The National Dementia Strategy Implementation simulator provided a learning environment for partners to discuss 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).
The Journey ….
This model has been calibrated on over a dozen occasions between 2009 and 2014. However, the strategic context, and the underpinning evidence for dementia prevalence, has now moved on with much greater emphasis placed on maintaining levels of diagnosis, recognising that dementia can often be only one of a number of needs that clients may have, and working in partnership with communities and independent or voluntary sector organisations.
WSP is progressing its interest in this area through:
- Exploring the impact of new evidence for dementia prevalence rates on commissioning and provision of care – a contribution to the Festival of Evidence noted above focussed on this issue;
- We are working with a Dementia Support charity in North Yorkshire to evaluate its contribution to the health and wellbeing of the people they support.
How does it work?
The original simulation tool took a whole system approach considering current and potential future resource usage across both health and social care. The priorities incorporated were:
- 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 was developed based on work with two local health and social care partnerships and was then enhanced with learning from a number of local calibrations and national developments. This included clinical and service user and care engagement, and research into the evidence for the impact of specific service development / redesign.