NHS South Kent Coast Clinical Commissioning Group

South Kent Coast Clinical Commissioning Group (CCG) works together with our patients and public to improve the health and wellbeing of our local communities so they live long and healthy lives. The CCG is responsible for commissioning (or buying) a range of healthcare services including: • Elective hospital care • Rehabilitation care • Urgent and emergency care • Most community health services • Mental health and learning disability services Our aim is to secure the highest quality, cost effective and compassionate care, as close to home for patients as possible. Improved quality of care for people with dementia and their carers is one of our priorities.

Updated:
16 March 2015
Location:
South East
Sectors:
Clinical Commissioning Group, Health
Local Alliances:
Kent Dementia Action Alliance, Shepway Dementia Action Alliance, Dover and Deal Dementia Action Alliance, Sandwich 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 CCG is currently looking at ways of making the current memory assessment services more efficient to ensure that people receive a diagnosis in a timely fashion and the right information is available for people at the right time.  This includes looking at how technology can be used to support this.

We are committed to making GP practices dementia friendly and will encourage staff to become dementia champions and undertake awareness training.  We are also planning training options for GPs to increase their knowledge of dementia and of the services available in the community.

The CCG also recognises the importance of supporting people with dementia in their own homes and is committed to increasing access to community support.  A carer’s short break service has recently been jointly commissioned with Kent County Council (KCC) which will  provide planned respite as well as crisis support to people with dementia and their carers in their own homes. This will allow carers to have a break from their caring role will enable the development of new interests and new social networks.

We have also jointly commissioned with the local authority a comprehensive carers service which provides, amongst other things, information and support and carers assessments.

The CCG alongside other organisations and stakeholders is committed to the development of dementia friendly communities and will be setting up local dementia action alliances.

We will also continue to support the work which is taking place in hospitals and care homes to improve the quality of care of people with dementia.

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

There is still a perception in some areas, including by some health professionals, that there is nothing which can be done for people with dementia.  Also, the increasing number of people with dementia who will require on-going support will present a financial challenge to the CCG.  There is also still a stigma attached to having dementia which we are working to overcome.

Member website

www.southkentcoast.nhs.uk

2. Actions

  • Improve the skills of primary care to ensure people receive and early diagnosis and receive on-going support.

    A programme of training is being developed for GPs.  Practitioners from secondary mental health services are also being aligned to primary care to provide additional support and to signpost people to the appropriate services.  The CCG will also actively engage with Health Education England to deliver the requirement of the Education Mandate to ensure that staff have appropriate awareness training.  We will also work to raise awareness of dementia and encourage people to seek help if they are worried about their memory.

    Status:
    Implementation, Planning

    2014 - Third Quarter Update

    New member

  • Ensure that people with dementia receive care which is holistic and integrated with other services.

    We will ensure that that the needs of people with dementia and their carers are included in other strategies which are being developed, e.g. long term conditions, end of life.  We will ensure that the integration agenda, which is currently been developed around the neighbourhood care teams, includes specialist input from practitioners from the older people’s community mental health teams and that they provide input into multi disciplinary team meetings as necessary.  All staff in the neighbourhood care teams will receive dementia awareness training.  

    Status:
    Planning, Implementation

    2014 - Third Quarter Update

    New member

  • The person with dementia will have a sense of belonging and of being a valued part of family, community and civic life.

    We will support the work which is being led by KCC to develop dementia friendly communities and we will participate in local action alliances to ensure that people with dementia and their carers feel safe and supported in their communities, which includes shops and pubs, sporting and cultural opportunities.

    The CCG will also raise awareness of dementia so that people with dementia and their carers will not feel ashamed or discriminated against.

    We will ensure that all services delivered by our local community services provider are able to support people with dementia to enable them to remain in their own homes for as long as possible.

    Status:
    Implementation, Delivery, Planning

    2014 - Third Quarter Update

    New member

  • People with dementia who are admitted to hospital or to a care home will receive good quality care and be treated with dignity and respect.

    We will learn from our existing projects which are taking place in acute hospitals and care homes, which include increasing the skills of staff to manage people with dementia and improving environments, and ensure these become embedded in everyday care. We will also continue our work to ensure that people in care homes have advanced care plans in place and we are committed to improving end of life care for people with dementia.

    Status:
    Implementation, Planning

    2014 - Third Quarter Update

    New member