1. Dementia Alistair Burns

2. Diagnosis of dementia On average, in England, 48% of people with dementia receive a diagnosis There is significant variation across the country NHS England have a national ambition that two thirds of people with dementia receive a diagnosis and post diagnostic support Dementia: state of the nation report https://www.gov.uk/government/publications/deme ntia-care-and-support

3. Effective support for carers The quality of post diagnostic is key eg life story work Evaluation of dementia advisers published in 2013 “The Dementia Guide” - over 100,000 copies distributed

4. Generic offers: CCG report, GP booklet, Prevalence (coding, calculator, update) Improve reporting Improve identification Improve recording Bridging the gap

5. Generic offers: CCG report, GP booklet, Prevalence (coding, calculator, update) Improve reporting  Dementia Friends  Awareness Campaign  Commissioning for Quality and Innovation (CQUIN)  Directed Enhanced Service (DES)  Dementia Friendly Hospitals

6. Generic offers: CCG report, GP booklet, Prevalence (coding, calculator, update) Improve identification  CCG Engagement visits, WebExs  Offer of Support SCNs, Area Teams: AHSNs;  CQUIN, DES  Case Studies: best practice, economics  Dementia Advisors  Dementia Portal

7. Generic offers: CCG report, GP booklet, Prevalence (coding, calculator, update) Improve recording  Nice Guidance Clarification re: scans  Coding Guidance  Cognitive Tool Kit  Intelligence Network: data  Intelligence from CCGs CSUs, SCNs

8. Generic offers: CCG report, GP booklet, Prevalence (coding, calculator, update) Bridging the gap  DES, CQUIN refresh  RCGP Roadmap  Memory Clinic waiting times  Prevalence Update  Engagement with Royal Colleges & BMA  Care Homes

9. Generic offers: CCG report, GP booklet, Prevalence (coding, calculator, update) Improve reporting Improve identification Improve recording Bridging the gap  Dementia Friends  Awareness Campaign  Commissioning for Quality and Innovation (CQUIN)  Directed Enhanced Service (DES)  Dementia Friendly Hospitals  CCG Engagement visits, WebExs  Offer of Support SCNs, Area Teams: AHSNs;  CQUIN, DES  Case Studies: best practice, economics  Dementia Advisors  Dementia Portal  Nice Guidance Clarification re: scans  Coding Guidance  Cognitive Tool Kit  Intelligence Network: data  Intelligence from CCGs CSUs, SCNs  DES, CQUIN refresh  RCGP Roadmap  Memory Clinic waiting times  Prevalence Update  Engagement with Royal Colleges & BMA  Care Homes Assurance Process

10. Five thoughts/questions Awareness of dementia is at its highest – great innovative practice abounds We need to challenge primary/secondary care barriers Is dementia is the new diabetes? Is MCI the new renal impairment? Can dementia be “diagnosed” in primary care ? We need to link diagnosis and post diagnostic support

11. Dementia

14. Generic offers: CCG report, GP booklet, Prevalence (coding, calculator, update) Improve reporting Improve identification Improve recording Bridging the gap  Dementia Friends  Awareness Campaign  Commissioning for Quality and Innovation (CQUIN)  Directed Enhanced Service (DES)  Dementia Friendly Hospitals  CCG Engagement visits, WebExs  Offer of Support SCNs, Area Teams: AHSNs;  CQUIN, DES  Case Studies: best practice, economics  Dementia Advisors  Dementia Portal  Nice Guidance Clarification re: scans  Coding Guidance  Cognitive Tool Kit  Intelligence Network: data  Intelligence from CCGs CSUs, SCNs  DES, CQUIN refresh  RCGP Roadmap  Memory Clinic waiting times  Prevalence Update  Engagement with Royal Colleges & BMA  Care Homes Assurance Process