Summary
NHS RightCare has produced a scenario which throws into contrast an optimal dementia care pathway as distinct from the possibly more common “sub-optimal” pathway alternative(s).
Costings for an ideal pathway are presented, compared with those for an example sub-optimal dementia care pathway; showing that costs for community care would be higher but with massive savings overall due to reduced acute care costs. The scenario painted features a fictional patient Tom and his wife and carer Barbara.
“The story of Barbara and Tom’s experience of a dementia pathway and how it could have been so much better”.
Reference
Getting the dementia pathway right: Tom and Barbara’s story. [Online]: NHS England, April 20th 2017. Updated: May 24th 2017.
This relates to:
Reference
Getting the dementia pathway right: Tom and Barbara’s story: Dementia. London: NHS RightCare / NHS England, April 2017.
There are two appendices relating to the relative merits / demerits, and different component costs, for the alternatives depicted by Tom and Barbara’s story.
Reference
NHS RightCare scenario: Getting the dementia pathway right. Tom and Barbara’s story: Dementia. Appendix 1: Summary slide pack. London: NHS RightCare / NHS England, April 2017.
and:
Reference
NHS RightCare scenario: Getting the dementia pathway right. Tom and Barbara’s story: Dementia. Appendix 2: Short summary slide pack. London: NHS RightCare / NHS England, April 2017.
Big Picture Contextual Institutional Developments: Accountable Care Systems Announced (NHS England)
Nine accountable care systems (ACSs) have been announced, which will integrate services from local NHS organisations, social care services and the voluntary sector. This development is the most major initiative for the integration of care in any major western country.
Nine areas in England, covering seven million people, will be better served by:
“ …nationwide action to provide joined up, better coordinated care breaking down the barriers between GPs and hospitals, physical and mental healthcare, social care and the NHS”.
Reference
NHS moves to end “fractured” care system. [Online]: NHS England, June 15th 2017.
