1. Dementia & Integration Integrated Care Council, 30th September 2016

2. Two thirds of people with dementia live in their own homes

3. Dementia & Integration
Pre-diagnosis
Diagnosis ( CDR Rating )
Living with mild to moderate dementia
Advanced dementia
End of Life & Palliative care
CDR Clinical Dementia Rating in Progressive dementia – 0 = No impairment, 0.5 = Questionable impairment, 1 = Mild, 2 = Moderate, 3 = Severe, Advanced
Living with mild to moderate dementia – this is what I call the Keeping Calm and Carrying On stage

4. Dementia Progress

5. Dementia & Integration
Community
‘Normal’ Life
GPs / Geriatrician / CPN / Memory Clinics / Person-Centred Care
Post Diagnostic Support
Care at Home / Integrated Support
Hospice / Hospital / Care Home
CDR Clinical Dementia Rating in Progressive dementia – 0 = No impairment, 0.5 = Questionable impairment, 1 = Mild, 2 = Moderate, 3 = Severe, Advanced
Post Diagnostic Support – Keep Calm & Carry On – “Just don’t make it any worse Janet”

7. My current role …

8. Dementia Friendly Communities What it could mean for your organisation, group or society

9. The Four Cornerstones Looking at four key elements
as a way of understanding
people’s place in their chosen
community, their choices and life preferences, and
considering the role of others
in helping them continue
to make a positive contribution

10. The Four Cornerstones - Place …
… clear, safe, accessible
• built environment – internal spaces, lighting etc, signage and accessibility
• identification with landmarks and
ease of getting around
• effect of mixed use/multi-purpose
• transport (where applicable)

11. The Four Cornerstones - People …
…. at the heart of all we do
immediate families and carers
the wider community
shared values and interests
awareness and tolerance
attitudes and behaviours
effect of stigma
employment/membership practices
professionals and practitioners, becoming
more community-focused
outcomes-orientated
empathetic and responsive to life style preferences

12. The Four Cornerstones - Resources …
… in the widest sense
• not just about health and social care resources
• wider commercial and business opportunities
• harnessing technology
• contributing to discussions and policy formulation in relation to community-wide investment

13. The Four Cornerstones - Networks …
effect on relationships, opportunities,
service provision and people’s experiences
importance of staying connected
in clubs and organisations
building on ‘champions’ models,
peer support and Dementia Friends
connecting various networks
that support older people
using the statutory agencies’ networks e.g. Health Engagement Networks, Healthwatch etc
and local Dementia Action Alliances and older people’s forums

14. If you get it right …
… for people with dementia, you get it right for everyone The prevalence of dementia in an increasingly ageing society poses challenges to the whole care sector and society as a whole, but … embraced positively and with the all agencies integrating and working collaboratively, the outcomes will be better care for individuals and more efficient use of skills and resources.

15. Thank you for listening Janet Crampton 07540 503030