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South London and Maudsley NHS Foundation Trust

SLaM is the biggest mental health provider in Europe and provides a combination of community, inpatient and specialist services. We have sites in four boroughs. Our main hospital site is based on Denmark Hill in South London. Our vision is that everything we do is to improve the lives of the people and communities we serve and to promote mental health and wellbeing for all. Our five commitments are: 1. To be caring kind and polite 2. To be prompt and value your time 3. To take time to listen to you 4. To be honest and direct with you 5. To do what I say I am going to do Many of our staff are local people. A large number of local businesses provide services and support for the Trust and we in turn look to support and sustain the local community. We have partnership initiatives with local community groups.

Updated:
22 January 2019
Location:
London
Sectors:
Hospitals and Hospital Trusts
Local Alliances:
Croydon 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?

Work with Alliance and CCG to identify a GP lead(s) for dementia

Collaborative work between Memory Service and GPs to improve appropriateness and timeliness of referrals – forthcoming Croydon Dementia Pathway workshop being arranged through CCG.

Memory Service to support GPs with appropriate advice education and support.

Work within care homes to improve diagnosis rates in care homes.

Work with NHSE (London Network) to ensure good practice from other London boroughs is used and put into practice in Croydon- GP Lead for London SCN to support the forthcoming workshop.

 

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

Croydon health and social services are experiencing severe financial challenges which are affecting the development of all dementia care and treatment services.

Challenges within this financial environment in developing dementia services in line with NICE guidance, in particular the provision of non-medical person centred interventions such as care planning, evidence based and NICE recommended carer interventions, cognitive stimulation therapy and non-drug management of behavioural and psychological symptoms. Development of these services should also be matched with a programme of evaluation and routine outcome measurement to ensure services are effective.

Croydon has a diagnosis rate for dementia only just above the national ambition and a co-ordinated action plan approach between GPs, care homes, CCG and other agencies is needed to address this, particularly addressing the needs of residents of care homes and people with physical frailty

Croydon does not have a GP lead responsible for dementia – although we are working with a number of GPs through the Alliance

In a complex environment with competing demands and reducing resources, it remains a challenge to ensure dementia is as highly prioritised as other illnesses in Croydon  

Member website

www.slam.nhs.uk

2. Actions

  • Work with Alliance to develop primary care led evidence based services for care homes

    Ensure services for people with behavioural and psychological symptoms of dementia in care homes  are expanded and developed and that there is a sustainable programme of evidence based training and mentorship for Croydon care home providers to support them to deliver person-centred care and reduce admission to general hospitals.

    Status:
    Planning
  • Improve Croydon dementia diagnosis rates

    Work with Alliance and CCG to identify a GP lead(s) for dementia

    Collaborative work between Memory Service and GPs to improve appropriateness and timeliness of referrals – forthcoming Croydon Dementia Pathway workshop being arranged through CCG

    Memory Service to support GPs with appropriate advice education and support

    Work within care homes to improve diagnosis rates in care homes

    Work with NHSE (London Network) to ensure good practice from other London boroughs is used and put into practice in Croydon- GP Lead for London SCN to support the forthcoming workshop

    Status:
    Implementation