[This abstract first appeared in: Dementia: the Latest Evidence Newsletter RWHT Volume 1 Issue 3 October 2010].
This document presents the Department of Health’s updated, “outcomes-focused” plan for implementation of the Living well with dementia: A National Dementia Strategy report.
Section 1: Setting the scene explores the challenge of securing improvements in dementia care. Priority objectives include good-quality early diagnosis and intervention for all; improved quality of care in general hospitals; living well with dementia in care homes; and reduction in the use of antipsychotic medication.
Section 2: Improving outcomes covers the Department of Health’s work, with its partner organisations, to specify key outcomes which people with dementia and their carers might expectand to develop specific, measurable indicators for these outcomes across health and social care.
Section 3: Enablers for change describes various “enablers” to support local delivery and to help local accountability in the improvement of quality outcomes for people with dementia and their carers. There is a revised Operating Framework 2010-11 and an evolving National Dementia Declaration.
There is an overall shift in emphasis from structures and processes towards priorities centred upon improving outcomes for people. This report is non-prescriptive. It does not set priorities or dictate which services should be planned, commissioned, provided and delivered. The pace of implementation may vary according to local circumstances.
This complies with new vision for the future of health and social care, as proposed in the White Paper Equity and Excellence: Liberating the NHS and in the consultation document Liberating the NHS: Transparency in outcomes – a framework for the NHS. The emphasis has shifted towards putting patients and the public first; improving health and social care outcomes; ensuring autonomy, accountability and democratic legitimacy; and improving efficiency.
Quality outcomes for people with dementia: building on the work of the National Dementia Strategy. Leeds: Department of Health (National Dementia Strategy Implementation Team, Older People & Dementia Branch), September 2010.