NHS Dorset CCG and its local authority partners are reviewing Dementia services in Dorset.
The services included are:
Memory Support and Advisory Service
Memory Assessment Services
Older Persons Community Mental Health Teams
Specialist inpatient beds
Intermediate Care Service for Dementia (ICSD) East
Day Hospital provision
Specialist dementia care provided at home
Early help and prevention services
Dementia care homes
Dementia respite care
Acute Hospital links to community.
We want to:
ensure every person with dementia, and their families and carers, receive high quality, compassionate care from diagnosis to end of life care
ensure that dementia services help people to maintain their independence, choice and control over their lives.
The Dementia Services Review so far
We have completed the view-seeking stage and are now in the design and modelling phase.
At the end of 2016, for a 9-week period, we asked you what you thought of dementia services in Dorset. We wanted to know what is working well, what isn’t working well and what could be improved.
Views were gathered from service users, carers and staff. A total of 2,107 comments were made by respondents. There were 498 comments mentioning aspects of services that work well, 843 comments relating to what works less well and 766 relating to ideas for improvements.
All the feedback you provided has been independently reviewed by Bournemouth University. They have collated and themed this information and produced a Findings Report. This feedback has been used to develop the options for how Dementia services in Dorset could be better organised.
What you said works well:
Support from services, groups and charities
NHS care pathway
Support for carers
Provision of information
What you said isn’t working as well:
Failures in the care pathway
Support for the patient
Support for the carer
Provision of information
Rurality and access to services
An innovation day was held on 16 May 2017 to inspire attendees to think differently on how services could be improved to meet the needs of people with dementia. Professor Alistair Burns NHS England national clinical lead on Dementia was the main speaker.
Three sets of design events were held in May, June and July 2017 in Poole, Bournemouth and Dorchester. The focus was pre diagnosis, diagnosis and post diagnosis, support in hospitals, carers, care homes, care at home and respite.
An Options day was held on 13 September 2017. Attendees were asked to work on designing solutions for the more severe and complex stages of dementia and workforce issues. They also worked on summarising the whole care pathway and suggested where funding should be prioritised.
Service model options sense-check event
In April 2018, over 80 stakeholders including carers came together to give their views and vote on the emerging models of service.
Attendees had the opportunity to provide feedback on the model option for each stage of the pathway: preventing well, diagnosing well, living well, supporting well, and supporting well in a crisis. These models were developed from all of the previous design and modelling work.
All of the feedback and scoring provided has been reviewed and will be used to help develop the final proposed models. These models will then go to the Dementia Review Project Board meeting in the summer 2018 to decide the final proposed options. Once the final options have been agreed we will need to go through both NHS and local authority governance assurance processes before going out for public consultation.
Final model options day
A final options day was held on 5 September 2018 in Blandford. Over 60 stakeholders came to the event and worked in groups to review the options. The groups evaluated 12 variations of the model options using the Critical Success Factors. The result of this exercise has informed the final shortlisted options which will be included within the Strategic Outline Case. The Strategic Outline Case is now being finalised. This will then be approved by the the Dementia Services Review Project Board and Mental Health Integrated Programme Board before final sign off by NHS Dorset CCG Governing Body.
NHS England assurance process
NHS England Assurance Stage 1 was completed successfully on 17 September 2018. Work is now progressing to meet NHS England Stage 2 assurance.
What happens next?
All of the feedback we have received is being used to develop the options for how Dementia services in Dorset could be organised better.
The Strategic Outline Case and review process has been approved by NHS England Stage 1 assurance. The draft Strategic Outline Case with four options included is now being approved by various Boards and will be going to NHS Dorset CCG Governing Body Board in 2019. Prior to this, the review will need to pass through Stage 2 of NHS England assurance and we anticipate this to be in Spring 2019.
We will provide updates on these pages.
We will also email information about the review as it progresses to the people who have asked to stay informed. If you would like to receive updates please contact us.