Decision details

The Cabinet Member:

1.    Approved the Dementia Strategic Plan.

2.    Supported Peterborough City Council officers and members of the wider Peterborough and Cambridgeshire health and care system in implementation.

The Plan aims to deliver the following:

      i.        Improved outcomes and experience for people living with dementia and their carers as a result of collaborative delivery of the actions under each of the pillars and cross-cutting themes of the Well Pathway

     ii.        Better use of NHS and Council resources

    iii.        A good understanding of the outcomes, experience, activity, performance and investment in dementia care across Cambridgeshire and Peterborough

   iv.        A more specific set of proposals aimed at improving outcomes and experience

    v.        Proposals for service redesign and reinvestment or improved outcomes from existing resources – streamlining services and delivering improved outcomes and experience

   vi.        A business case for joint NHS and Council/s consideration

There are multiple indicators for the development of a Strategic Plan for dementia in Peterborough and Cambridgeshire:

      i.        There is considerable investment in dementia care across the Cambridgeshire and Peterborough area. There has been no in-depth review of the joint investment/activity/outcomes for dementia care and support in the area within the last 5 years.It is therefore likely that there is considerable opportunity for improved delivery and outcomes.

    ii.        The numbers of people living with dementia in the area has increased significantly and is set to continue to increase with an 86% increase in the number of people living with dementia set to rise to 16,011.

   iii.        Dementia is a national priority for health and care. There have been a number of developments in dementia care since the publication of the national dementia strategy in 2009. Many of these, but not all are likely to have been implemented. It is likely that a systematic review of services against the current evidence for effective dementia care and support will lead to improved outcomes and use of resources.

   iv.        Bringing stakeholders together to consider the effectiveness of dementia care is likely to lead to improvement.

The development and implementation of a Strategic Plan was identified as a method to address the issues above. It is likely that additional recommendations and developments will be identified as the Plan is implemented. These will be integrated into the plans for improvement already summarised within the Plan.  It was agreed that there was no option but to undertake the work.  The report makes specific recommendations for immediate improvement which are based on work that is already underway or builds on current activity without further investment or the need for significant redesign. There are no specific recommendations that require either appraisal of options and/or investment at this stage, the aim being to develop and appraise options for improvement leading to a business case/s for consideration Quarters 3 and 4 2018/19.

None.

There are innumerable documents relating to national dementia strategy, policy and the evidence base as well as the wider legislative context e.g. the Care Act, national Carers Strategy. Key documents relating to dementia are:

Dementia: The National Institute of Clinical Excellence/Social Care Institute for Excellence Guidelines on Supporting People with Dementia and their Carers in Health and Social Care, National Institute of Clinical Excellence/Social Care Institute for Excellence, 2006

National Dementia Strategy, Department of Health 2009

Prime Minister’s Challenge on Dementia: 2020, Department of Health, 2015

Dementia, disability and frailty in later life – mid-life approaches to delay or prevent onset, National Institute of Clinical Excellence, 2015