Enhancing Quality – Dementia Pathway Dementia Clinical Lead Dr Kate Jefferies Dementia Clinical Lead

AHSN is the network to drive the spread and adoption of innovation that will improve care across Kent, Surrey and Sussex Locally we have the highest concentration of health technology companies in Europe Nine universities that offer breadth and diversity in research and teaching expertise And nationally regarded Enhancing Quality & Recovery programmes that increase consistency around the best standards of care Our role is to connect people with a range of expertise to improve health and wealth

14/15 Improvement Programme: Enhancing Quality and Recovery Clinically-led, cultural change embeds high quality care NICE guidance and quality standards become process achieving excellence - for every patient, every time Robust and transparent data supports benchmarking and quality improvement To tackle variation in care, improve outcomes and save lives

Patients’ care audited Kent Surrey Sussex Academic Health Science Network Current Pathways 170,000+ Patients’ care audited Heart Failure (Acute) AKI Heart Failure (Community) Colorectal Pneumonia Gynaecology Dementia Hip & Knee

Collaborative learning Kent Surrey Sussex Academic Health Science Network Enhancing Quality & Recovery (EQR) E Q R P O C S E Q R P O C S EQR: Clinically led, evidence based. Every Patient, Every Time. Bi-Annually Evidence Base Collaborative learning Bench-mark Measures NHSE CCGs SCNs CCG Packs CEO Packs Providers Commissioners Regular Reports Audits Industry engagement

The process Set-up a Regional Project Team Kent Surrey Sussex Academic Health Science Network The process Set-up a Regional Project Team Project Team Identify Clinical & Programme leads in each Trust Trust Team Agreement on denominator population for each pathway Pathways Agreement on best practice measures for each pathway Measures Online data collection Reporting Benchmarking Reports Collaborative Learning Events Spread Learning Peer Reviews Sharing good implementation practices collaboratively between all organisation Supporting Website / Forum Access to Info What we’ve done

Examples of Quality Measures Kent Surrey Sussex Academic Health Science Network Risk assessment Off licence medication discussed Non drug methods Management plan Medication review requested in discharge summary Examples of Quality Measures Full cognitive assessment Functional ability CT/MRI scan Written information Dementia advisor Dementia AP Dementia A&D

Care Bundle Dementia A&D Kent Surrey Sussex Academic Health Science Network Dementia A&D Care Bundle Dementia A&D KMPT, SABT & SPFT performance between Jan 2012 – Feb 2014