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Welcome!. Post-Diagnosis Services. The Evidence Dr Nick Cartmell. Government evidence. Current total state cost £20 billion per annum Additional >£5.4 billion personal care funding DoH impact assessment 2008 National Dementia Strategy 2009 All Party Parliamentary Group on Dementia 2011.

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  1. Welcome!

  2. Post-Diagnosis Services The Evidence Dr Nick Cartmell

  3. Government evidence Current total state cost £20 billion per annum Additional >£5.4 billion personal care funding DoH impact assessment 2008 National Dementia Strategy 2009 All Party Parliamentary Group on Dementia 2011

  4. Service user evidence • Alzheimer’s Society 2011 • Princess Royal Trust for Carers 2011 • South West service user groups • Published evaluations of existing services: • Dementia Advisers • Admiral Nursing Service • Dementia Voice Nurse

  5. Published research • Universities in the UK • National Audit Office 2007, 2010 • Social Care Institute for Excellence 2011 • Nuffield Council on Bioethics 2009 • South West Dementia Partnership • USA 2009

  6. Conclusions 1 • Based in primary care/community • Emphasis on dementia as a long-term condition • Signposting, information, education and advocacy • Face-to-face not telephone • Proactive contact through the entire journey

  7. Conclusions 2 • Voluntary sector involvement • Strong links with other services • Importance of supporting relationships • 2- or 3-tier service • Person autonomy versus carer support

  8. Ensuring success  • Involve CCGs early • Pincer movement • Clear definition of role • Publicity • Outcomes evaluation • Thorough evaluation!

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