East Riding of Yorkshire Council
The East Riding of Yorkshire covers a geographical area of approximately 1,000 square miles. This includes rural farming areas, urban areas, developing market towns, picturesque villages in the Wolds and busy coastal resort towns. There are seven Adult Services Care Management Teams, a Single Intake Duty Team, Disability Resource Team and Futures Plus supporting people with Learning Disabilities. There is also an active Carers Support Service. The council is committed to safeguarding and has leadership of the Adults Safeguarding Board. The Council works closely in partnership with the East Riding of Yorkshire CCG, all local NHS Trusts, Alzheimer’s Society and other local organisations. The progress towards achieving the actions in this Dementia Declaration will be overseen by our Older People Mental Health Partnership Board.
- 8 October 2015
- Yorkshire and Humber
- Local Authorities, Commissioners Sector
- Local Alliances:
- Yorkshire & Humber Dementia Action Alliance, East Riding 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?
The Council has identified improving the delivery of effective services to people with dementia and their carers as a key priority and increasing the identification of this group.
The local joint strategy “Living Well with Dementia” contains 14 local priority objectives mirroring the national strategy, with action plans, plus three regional/national ones.
Dementia is a more common problem amongst an older population, although the impact of early onset dementia cannot be underestimated. The East Riding of Yorkshire has a predominance of individuals who are in an older age group and consequently the level of dementia prevalence is higher.
In the East Riding of Yorkshire diagnosis of dementia has historically been low, indicating that there are a number of individuals in the community who are not receiving optimal treatment and support for their condition as well as a high number of informal carers, usually family, who are managing what can be behaviours that challenge with minimal external support.
The table below indicates the projected percentage growth in the numbers of individuals with dementia resident in the East Riding.
2. What are the challenges to delivering these outcomes from the perspective of your organisation?
Our key challenges are:
- Increasing public awareness of the benefits of early diagnosis
- Ensuring wider awareness of sources of support and information for people who have been newly diagnosed and their families and carers
- Ensuring there is an explicit support pathway for informal carers of people with dementia across different organisations
- Ensuring there is an explicit care pathway for the management and care of people with dementia across different organisations
- Ensuring that staff across sectors are appropriately trained in dementia care and deliver person centred care
- Delivering on all of the National Dementia Strategy objectives whilst prioritising the four key areas of Early Diagnosis, improving the experiences of acute hospital care for both patients and carers, Living Well in Care Homes and Reducing the use of antipsychotic medication
Implementing with the Local CCG our Joint Strategy for the Commissioning of Mental Health Services for Older People 2011-2016
We will improve public and professional awareness of dementia including the value of early recognition and will increase the availability of training and information
- A multi-agency Dementia Awareness group which coordinates awareness raising events and identifies the key messages for particular groups including local businesses and community
- Engaged with staff and managers across a range of services and sectors to provide awareness training , particularly for frontline staff such as leisure and library services and health trainers
- We have developed a training programme for more specific groups of staff including unqualified carers within domiciliary and home care providers
- Continue to coordinate our communication across agencies to ensure consistency in the messages delivered to the general public
- Continue to plan and deliver awareness training across sectors
- Continue to evaluate the training delivered to staff so far and develop the training programme accordingly
- Continue to develop and disseminate the information available for service users and carers
We will work to develop a care home market which reflects the identified needs of people with dementia in the East Riding of Yorkshire.
We have identified the care home population as a particular vulnerable group. Identifying dementia in this population and supporting the care homes to manage the changes in behaviour as the condition progresses is a key challenge, in order to avoid repeated moves from care home to care home leading progressively to situations which become more difficult to manage without an admission
We have very limited provision of care homes with nursing suitable for individuals who have complex needs. At the moment we have 19 providers who are registered to provide Nursing care, out of a total of 146 registered care providers in the county. However these do not support people with highly complex needs. We have one care home with a High Dependency Unit. To address this
- Support Care Providers, through information, advice and signposting and monitoring the quality of care and provision on a regular basis.
- Further develop the Market Position Statement which outlines the key information to support Care Providers to plan their future role and function in a changing environment. Information such as policy, demographics, demand and commissioning intentions will be clarified. Focussing on Prevention, Re-ablement, Long-Term Conditions with Dementia and Integration to reflect the market needs.
- Improve communication between the Independent Care Providers and the Authority through the Care Sector Forum and Consultation, meeting when they are relevant.
- Open up and support opportunities for Independent Care Providers to develop their focus of provision towards specialised care to respond to identified needs.
- Raise awareness of current contract opportunities by encouraging Providers to register on the online Procurement system.
- Offer support for business development through the Authority’s Business Advice and Start Up Support service.
- Continue to offer personalised training sessions to meet changing needs i.e. covering requests such as linking Dementia training with Learning Disability conditions.
- Work towards more integrated, holistic provision.
- Further develop High Dependency Care.
We will develop integrated commissioning mechanisms between ERY CCG and ERYC to ensure more seamless service provision for people with dementia and their carers
- A Joint Strategy for commissioning older people’s mental health services
- Implementation of this strategy is overseen by a Joint Older People’s Mental Health Partnership Board
- A Joint Commissioning Panel responsible for agreeing funding of individual packages of care, whether funded by the local authority or joint funded
- Jointly commissioned a project to introduce Digital Reminiscence Therapy into a variety of health and social care settings.
- Established a joint Care Bill Board to ensure that ERYC and ERYCCG are prepared for the implementation of the Care and Support Bill.
- As part of the overall Better Care programme between the CCG and the Local Authority we will develop a joint plan to commission integrated health and social care services for people with dementia
- Support Humber NHS Foundation Trust in its reconfiguration of Older People Community Mental Health Teams (CMHTs) and Neighbourhood Care Teams to ensure the review and treatment of patients’ physical and mental health needs are carried out together
- Support the development of integrated access routes into health and social care services
- Support and jointly evaluate the Digital Reminiscence Therapy project.