Dementia Clinical Network Achieving Better Access- Pathway Project Date Dr Jeremy Isaacs Consultant Neurologist, St George s University Hospitals NHS Foundation Trust Deputy Clinical Director, London Dementia Clinical Network December 2016
Achieving Better Access NHSE Achieving Better Access target for dementia diagnosis likely to be released end of 2016 Target likely to be: 6 weeks from referral to diagnosis and start of NICE approved treatment plan 85% of patients achieving this by 2020/2021 2
What do we already Know? 2014/15 3
Memory Audit 2015 Average wait to be seen % of patients seen within 6 weeks of referral date 8 7 100% 100% 98% 6 80% 84% 86% 5 4 60% 54% 3 40% 46% 2 1 20% 21% 23% 0 2 4 6 8 10 12 14 16 Weeks 0% 1 2 3 4 5 6 7 8 4
Memory Audit 2015 Reason for > 6 weeks to be seen 8 7 6 5 4 3 1 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Patient choice or delay Poor quality referral capacity constraint Not specified 5
Pathway Project Review of pathways in different services to look for trends and solutions to share Feed into a co-production event to plan an ideal memory clinic pathway Creation of a tool kit for memory services Helping memory services to achieve the better access target 6
Pathway Project We need your help December 16- February 17 Meeting with memory service consultants and service leads: Discuss current pathways Barriers to improving waiting times Any initiatives to improve waiting times Integration with neurology / geriatric medicine Engagement with research We are asking memory services to spend 1 hour with us to facilitate this 7
Date Supporting Dementia Research commitments in the Prime Minister s Challenge London Memory Network Dr Jeremy Isaacs Consultant Neurologist, St George s University Hospitals NHS Foundation Trust Deputy Clinical Director, London Dementia Clinical Network December 2016
Department of Health Prime Minister s Challenge on Dementia 2020 PM Challenge on Dementia 2020 contains over 50 commitments split across four themes: - Risk reduction - Health and care - Awareness - Research Implementation Plan published in March 2016. 9
Prime Minister s Challenge on Dementia 2020: Research Five key priority themes emerged during an engagement exercise with the research community and people with dementia: 1. Providing more opportunities for people with dementia and their carers to get involved in research. 2. To improve collaboration across the sector by creating new opportunities and improving communication. 3. Developing capacity in the field ensuring a diverse researcher workforce to deliver the aspirations. 4. Providing coordination and alignment of current and future research initiatives. 5. Encouraging inter-disciplinary working and innovation in research. 10
PM Challenge 2020: Research commitments Total of 6 research commitments largely committing to increased funding. Through support from the Memory Assessment Network, it is feasible for the London Dementia Clinical Network to directly support two commitments: Increased numbers of people with dementia participating in research, with 25 per cent of people diagnosed with dementia registered on Join Dementia Research and 10 per cent participating in research. Open access to all public funded research publications 11
Outcomes from today: Join Dementia Research Learn more on how to integrate JDR into memory service practice Table discussions: What you are doing / how you have integrated JDR into practice? What do you need to do? What support do you need from the Clinical Network? Networking with your local Clinical Research Network Table discussions: Exchange views and ideas on: Communication and information gaps. Support needs to overcome these gaps. 12