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Community Dementia Service Herefordshire Tim Wallin, Operational Manager Diane Topham, Community Service Manager Mark Hemming, Service Director. Prevalence Estimates suggest 3,099 people living with dementia in Herefordshire Population of Herefordshire – 178,000
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Community Dementia Service Herefordshire • Tim Wallin, Operational Manager • Diane Topham, Community Service Manager Mark Hemming, Service Director
Prevalence • Estimates suggest 3,099 people living with dementia in Herefordshire • Population of Herefordshire – 178,000 • Current prevalence via GP Qof data – 35% which represents circa 1,090 people with confirmed diagnosis known to service • Target for 2014/15 – 1,358 people with confirmed diagnosis of dementia known to service 09/11/201909/11/2019 2
Community Dementia Service • Community and Primary Care facing • Able to provide early diagnosis and support • Able to provide support, advice and education across organisational boundaries • Facilitate social integration and living well with dementia • Include those with learning disabilities • Provide support to Primary care and neighbourhood teams • Coordinate support following crisis or hospital admission, working with key partners 3
Functions of Community Dementia Service Community Dementia Nurses • Principle function is to provide ongoing support from diagnosis to end of life • Provide proactive intervention to reduce escalation of need and to minimise crisis or admission to hospital • To focus on facilitating supportive interagency and ‘community asset’ working with support for primary care, to include district nursing and GP’s 4
Care Home In-reach Service • To support care providers with the management of individuals with dementia, in particular challenging behavior, so the person can be maintained in their care setting for as long as possible • Training for care home staff 5
Specialist Memory Clinic Work to the standards of the Memory Clinic National Accreditation Programme to provide rapid specialist assessment and diagnosis of suspected dementia based on three appointment model. • Assessment • Diagnosis • Initial support (including psychology, education and signposting. 6
Dementia Link Workers • Commissioned by 2gether as a partnership with the Alzheimer's Society. • Provide advice, support to service users and families • Bring vast national and local expertise to the service • Use their established service and links to community assets.
Work in Progress • Continuing to review & refine pathway • Working with practices to have a common data set of people with dementia • Working to increase diagnosis rates so that people get appropriate support • Active programme of training for care home staff