Doncaster Clinical Commissioning Group (DCCC)
The CCG is a ‘clinically led’ group which means that key decisions are made by GPs and other healthcare professionals. It is a membership organisation, comprising of the 43 member GP practices based in Doncaster. The CCG has responsibility for commissioning (buying and organising) healthcare services for around 300,000 patients in Doncaster. The CCG’s aims and priorities are set by GPs – the family doctors who practice in your local surgery – supported by lay members, NHS managers and other health professionals. Together, they have responsibility and freedom to make decisions about the care and services provided for Doncaster patients. They are committed to putting patients at the heart of decision making within the local NHS.
- 4 November 2014
- Yorkshire and Humber
- Clinical Commissioning Group
- Local Alliances:
- Doncaster 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?
Doncaster CCG in partnership with DMBC will commission appropriate models of care for people with dementia and their carers, ensuring all patients and carers are treated with dignity and respect. The CCG and the Health and Wellbeing Board have identified Dementia as one of their priorities and the CCG delivery plan and the Health and Wellbeing Boards outcomes based accountability template (OBAT) have three main outcomes: Doncaster will have increased awareness of dementia and there will be a reduction in stigma; More people will receive a dementia diagnosis; People in Doncaster with dementia and their carers will be supported to live well. Doncaster CCG and Doncaster MBC will work with partner organisations to develop opportunities to integrate services that are centred on the patient. Our commissioning decisions will drive improvements in the quality of services.
We have an effective governance framework in place to ensure the CCG delivery plan and the OBAT are delivered. The framework allows the voice of the service users and carers to be heard and they are represented throughout all processes and through each Board/Alliance/Forum and Partnership.
2. What are the challenges to delivering these outcomes from the perspective of your organisation?
With an ageing population and significant rises in prevalence of a number of people with dementia coupled with the current financial challenges in the NHS we need to change the way in which existing resources are managed to meet the growing demand and deliver the health outcomes the Doncaster population serve.
Working with other local health and social care commissioners is essential to deliver integrated care for patients. It is recognised by Doncaster partners that to go further and faster we will need to adopt a different approach. We have recognised the following will help to ensure we do better in meeting the needs and expectations for Dementia can be met The following will help to ensure we do better in meeting the needs and expectations for Dementia can be met across the spectrum of responsibility within the partnership.
1. Develop and implement a joint commissioning role for Dementia
2. Develop local leadership
3. Develop and strengthen partnership working
4. Engaging and empowering service users and carers
5. Involve the whole community and in order to adopt the “Four Cornerstones model”
Doncaster will have increased awareness of dementia and there will be a reduction in stigma
Develop, implement, evaluate comprehensive Doncaster wide Dementia Awareness Campaigns and public survey(s) including;
- Increasing the numbers of dementia friends to 3000 by March 2015
- Increasing members to the Doncaster Action Alliance to 200 by March 2015.
- Improving on the public health survey results during 14/15 in relation to awareness raising and reducing stigma.
- Implementation, Delivery
More people will receive a dementia diagnosis
- Increase the number of people diagnosed with dementia aiming for 67% by March 2015. To support this we will pilot CANTABmobile, a screening tool for Dementia across GP 24 practices in Doncaster.
- Delivery, Implementation
People in Doncaster with dementia and their carers will be supported to live well
Ensure delivery of the Service Improvement Delivery Plan (SDIP) 14/15 including:
Continued evaluation of the new Memory Service model and the OPMH Liaison Service
Implementation and evaluation of the Older people's Mental Health (OPMH) Bed Review and Day Services Review
We will ensure people are living well with Dementia and are having fewer crises. This will be demonstrated by;
- · Reduction in 4hr response to Older Peoples Mental health Service (in hours)
- · Reduction in 4hr response time to Access Team (Out of hours)
- · Reduction in cases of Emergency Carers Respite (DMBC)
We will ensure people with dementia and their carers quality of life improves whilst in service and services are commissioned appropriately to ensure people with dementia and their carers can live well with dementia and independently for as long as possible.
- Delivery, Implementation