Surrey approach to the dementia challenge

1. Surrey approach to the dementia challenge Currently 15130 people with dementia in Surrey 2011 6212 with a diagnosis (41%) 18600 by 2020 (26% increase) 5 year community base whole systems strategy - Collective ownership 5 dementia local implementation groups around the 5 acute hospital communities - Delivering the local priorities through local clinical leadership Working with care homes as part of the community - Reducing anti-psychotic medication Competency based training for staff across agencies Absorbing the demographic increase through sustainable community services - Local services for carers

2. What does this look like? • GP, Social Care and Specialist Home Care • Primary Care Liaison and Support Service • Memory Assessment • Dementia Navigators and Short-Term Breaks Our Plan • What does this look like? • Clinical lead in acute hospitals • Mental health liaison in acute hospitals • Dementia protocols for acute hospitals • Assessment & Treatment Inpatient Beds Hospital In-patient Care Primary & Community Care Health Promotion • What does this look like? • Complex and Enduring Needs service • Specialist in-reach into care homes • What does this look like? • ‘What’s good for the heart is good for the head’ campaign • Public awareness programme • Surrey Mental Health Promotion programme • Agreed standards and training provision Intermediate Care Long Term Care • What does this look like? • Mental health intermediate care including crisis • intervention • Urgent respite care / unplanned short-term breaks • Specialist Home Care, Voluntary Organisation support

3. We are well on the journey... Long Term Care Health Promotion Primary & Community Intermediate Care Hospital Care Information – Surreyi Dementia Local Implementation Groups DVD First Steps GP Engagement programme 19 Dementia Navigators Peer Support Wellbeing Centres Integrated CMHT Acute Hospital Liaison Clinical Leadership Strategies In-reach pilot EOLC in dementia bid Reducing Anti-psychotics Carers Breaks Mental health Matrons in Virtual Wards Telecare Telehealth TRAINING

4. Dementia Partnership Board A whole systems, multi-agency board for driving forward Surreywide change, service improvements and innovation. Includes primary, community and secondary care, social care, voluntary sector, carers, private providers, DLIG representatives. Lead on the implementation of the Surrey Dementia and Mental Health in Older People’s Strategy. Able to monitor local investment (eg Mental Health Liaison in acutes and virtual wards) and maintain a strategic overview of work in Surrey.

5. Dementia Local Implementation Groups A whole systems, multi-agency forum for driving forward local change, service improvements and innovation through local clinical leadership. Includes primary, community and secondary care, social care, voluntary sector, carers, private providers. Local action plan based on the Surrey Dementia and Mental Health in Older People’s Strategy, able to respond quickly to national and local opportunities eg the Dementia Challenge Fund. Able to monitor local investment (eg Mental Health Liaison in acutes and virtual wards) and problem solve locally viable solutions.

6. How will we know we have been successful ? The Local Reporting Tool &Dashboard demonstrate: • Peoples experience has improved • Excess Bed Days are Reduced • Admissions have Reduced • First time discharge to care homes have reduced • Higher number of people identified and diagnosed • Anti-psychotic prescribing has reduced • Carers have increased support • Standards in hospitals & care homes have increased Provider Boards Dementia Partnership Board 5 x D-LIGs

7. Local Services for Dementia Check List of the 5 year Implementation Strategy Wellbeing Centres & Dementia Cafe Older Peoples Community Team Flexible Respite Services Telecare Dementia Navigators Carers Support GP Early Identification Memory Services Diagnosis Peer Support Hospital / Care Home / EOL Care Local social care team Day Services