The paper has been prepared following extensive discussion and feedback from the series of Dementia Dialogue events held across Scotland between November 2015-January 2016; and written responses submitted as part of that process. The paper is not intended to be exhaustive but a strong signal of what the major elements of dementia policy should be over the next 3 years.
The new strategy focusses
- Diagnosis rates and post-diagnosis support
- Collaborative working with Joint Boards supporting locality planning and redesign of services
- Palliative and end of life care
- Further implementation of Promoting Excellence in workforce development
- Improvement of acute general hospital care and specialist services
- Identifying issues and needs in care and residential home (identified through the Recommendations of the Task force for the Future of Residential Care in Scotland
- Continuing to work with service user and carers groups
- Groups affected by equality and dementia issues (LGBT/BME/LD communities)
- Supporting ongoing research through funding the Scottish Dementia Research Consortium
Some areas to highlight:
Training: continue national approaches to education and training and to service improvement, complemented by the use of data on outcomes for people with dementia, including the first round of national dementia benchmarking data, published later in 2016
Dementia Friendly Communities: support local strategic approaches to promote and complement bottom-up, community-led Dementia Friendly Community initiatives and utilise these assets as part of service and support re-design
Dementia Ambassadors: over 800 people have been identified as Dementia Ambassadors to lead dementia training in their workplaces, with 70% of those Ambassadors working in care homes.
Telecare: It will also include the further promotion of telecare and aids and adaptations for people with dementia; attention to the broader housing and accommodation needs of people with dementia; enhancing a multi-disciplinary approach to care at home, including the promotion of the therapeutic and enabling role of AHPs for people with dementia; more work to increase access to Self-Directed Support for people with dementia; and attention to supporting social inclusion including issues around transport.
Training and Education Plan: Implementing a further Promoting Excellence dementia health and social services training and education plan for the next 3 years. To continue to work with NES/SSSC to further embed and sustain improvements in the knowledge and skills of staff working in health and social services against Promoting Excellence through a national workforce development plan to help enable workers to provide the best possible quality of care for people with dementia and implement the human-rights based Standards of Care for Dementia in Scotland; and promoting and supporting the uptake and use of Promoting Excellence training and resources in other areas of public life and by families and communities.
Acute and Specialist: Continuing the national focus on improvement in acute and specialist dementia mental health settings. Building on bespoke national action already in train on dementia in acute and specialist dementia mental health settings, including a key focus on involving families as key partners in care.
Read the full proposal here 2016-19 National Dementia Strategy and the Dementia Dialogue Engagement Paper report