

-    provide information in such a way that is understood and helps to support the person and their carer in the options available from diagnosis to the end of life

-    are in line with best practice and wherever  possible good evidence based practice and are cost effective

Health and Adult Services is now playing a lead role in the development of a revised dementia strategy with local partners. 

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

North Yorkshire County Council is England’s largest county. It is sparsely populated, with 40% being within the North York Moors and Yorkshire Dales National Parks, and this brings particular challenges in the delivery of services, particularly in the context of financial pressures that are being experienced across the public sector.  Local health structures have also changed since the development of the last dementia strategy, and a co-ordinated approach across 5 local Clinical Commissioning Groups will be a key issue at a strategic level.

2. Actions

  • Developing a refreshed dementia strategy and action plan

    Now that the existing dementia strategy is coming to the end of its life, Health and Adult Services has recently taken stock of its internal dementia action plan and considered next steps in the context of related national policy/guidance and good practice.  This has helped to set some internal priorities, and Health and Adult Services will also be taking a lead role in revising the existing Dementia Strategy together with local partners. Further actions will be added to the DAA website once a revised joint strategy and action plan are established.

  • Dementia Support Services

    Health and Adult Services, in partnership with local health partners, has recently commissioned a reconfigured Dementia Support  Service.  This service has county-wide coverage and will play a key role in signposting and informing people with dementia and carers about the various options available to them. 

    The service also includes a training and education element which will be responsive to the needs of people with dementia and carers. The Dementia Support Service became active in the summer of 2014, and North Yorkshire County Council aim to work in close partnership with the new service providers to support people to live well with dementia.

  • Workforce Development

    Health and Adult Services (HAS) has convened a multi-agency Dementia Workforce Development Group to help set local priorities , raise awareness of good practice and consider opportunities for joint approaches to staff development.  This group will also consider the training needs of carers, and how these can be met through dedicated training and/or through joint staff/carer training opportunities.

    HAS is producing guidance on workforce development in relation to dementia, to support provider services.