The Prime Minister`s Challenge on Dementia Lorraine Jackson

The Prime Minister’s Challenge on
Dementia
Lorraine Jackson
Deputy Director: Domestic Dementia Policy
Department of Health
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Costs and impact of dementia
Estimated 676,000 people in England with
dementia, 850,000 in the UK
Dementia costs UK society £26bn a year, more
than the costs of cancer, heart disease or stroke.
540,000 carers of people with dementia
Costs of dementia are predicted to treble to over
£50 billion per year over the next 30 years
Huge variation in services across the country
An estimated 25% of hospital beds are
occupied by people with dementia.
By 2020, the cost of skills and experience lost
from the workplace due to dementia will rise
from £628m to £1.16bn.
By 2030, dementia will cost companies over £3bn
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Programme of work
2009
3
2012
2015
2020
Dementia:
Prime Minister’s Challenge 2012 - 2015
The 2012-15 Prime Minister’s Challenge
on Dementia sent a clear signal that
dementia was and is a national priority for
the Government.
It built on the significant progress already
made through the National Dementia
Strategy, Living Well with Dementia
published in February 2009. The 2012-15
Prime Minister’s Challenge on Dementia
had the key priorities areas of:
• Health and Care;
• Dementia Friendly communities
(including Dementia Friends and
Awareness) and
• Research
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Current progress
Diagnosis rate (%)
Dementia diagnosis
Dementia Friendly Communities
Dementia diagnosis rates
70
60
50
40
30
20
10
0
61.6
37
38.6
40.7
42.6
46
48.7
66.5
52.5
Dementia Friendly
Communities
Dementia Friends
Year
Number
Year
Number
2010
0
2010
0
2014
45
2014
78,798
2015
82
2015
1,054,043
Now
120
Now
1,375,144
120 communities signed up to become dementia friendly. Over 1.3
million people have become Dementia Friends
Tier 1 trained NHS Workforce
Research spending
Research spending since 2009/10
600,000
500,000
515,967
400,000
437,922
377,886
300,000
200,000
287,671
100,000
0
2014/15
Quarter 1
Achieved
2014/15
Quarter 2
Achieved
2014/15
Quarter 3
Achieved
2014/15
Quarter 4
Achieved
Over half a million of our NHS staff and over 100,000 social care
staff have been trained in better supporting people with dementia.
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Cumulative amount
(£ millions)
Cumulative total
of Tier 1 trained
NHS staff
More people now receive a diagnosis of dementia than ever before
300
279.3
250
221
200
160.8
150
108.6
100
50
0
Year
64.6
28.2
2010
2011
2012
2013
2014
2015
The Government has doubled research spending on dementia.
Dementia: Prime Minister’s challenge on dementia 2020 - what does it set
out to achieve
The Prime Minister’s challenge on dementia 2020
builds on the achievements of the Prime
Minister’s challenge on dementia 2012-2015.
It aims to identify what needs to be done to make
sure that dementia care, support, awareness and
research are transformed by 2020.
The 2020 Challenge sets out how the Government
wants to see society at large, including the NHS,
social care, voluntary and community sectors
responding to the challenge that dementia
presents up till 2020.
It builds on the 2012-15 Challenge with a focus on
risk reduction, health and care, expansion of
Dementia Friendly Communities and continuing
investment in research.
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Overview: Prime Minister’s Challenge on Dementia 2020
Health and Care
•
Timely diagnosis
•
GPs ensuring coordination and
continuity of care
•
Meaningful care – ensuring
everyone with a diagnosis
receives this. Measured against
NICE Quality Standards and
tracked with effective metrics
•
Meaningful care – delivery of
timely information at and post
diagnosis, care navigation
•
Meaningful care – support for
carers
•
Workforce training – NHS staff
•
Workforce training – social care
providers. Care Certificate
implementation – monitored by
CQC
•
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Risk Reduction
Dementia Friendly Communities
•
Dementia-friendly hospitals and care
homes
•
Additional 3m Dementia Friends by
2020
•
England leading efforts to make
Dementia Friends a global movement
•
Over half of people living in Dementia
Friendly Communities - measured by
BSI Standards
•
Dementia friendly businesses
(including employment, products &
services)
•
National and local government taking
a leadership role on becoming
dementia friendly
•
All primary and secondary schools
being encouraged to include
dementia awareness in their work
programmes
Improving quality of care in all
settings and across the pathway
through to end of life
DH – Leading the nation’s health and care
•
National risk reduction strategy
•
Further work on the evidence base
for risk reduction, and greater use of
evidenced-based tools and
intelligence
•
•
Research
•
UK best place for dementia
research(ers)
•
Funding for dementia
research on track to be
doubled by 2025
Development of a risk assessment
calculator
•
An international dementia
institute established in
England
NHS Health Checks
•
Increased investment in
dementia research from the
pharmaceutical, biotech
devices and diagnostics
sectors
•
International framework for
dementia research – cure or
disease-modifying treatments
by 2025
•
Research on service models
•
Open access to research
publications
•
Increased participation in
dementia research
What meaningful care means for people with dementia and
their carers
The “I” statements developed by the Dementia Action Alliance:
•
I was diagnosed in a timely way
•
I know what I can do to help myself and who else can help
me
•
Those around me and looking after me are well supported
•
I get the treatment and support, which are best for my
dementia, and for my life
•
I feel included as part of society
•
I understand so I am able to make decisions
•
I am treated with dignity and respect
•
I am confident my end of life wishes will be respected. I can
expect a good death
•
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I know how to participate in research.
What do we want from the engagement process?
Expert views from respective organisations/individuals on
the questions:
• What areas (and/or specific deliverables) of the 2020
dementia challenge would you prioritise in this theme
and why?
• What actions and milestones would you expect to see
for the areas and deliverables you would prioritise for
delivery and what would the impacts be?
• Are there any interdependencies across the
commitments in the Challenge? How should these be
taken into account?
• If there any gaps in the delivery plan(s), do you have
suggestions on how to achieve the commitment?
• What could you/your organisation do to help deliver
the 2020 dementia challenge?
In addition, for people with dementia and their carers:
• What part of the 2020 Challenge would make the
biggest difference to you?
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DH – Leading the nation’s health and care
End of Life: Bromley Better Care Fund
St Christopher’s Hospice – Namaste Care
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Airedale NHS Foundation Trust:
Telemedicine
Airedale NHS Foundation Trust (ANHSFT)
has deployed telemedicine in a number of
settings – including care homes and
patients’ own homes.
Results show
• 37% in non elective admissions
• £5 million in savings to the local
health system
• Reduced hospital length of stay
Now part of the Airedale Partner's
Vanguard as part of the NHS New Models
of Care programme
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Building support for carers
Opportunities
Carers provide an invaluable
contribution to society and we have
legislated to give them new rights.
The Care Act:
• extends carers’ rights to an
assessment
• creates a ‘well-being principle’ to
underpin the care and support
system
Initiatives such as
• John’s Campaign
• Carers’ Strategy
• Commitment to Carers
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Contact us
What areas (and/or specific deliverables) of the 2020 dementia
challenge would you prioritise in this theme and why?
What actions and milestones would you expect to see for the
areas and deliverables you would prioritise for delivery and
what would the impacts be?
Are there any interdependencies across the commitments in
the Challenge? How should these be taken into account?
If there any gaps in the delivery plan(s), do you have
suggestions on how to achieve the commitment?
What could you/your organisation do to help deliver the 2020
dementia challenge?
What part of the 2020 Challenge would make the biggest
difference to you?
Contact email: [email protected]
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