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Nottingham CityCare Partnership CIC delivers a range of nursing and healthcare services, shaped and developed by the needs and wishes of local communities. We are currently commissioned to deliver more than 65 nursing and healthcare services. We work in partnership with patients, staff, the private, public and voluntary sectors and the local community to build a healthier, more sustainable future for all.

23 June 2016
East Midlands
Care, Health
Local Alliances:
Nottinghamshire 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?

Nottingham city care employ x2 Admiral Nurses, they believe in the continuity of care for carers and the patient with a diagnosis, these registered nurses who specialise in dementia intensively work with complex cases in the community, from the point of referral to end of life, offering bereavment and beyond.

Nottingham City Care have worked in partnership with Dementia Pathfinders to develop a Multidiscplinary group "Lets Talk Dementia" who are able to offer training to all employees free at the point of contact that covers the NHS England Dementia Framework tier 1,2,3, training.

At city care Admiral nursing offer Dementia Carers a dedicated Coffee Shop on a monthly basis, offering one to one support, signposting,and dedicated care.

Nottingham City Care also offer a carers support service for any carer in the city offering an assessment of need , they can assist in filling out forms and signposting.

The Admiral nursing team have developed a Dementia Link Clinicans Forum, which aims to enhance the experience of both patients and carers, over twenty teams are reguarly represented at the forum from city care bringing their unique experiences and knowledge to ensure best practice is shared.

The forum aims to develop a pathway for clinicians, which would benefit the patient and the carer, we are intensively looking at the unmet needs of patients and carers in Nottingham City,to gather data and evidence to look at proposals to enhance the patient and carer experience prior to diagnosis and beyond.

The Admiral Nurse works with the external providers in Nottingham City  who offer educational and carers groups ,placing patients at appropriate day centre provision , and encouraging carers to engage in friendship and carers groups.

We actively work with the Local Alzheimers  society group, who pass referrals on to our service, they attend our Dementia Coffee group and we network services and local resources together.




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

Challenges to  service  provsion and commisioning from year to year.

What value is placed on dementia services by those in power to commision said services.

Identifying the discrimination and stigmatism of the over 65 age group especially in cognitive impairment and people with a diagnosis of dementia.

 Challenges to staff caring for patients with or without a confirmed diagnosis of a dementia when capacity is questioned.  

The vision to launch service which is truly holistic and ultimately delivers a robust health and social care model which would prove to be cost effective if adopted.

2. Actions