Pennine Care NHS Foundation Trust
Over the last 10 years, Pennine Care has grown to become one of the UK’s leading providers of community and mental health services. Our 6,000 staff provide care to 1.3million people across Bury, Oldham, Rochdale, Stockport, Tameside and Glossop. They are dedicated to providing the best possible care to every patient at home or in the community, helping patients to care for themselves or avoid going into hospital wherever possible. We work closely with a range of partners including NHS Trust, the private sector, local councils and voluntary organisations to deliver innovative and integrated care to our communities. We seek to build on the progress we have made over the last few years in providing patients with both physical and mental health care. Rather than just treating a specific condition, our community and mental health services are working collaboratively to provide patient with integrated care that better meets their needs, looking after the whole person. We provide secondary care mental health services for older people within the five boroughs outlined above. This includes primary care mental health services, Community Mental Health teams (CMHT), liaison services, memory assessment services and psychiatric inpatient beds.
- 22 February 2016
- North West
- Local Alliances:
- Bury Dementia Action Alliance, Oldham 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?
Pennine Care is committed to ensuring a quality service is delivered to individuals and their families, through delivery of the whole care pathway delivered in conjunction with key stakeholders. Our services work to ensure that the early signs of dementia are detected (in conjunction with primary care), diagnosed and treated (through our Memory Assessment Services), as well as providing ongoing monitoring and support for those living with the illness. In time, this may include access to secondary care services for people with dementia and support through services such as Community Mental Health Teams (delivered in partnership with Social Care) as well as organic inpatient provision. The organisation is also very supportive in terms of the development of psychiatric liaison services and has developed services which work into acute general hospitals to support the care of people with dementia in the acute setting. Moreover, the organisation is also championing the rights of people with dementia to access intermediate care services as an alternative to hospital admission. The organisation is the primary provider of this service within Bury, Oldham, Rochdale, Stockport & Tameside & Glossop within the Greater Manchester area.
2. What are the challenges to delivering these outcomes from the perspective of your organisation?
The key challenge for the organisation is the prevailing economic situation and public sector austerity – and the challenge of delivering high quality services within a shrinking budget. It is imperative that the organisation continues to champion the needs of people with dementia to ensure that health and social care commissioners invest appropriately into services and that we work collaboratively with other providers to develop creative and innovative ways of delivering services.
To support early access to services and diagnosis for people with dementia
Currently only a third of those people with dementia receive a formal diagnosis or have contact with specialist services at any time of their illness, Also such diagnosis and contact often occur late in the illness and/or in crisis when opportunities for harm prevention and maximisation of the quality of life have passed.
For the majority of people, the first opportunity for individuals or their families to raise concern over changes in memory or behaviour is within primary care. In the majority of cases, this is through discussion with General Practitioners, Practice Nurses or District Nursing practitioners or social care staff, for example.
Primary care practitioners have a crucial role in ensuring that early concerns are detected and responded to, and not misattributed to the symptoms of old age. Pennine Care is committed to developing its Memory Assessment Services to ensure people receive a quality and timely service. Across our boroughs we are working with commissioners to develop the service, in partnership with key stakeholders. We strive to support awareness raising and deliver training within primary care, both with GP colleagues and other primary care practice staff.
To develop sustainable psychiatric liaison services to support people with dementia within the general hospital setting
The National Dementia Strategy emphasises the need for liaison services stating that people with dementia often have a troubled time in a general hospital setting, with some evidence that their human rights may be infringed. It stresses the need to “improve both general and specialist care and consider liaison services that support the effective care of people with dementia”. The Trust has developed a RAID service which provides an older people’s psychiatric liaison service into our 4 local acute trust providers. This service is currently funded through temporary monies and the Trust is working with commissioners to support proposals for longer term investment in these services.
To develop services and partnerships which provide robust support for the carers of people with dementia
The Trust is supporting a range of projects which seek to provide robust support for the carers of people with dementia. These include the development of peer support networks and include partnerships with Age UK which seek to address the social isolation of many older people in society, particularly those with caring responsibilities. Carers will also be supported through the Trust’s commitment to developing the Living Well Academy. This project comprises of a series of bespoke educational courses for carers, as well as an interactive online social platform. These will provide carers and patients with the health knowledge and skills to manage their conditions more effectively in the long-term building independence, not dependence.