This Joint Commissioning Framework provides best practice guidance (as of 2009) for commissioners to support implementation of the National Dementia Strategy (NDS) within the context of World Class Commissioning and Putting People First. It includes a Joint Strategic Needs Assessment template, summary of NICE and SCIE evidence for dementia services, commissioning levers against each of the strategy’s objectives and a summary of South East Coastal SHA dementia metrics. The topics covered briefly include (quoted from contents page):
- Funding the National Dementia Strategy.
- Services to be commissioned.
Section 1: The commissioning task.
- Dementia: The commissioner’s role.
- Overarching principles for commissioning dementia services.
- Including all groups of people affected by dementia.
- Younger people with dementia.
- People with learning disabilities and dementia.
- Alcohol-related dementia.
Section 2: Commissioning levers.
- Strategic planning.
- Quality of services.
- Strategic commissioning and co-production.
- Outcomes and procurement.
- Commissioning for outcomes.
- Decommissioning services.
- Demand and performance.
- Primary and community services.
- Commissioning primary care.
- Practice-based commissioning.
- Contracting for quality.
Section 3: Commissioning NDS recommended services.
- Public and professional awareness.
- Early diagnosis and intervention.
- Memory assessment.
- Investing in early intervention.
- Information for those diagnosed with dementia and their carers.
- Access to care, support and advice following diagnosis, facilitated by a dementia advisor.
- Structured peer support and learning networks.
- Community personal support services.
- Avoidance of unnecessary admission/discharge planning.
- Crisis prevention and response.
- Services within the Carers’ Strategy.
- Care within general hospitals.
- Intermediate care for people with dementia.
- Housing, housing-related and telecare support.
- Services within care homes.
- End of life care.
- Workforce across all services.
Section 4: Next steps.
Annex 1: NICE/SCIE guidance.
Annex 2: Template for JSNA/local dementia needs assessment. This provides a range of population and service measures that commissioners will find useful for population based assessment of need and mapping available services to meet that need.
Annex 3: South East Coastal SHA dementia metrics. These are based on the Clinical Metrics Development Programme.
Goodchild, C. (2009). Living well with dementia. The National Dementia Strategy (NDS): Joint Commissioning Framework for Dementia. Putting People First. London: Department of Health, 2009. (Dementia Gateway Reference: 11198).
Background: the Objectives
The NDS recommends that the following services should be available locally to all people with dementia. Section 3 of this report (see above) covers commissioning for each Objective.
Objective 1: Improved public and professional awareness and understanding of dementia.
Objective 2: Good quality early diagnosis and intervention for all.
Objective 3: Good quality information for those diagnosed with dementia and their carers.
Objective 4: Easy access to care, support and advice following diagnosis, facilitated by a dementia advisor.
Objective 5: Structured peer support and learning networks.
Objective 6: Community personal support services.
Objective 7: Services within the Carers’ Strategy.
Objective 8: Good quality care within general hospitals.
Objective 9: Intermediate care for people with dementia.
Objective 10: Good housing, housing-related and telecare support.
Objective 11: High quality services within care homes.
Objective 12: Good end of life care.
Objective 13: An informed and effective workforce across all services.
Objective 14: Joint commissioning strategy.
Objective 15: Better regulation and assessment.
Objective 16: Review of research.
Objective 17: National and regional implementation support.