The NDS Implementation simulator provides a learning environment for partners to begin their discussion about local priorities and interdependencies within the system of care for people with dementia through:
Providing an assessment of current resource usage by people with dementia locally and how this will change over the next 10 years as prevalence increases;
An indication of the relative impact of the National Dementia Strategy (NDS) priorities on resource use (activity and expenditure).
Try out the baseline version of the model
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Who is it for?
The simulator is ideal for use by local dementia partnerships to assess the extent of current NDS implementation and to test out the potential impact of further implementation for specific NDS priorities to inform priority setting and to provide a basis for business case development.
How does it work?
It takes a whole system approach considering current and potential future resource usage across both health and social care. The priorities incorporated are:
Early diagnosis through memory assessment services and carers support
General hospital liaison and rapid response / intermediate home treatment
Care home in reach
Reductions in anti psychotic prescribing.
How was it developed?
The simulator has been developed based on work with two local health and social care partnerships and has subsequently been enhanced with learning from a number of local calibrations and national developments. This has included clinical and service user and care engagement, and research into the evidence for the impact of specific service development / redesign.
What is involved in adapting it locally?
The simulator can be calibrated to any local area. In undertaking this local information and intelligence are vital to ensure the calibration reflects local circumstances and plans. The process we adopt to calibration therefore places an emphasis on securing this information and intelligence through engagement with key stakeholders in the local health and care community.
All areas that undertake a local calibration are invited to join a Dementia Learning Network. This provides opportunities for:
Sharing of experiences, tools and redesign proposals
Sharing simulator assumptions about baselines and targets in order to 'benchmark' these and explore local interpretation and evidence from across the network
Members have access to an online dementia toolkit that includes a gold standard for dementia services, and, subject to agreement, comparator information on local services, NDS implementation and a set of dementia metrics.