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Published byMarjory Holt Modified over 9 years ago
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Dementia Wellbeing Service
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Bristol Dementia Partnership
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Our Vision Dementia is everyone’s business. Our Core Principles: 1.An integrated service responding to individual need 2.Wellbeing – the person lives well with dementia 3.Delivering the right service at the right time
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“Help us to do what we want to do for as long as possible” What people in Bristol told us:
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What will be different: Dementia Navigators will support GP’s and Practice Nurses across the City (clusters) Staff who work closely with GPs to provide early assessment of dementia and coordinated support A service that responds to the needs of the person and their families at the time they want support and diagnosis A service that supports the person for their lifetime following diagnosis People will have a wellbeing plan Single Point of Access for information and advice for all
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Who: Staff who are proactive, positive and committed to making a difference Staff with a range of expertise including doctor’s, nurses, OT’s and those with a range of life experiences GPs People using the service and their carers (Peer Support) Other providers who link with the partnership to provide joined up services
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Outline of Service: Dementia Navigators (24) and Dementia Liaison Coordinators (19) aligned to specific GP practices but managed from 3 hubs across the city (North, South and Central/East) where they will form MDTs alongside care home coordinators, psychiatrists, psychologists and a number of other posts. Navigator: – Well-being planning – Point of contact for life – Community Liaison Dementia Liaison Coordinator – Aiding GPs with diagnosis – Managing Complex Cases
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Single Point of Access North Hub Central/East Hub South Hub
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Diagnosis & Wellbeing Plan Dementia Navigator Dementia Liaison Coordinator Psychiatrist/Other Professionals
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Memory Clinic Joint Diagnosis GP Diagnosis Diagnosis:
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Diagnosis Wellbeing Planning Assessment Navigation Development of Community Resource Fulfilling Potential Wellbeing BPSD Crisis Services End of Life Care Complex Care
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