1. Community Hospitals – maintaining a high profile in the new NHS Martin Freeman - GP( retired) and advisor for dementia in SW Helen Bown - Joint Commissioning Manager

2. Introduction Our roles Current issues The new NHS arrangements Issues for dementia Future challenges

3. Issues for me as a commissioner CCGs Commissioning The PM Dementia Challenge

4. Issues for Primary Care Role of primary care in dementia – Being good partners Diagnosis Long term condition management Medication Sharing good practice – strategic clinical network

5. Issues from the meeting Leadership Environment Disparity in skills Linking conversations / changing attitudes Staffing levels Attitudes Unification of cognition testing tools

6. Issues from the meeting (continued) Nutrition Investment in staff training Communication with acute hospital and primary care Admission avoidance

7. Challenges for the commissioner Live well with dementia Community development Support services Training and Education – skills development Challenging stigma Improving quality

8. Challenges for providers - GPs and community teams Knowing the person (e.g. living well handbook) Advance care planning Crisis avoidance / appropriate admissions Local intelligence

9. What we need to do (thoughts from the meeting) Out of hours consistent with in hours Supportive integrated IT system Establish a system register for people with dementia Money and support back to community Rescue squad

10. What we need to do (continued) Establish contact with dementia friendly community Improve community links Develop community hospital as a locality resource Think outwards.

11. What does a dementia friendly community look like? What are you doing to contribute?

12. If you get it right for people living with dementia, you get it right for everyone www.dementiapartnership.org.uk Helen.bown@glos.nhs.uk