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SECSU – South East Commissioning Support Unit

SECSU (previously KMCS) was established in 2013 with aim of providing proactive and practical support to clinical commissioners to deliver high quality care to their local populations. The organisation provides a range of support including transformational commissioning functions, from change and service redesign, through to procurements, contract negotiation, information analysis and risk stratification, as well as back room functions such as HR support.

22 December 2014
South East
Local Alliances:
Kent 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?

SECSU is currently commissioned by local Clinical Commissioning Groups (CCGs) to support them in their dementia commissioning.  The team which is providing this support is overseeing a number of projects and services which are working to improve the care of people with dementia and their carers.  These projects include: 

  • Supporting CCGs to meet the national ambition target for diagnosis rates.
  • Improving the care provided by the acute trusts, by the provision of training, improving the environment and the introduction of a buddy scheme.
  • Improving the care provided in care homes by providing a number of opportunities for training and additional support, e.g. geriatrician outreach.
  • Developing a programme of training for GPs to help them to identify people with dementia at an early stage and to provide better management post diagnosis.
  • Working with the mental health Trust to make memory assessment services more efficient.
  • Working with hospices and other partners to improve the end of life care for people with dementia.
  • Working with the Local Authority and CCGs to develop dementia friendly communities.
  • Improving access to intermediate care.
  • Improving support to carers including the introduction of a crisis service.

The team also has a role in identifying new national guidance and identifying areas of good practice and making recommendations to the CCGs on the implementation of these.

SECSU is also an active member of the Kent Dementia Action Alliance.

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

Whilst SECSU is commissioned to oversee the implementation of the above projects, it only has delegated authority and the accountability sits with the CCGs.  One of the challenges is ensuring that CCGs continue to prioritise the improvement of services for people with dementia and their carers.

Also, there is challenge in raising awareness of dementia and its impacts within SECSU, particularly in relation to its own staff that may develop dementia or may be caring for someone with dementia.

Member website


2. Actions

  • To become a dementia friendly employer by ensuring that SECSU policies and procedures support employees affected by dementia, both staff who may develop dementia and those who may have a caring responsibility for someone living with dementia.

    To become a dementia friendly employer by ensuring that SECSU policies and procedures support employees affected by dementia, both staff who may develop dementia and those who may have a caring responsibility for someone living with dementia.

    Planning, Implementation
  • To act as a resource for the health economy of Kent to provide knowledge and expertise around dementia in order to improve the range and quality of services provided.

    We will continue to work with our local CCGs to identify areas for service improvement and to ensure that dementia continues to be seen as a priority.  We will also continue to implement training for GPs and provide evidence of the benefits of early diagnosis to encourage GPs to refer people for a diagnosis at an early stage to enable people to make plans for the future. 

    We will also look for opportunities to work with other organisations to ensure a holistic approach to the delivery of care for people with dementia.  We will also advocate for people with dementia and their carers to ensure that they have equal access to all services, eg end of life care.

    Planning, Implementation
  • To use the knowledge and expertise within the organisation to raise awareness of dementia and reduce stigma, so that SECSU is regarded as a dementia champion.

    Ensure that awareness raising campaigns, newsletters etc are communicated within the organisation.

    Challenge any negative views or stereotypes of people dementia expressed within the organisation. 

    Delivery, Implementation, Planning