NHS Rotherham Clinical Commissioning Group
NHS Rotherham CCG is a membership organisation of 36 GP practices which is responsible for commissioning a range of local health services on behalf of the people of Rotherham which has a population of 257,600. We are responsible for commissioning acute hospital and mental health services, community health services, GP out of hours services, GP prescribing, ambulance and hospice services.
- 5 November 2014
- Yorkshire and Humber
- Local Alliances:
- Rotherham Dementia Action Alliance, Yorkshire & Humber 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?
Our aim is to deliver better outcomes for people living with dementia and their carer’s and to ensure that all our services are appropriate and accessible.
- We will improve diagnosis rates by working with GP’s, our hospital and other partners to identify people earlier and refer them for appropriate diagnostic services and support. Our acute trust is screening over 65’s with a referral pathway agreed with our mental health trust. GP’s have received guidance around referral to diagnostic services and a referral pathway is in place.
- We will develop ways of reducing the waiting times for diagnosis and treatment. The care pathway will be reviewed for improvements.
- We will work with our partners to provide services and support to enable people to live well with Dementia and offer support to carers and families.
- We will promote dementia friendly environments within our community services and other healthcare settings including staff awareness and training to improve the patient and carer experience.
- We will work with our end of life care services to ensure that people with dementia, their carer’s and families have a good experience at this time.
2. What are the challenges to delivering these outcomes from the perspective of your organisation?
The screening activity and general awareness raising could increase the demand for diagnostic services. Waiting times will be monitored to ensure they are kept to a minimum and people continue to receive a timely diagnosis and treatment. We will look to improve the care pathway and review our scanner capacity.
We will work closely with our partners in health, social care and the voluntary sector to provide ongoing information, support and care to people with Dementia and carers to enable them to live well and plan for the future. The challenge will be to ensure everyone receives information at the right time for them while avoiding duplication.
Promoting dementia awareness to all levels of staff and encourage organisations to ensure their services, premises and facilities are dementia friendly environments.
Encourage joint working and skill sharing between providers of end of life care services and older people’s mental health services.
NHS Rotherham Clinical Commissioning Group Dementia Strategy
A Dementia Strategy for the Rotherham Clinical Commissioning Group was developed and approved in December 2012. This is an ongoing piece of work and we are currently measuring our progress against the priorities and actions identified.
Increase Diagnosis Rates
Our aim is to increase the diagnosis rate in Rotherham to 64.99% by March 14 and to 69.99% by March 15. We are on target to achieve this.
We have worked with RMBC to develop a QTV Dementia awareness programme which is provided in GP Practice waiting rooms.
The CCG has worked with RDaSH and GP’s to produce a Guidance on Referral to Memory Clinic.
Through contracting process CCG has implemented the national Dementia CQUIN. This will means our hospital The Rotherham Foundation Trust is screening people over 65. A pathway has been agreed with our mental health provider so anyone who is identified can access diagnosis services quickly and easily.
Through our contracting process CCG has commissioned a CQUIN focussing on Learning Disability and Dementia as part of our 2014/15 contract.
Reduce Waiting Times
We are working with our Memory Service to monitor and address waiting times for diagnosis. Ensuring there is enough capacity within the service. Guidance has been developed for GP’s to ensure that referrals to the service are appropriate. We are reviewing our scanner capacity to avoid delays within the pathway
Promote Dementia training to staff
We have been promoting the Alzheimer’s Society Dementia Friends Champion training to GP practice staff, partners and organisations we contract with. We are now in a position to begin providing this training.
Improve the care of those people with dementia at the End of Life
We are working with the local Hospice and Mental Health Trust to improve the provision of end of life care services for people with dementia and other mental health problems. A working group has been formed to look at identifying the pathway and improving the provision of end of life care services by sharing expertise and enhancing services.