Agenda item

To receive a report on the consultation findings and decision making of the Dementia Services Review

The Principal Programme Lead, the Head of Service and the Clinical Commissioning Lead for Mental Health and Dementia, within the Primary and Community Services Directorate for the Dorset Clinical Commissioning Group (CCG), presented a report, a copy of which has been circulated and appears as Appendix ‘B’ of these minutes in the Minute Book.

The Committee were provided with an update on the Dementia Services Review and the proposed new model of care. It was highlighted that the Dementia Service Review had progressed through consultation and a new model of care had been proposed. The full business case was awaiting final approval by the NHS Dorset Governing Body. Approval was expected early 2020.

The Committee were informed that the Dementia Service Review began in 2017 and went through several stages, that included view seeking, options modelling and development, NHS Assurance, Consultation and implementation. The aim of the review was to improve care for people from their diagnosis to end of life

The case for change, cost implications and benefits were explained to the Committee. The benefits of the review would include a smoother and quicker diagnostic process, improved outcomes for people living with dementia, greater support and resilience for families and carers, more services in the community accessible near to home, more efficient and cost-effective services, greater compliance with NICE standards and additional return on investment and cost benefits.

It was particularly highlighted that a new dementia coordinator rolewould help people to navigate the health and social care system and would ensure both people living with dementia and their families had a contact for advice, guidance and sign posting to other community services.

 Several questions were raised and discussed by members some of which included;

• The improvements to support for carers and their families and whether the support services would be readily accessible;
• Funding for the service, particularly that funding was subject to the NHS Long Term Plan Finance Settlement. It was highlighted that the model had been agreed by the Governing Body, had strong system support and was a priority area for investment;
• Details of the primary care element of the model, the new model would be more primary care focused with the introduction of dementia coordinators, the Memory Assessment Service and alignment with Primary Care Networks;
• The benefit of being able to connect with local and voluntary sector services through the Dementia Co-coordinators;
• That the Plan was considered more robust and efficient, particularly regarding screening;
• Whether training sessions and workshops on dementia care could be delivered in conjunction with CCG Colleagues;
• That a Dementia Service Directory would be available to members of the public that would give information and would signpost to a range of community service related to Dementia;
• Whether the CCG could return in two years to provide an update;

RESOLVED that: -

(a)  The committee noted the update.

(b)  Requested that the Dorset CCG provide an up-date report in two years time so that the Committee could scrutinise the impact of the new service model.