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East and North Hertfordshire Clinical Commissioning Group

East and North Hertfordshire Clinical Commissioning Group (CCG) is the organisation responsible for commissioning (planning, designing and paying for) your NHS services. The CCG is made up of local GPs and health professionals, working together with other clinicians and patients, to decide how the local NHS budget of £611m should be spent. The CCG either individually or jointly commissions ambulance, community and hospital health services for physical and mental health. The CCG serves over half a million people (580,000) registered at 60 GP Practices across east and north Hertfordshire. Our GPs understand the health needs of their patients, and we believe this local approach to commissioning helps ensure good quality services that meet the needs of the population.

1 June 2018
East of England
Clinical Commissioning Group, Health
Local Alliances:
Dementia Friendly East Herts Action group, Welwyn Hatfield Dementia Action Alliance , North Hertfordshire District 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?

East and North Hertfordshire Clinical Commissioning Group is a key player in the implementation of the Hertfordshire Dementia Strategy 2015-19, which explains our approach in ensuring that people with dementia and their carers are able to live well.

We are contributing to the implementation of this strategy through our commissioning decisions, and specifically diagnosis and post-diagnosis support. These services are currently provided by Herts Partnership Foundation Trust (HPFT), with support from the Alzheimer’s Society and other partners.

Our target is to diagnose 67 per cent of the predicted number of people living with dementia, and to provide post-diagnostic support to those people and their carers. We are also working with the services we commission to ensure that they are making effective reasonable adjustments.

The Hertfordshire Dementia Strategy was developed in consultation with people with dementia, their carers, the wider public and organisations delivering dementia support, ensuring it was appropriately informed by individuals and agencies with experience.

The Strategy covers six theme areas:

1. Enabling equal, timely access to diagnosis and support.

2. Promoting health and wellbeing.

3. Developing dementia friendly communities.

4. Supporting carers of people with dementia

5. Preventing and responding to crisis.

Supporting theme:

6. Evidence based commissioning.

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

The scale of the challenge is great, with an estimated 15,000 people currently living with dementia in Hertfordshire, including more than 600 people with young onset dementia.

We recognise that there is a particular challenge around early diagnosis, and we are working with all partners to encourage discussion to facilitate early diagnosis and ensure the individual and their families understand and receive the support they require. We want more people to be living well with dementia and encouraging those providers of services we commission to recognise and support the needs of those people with dementia and their carers. We are currently working to review our Early Memory Diagnosis And Support service (EMDAS), ensuring it has the right capacity and works as effectively as possible to achieve the best outcomes and support in a timely manner.

The CCG faces a number of challenges in relation to the care and support it commissions - an increasing elderly population (65+); escalating demand for secondary care services and a higher rate of emergency admissions and length of stay in some specialties compared to others; as well as the financial challenges faced by all of the NHS to do more with less.

Member website


2. Actions

  • Improving diagnosis and support

    The CCG is undertaking several actions to look at improving the diagnosis of people living with dementia and the support that they and their carers receive. These actions include:

    Working with Herts Partnership Foundation Trust and other partners to improve the Early Memory Diagnosis And Support service.

    Working with our GPs and with care homes through our NHS vanguard programme to encourage early diagnosis, and enable staff in care homes to spot the signs of dementia at an earlier stage.

    Commissioning with Herts County Council the best possible support for people with dementia and their carers.

    Supporting practices and providers of services to make reasonable adjustments to their services, so that they can support people with dementia and their carers to live as full lives as possible.


    2016 - Second Quarter Update

    New member

  • Supporting carers of people with dementia

    We will work with carers and our partners in the statutory, voluntary and independent sectors to deliver on our Joint Strategy for Carers. This includes:

    Negotiating the inclusion of ‘Carers’ Policies’ in all contracts commissioned by the CCG.

    Continuing to provide encouragement and support to primary care with resources for GP Practices to improve their offer to carers, particularly around identification and sign-posting.

    Using Employers for Carers (EFC) to help clarify its offer to carer employees, particularly by improving the availability of flexible working, with the intention that all NHS employers in Hertfordshire will create an umbrella membership of EFC or create a similar commitment.

    Working collaboratively with providers, commissioners and partners to ensure an effective and integrated approach to supporting carers.

    You can download our full carers strategy by clicking here to visit our website.


    2016 - Second Quarter Update

    New member

  • Develop dementia friendly communities

    We aim to develop dementia friendly communities by:

    1. Actively encouraging and supporting all partners and communities to commit to becoming dementia friendly.

    2. Ensuring that commissioned health and care services adopt dementia friendly standards including those that relate to:

                    2.1. Dementia awareness training, including around the behavioural and psychological symptoms of dementia.

                    2.2. Carer friendly practice.

    3. Promote and enable staff within the CCG and at member practices to attend dementia friends sessions within Hertfordshire.

    4. Promote and deliver opportunities to attend dementia friend sessions to our patient groups and other stakeholders, as well as through our public engagement work.


    2016 - Second Quarter Update

    New member