Nottingham Insight

Dementia (2014)

This is an online synopsis of the topic which shows the executive summary and key contacts sections. To view the full document, please download it.

Download the full document

Topic title Dementia (2014)
Topic owner Dementia Strategy Group
Topic author(s) Gill Oliver
Topic quality reviewed Feb 2014
Topic endorsed by Dementia Strategy Group
Topic approved by Dementia Strategy Group
Current version 28/03/2014
Replaces version July 2013
Linked JSNA topics
Insight Document ID 106943

Executive summary

Introduction

Dementia is a term used to describe a range of brain disorders that have in common a loss of brain function that is usually progressive and eventually severe.  The most common types of dementia are Alzheimer’s disease, vascular dementia and dementia with Lewy bodies.  Some people have both vascular dementia and Alzheimer’s disease.

Dementia is one of the main causes of disability in later life and the number of people with dementia is rising yearly as the population ages.  Dementia can affect people of any age but is most common in older people, particularly those aged over 65 years. The number of people aged over 65 living with dementia in Nottingham is predicted to rise from 2914 in 2015 to 3096 in 2021.  This represents a 6% increase over 6 years.

This chapter considers the health and social care needs of people with dementia.  Other relevant links within the JSNA are to sections on Adult Mental Health (particularly Depression), End of Life, Older People with Long Term Conditions and Carers.

Dementia has become prominent in the last 5 years with the publication of two significant policy documents: the National Dementia Strategy in 2009 and the Prime Minister’s Challenge in 2012 (links below).

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/168220/dh_094051.pdf

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/215101/dh_133176.pdf

 

Unmet needs and gaps

Improving diagnosis rates to meet the national target of 67% - including GP awareness, capacity in memory assessment services and using the acute hospital CQUIN, FAIR (Find, Assess and Investigate, Refer)

  • Awareness of dementia and support for people from BME communities and other minority groups
  • Provision of post diagnosis support  including:
    • Better, more accessible and timely information
    • Additional support for people of working age with a diagnosis of dementia
    • Issues of capacity in specialist mental health services especially in the context of increasing numbers of people with dementia
    • Crisis response and support
    • Support for carers
  • Better alignment with physical health services
  • Quality of acute hospital care for people with dementia and/or delirium
  • End of Life Care
  • Improving quality in Care homes
  • Increased awareness of dementia in primary and acute care

Recommendations for consideration for commissioners

Support Dementia Friends and Dementia Friendly communities in line with national policy

  • Improve diagnosis rates to achieve 67% target
  • Better alignment with physical health services including diet and nutritional advice
  • Provision of post diagnosis support  including:
    • Better, more accessible and timely information
    • Additional support for people of working age with a diagnosis of dementia
    • Address issues of capacity in specialist mental health services especially in the context of increasing numbers of people with dementia
    • Crisis response and support
    • Support for carers
  • Continued development of knowledge and skills across health and social care
  • Ensure there is a robust care pathway for dementia
  • Review the recommendations of the EMPACT bed utilisation review and ensure intensive specialist dementia services are available in to reduce dependence on inpatient beds
  • To further engage with local service users, their carers and families, to help establish views on local service provision.
  • To update the EIA with local service information, to establish whether services are meeting the diverse needs of the local population to enable equity in access.

Key contacts

Gill Oliver

Download the full document