UCLPartners Update on Dementia Charlie Davie, Director - Academic Health Science Network, UCLPartners 21 April 2015
Our aim: to bring together leaders to translate cutting-edge research and innovation into measurable health and wealth gains for the population How will we achieve it? Information Work with our partners to: Education • Discover new treatments and methods for improving health • Develop discoveries through clinical trials • Implement changes at scale across Population the partnership • Evaluate how the system is working and what can be done next • Educate the workforce and develop capabilities • Use information to its best effect throughout the system
The geography and partners Six million population 23 healthcare organisations acute and 11 higher education institutes mental health trusts; community providers and research networks 20 Clinical Commissioning Groups (CCGs) Industry partnerships in research and 26 boroughs and local councils translation of innovation into health and wealth
27000 Trained: Leading a cultural change in dementia care Sian Jones, Senior project manager 27000 Trained, UCLPartners
27,000 Trained 2014-2015 Objectives • Train an additional 15,000 staff in Tier 1 Dementia Awareness • In collaboration with ELFT – develop a Tier 1 training package to support their Community based ‘Still Here’ film • New communities of practice – Dentists, LAS, Pharmacists, Optometrists • Pan London Dementia Leads network • Development of Tier 2 training resources and pilot. 5
The project has… Trained 27, 822 staff Created 11 new across North Central & Had 2 Presentations collaborations with new East London (over 10% accepted for the UK professional groups & of total national Dementia Congress organisations mandate) Facilitated new Trained 50 New Tier 1 relationships between Been shortlisted for HSJ Trainers; 204 trainers commissioners, Innovation in Mental now trained in total providers and education Health 2014 teams (CEPNS) Ensured training is now Kept the patient at the mandatory in 12 Trusts; Ensured training is still centre of everything we every new staff member delivered “face to face” do through our will receive Dementia in all Trusts relationships with Training national charities 6
Building a culture of Dementia awareness: 2015-2016 Key themes of work 1. Awareness • Tier 1* Sustainability, collation of numbers for HEE reporting, Quality assurance monitoring of training 2. Partnership Networking • Support engagement with Community Education Provider Network ( 10 across HENCEL) • New Communities of Practice – continue to collaborate with Dentists, LAS, Pharmacists and Optometrists in the development of resources and materials • Development of a Community of Care network 3. Tier 2* • Pilot of training resources, Train the trainer, Launch of resources • Ambition to train staff in Tier 2 across HENCEL 4. Evidence of impact • Influence of training on provision of care for people living with dementia and their carers in a healthcare setting * London Dementia Strategic Clinical network: Guide to Dementia training for Health and Social care staff. 7
8
Learning indicators Key themes of work 1. Awareness • Tier 1* Sustainability, collation of numbers for HEE reporting, Quality assurance monitoring 2. Partnership Networking • CEPN engagement • New Communities of Practice continued • Development of a Community of Care network 3. Tier 2* • Continued Pilot of training resources, Train the trainer, Launch of resources • Ambition to train staff in Tier 2 across HENCEL 4. Evidence of impact • Influence of training on provision of care for people living with dementia and their carers in a healthcare setting * London Dementia Strategic Clinical network: Guide to Dementia training for Health and Social care staff. 9
For more information Sian Jones Senior Project Manager Tel: 07957 548619 Email: sian.jones@uclpartners.com
Join Dementia Research Piers Kotting, Programme Director, Office of the National Director for Dementia Research | National Institute for Health Research (NIHR)
Key issues for delivery of clinical research: Speed of recruitment Increase public awareness Screen failure rates Improve use of data Retention rates 12
JDR increases public awareness: 2/3rds of people willing to take Directly via internet part in dementia research Through charity helplines Fewer than I in 5 Through NHS know how to find memory clinics out about it 13
JDR improves use of data: Aggregates & Matches structures data patients to about patients & studies their consent Enables researchers to contact patients Aggregates & structures data about research studies 14
Progress to date Launched 24 Feb 2015 86 6,026 sites 986 people enrolled registered 37 studies 15
Piers Kotting Programme Director, Office of the National Director for Dementia Research | National Institute for Health Research (NIHR) Email: piers.kotting@nihr.ac.uk
Mental Health Programme Dr. Anna Moore, Director Integrated Mental Health
Integrated Mental Health Programme THRIVE: More Than Transforming Mentors: Neer Peer CAMHS Mentoring Improving MH in Children & Young People Meta-analysis Informatics Platform Integrated Urgent & Modelling Causes of Mental Informatics Emergency Breaches Care Pathway Health Building Capability Pathway Transformation Education & Capability MH in the ED Primary Care & Commissioning Physical Health in MH Settings
The THRIVE Model Miranda Wolpert Rita Harris Melanie Jones Sally Hodges Peter Fuggle Rachel James Andy Wiener Caroline McKenna Duncan Law Peter Fonagy
Challenges in current CAMHS 20
The THRIVE Model Drawing a clearer distinction than before between: • Treatment and support • Self-management and intervention • More systematic integration of shared decision making and routine collection of preference data We are aware there are a number of initiatives across the country who use “Thrive” in their title. We use the term to reflect ou r core commitment to young people “thriving” and to represent our commitment to provision that is Timely, Helpful, Respectful, Innovative, Values-based and Efficient.
Improving quality & efficiency: rethinking CAMHS • Improved quality & efficiency through o enabling workforce planning o embracing digital o systematic implementation of evidence base o improving capacity and access o effective integration 22
Getting Advice and Signposting Service Development • Increased interest in self-managemen t and promotion of resilience • Proliferation of digitally based support • Community focus • School-based interventions support mental health • Peer support can promote effective parenting • Integration of mental health in paediatric primary care supports community resilience Resource • This group accounts for about 25% of YP and families accessing CAMHS • Accounts for 5% of CAMHS provision cost Need • These are the YP and their families adjusting to life circumstances • Mild or temporary difficulties • Capable of community or self-support • Or chroni c, fluctuating or ongoing severe difficulties for which they decided to manage their own health Provision • The THRIVE Model suggests: provision within educational or community settings • Education as lead provider • The education language is a language of wellness • Health input coming from experienced health workers who support , diagnose & signpost using shared decision making 23
Getting Help Service Development • Increasingly sophisticated evidence on what works for whom in what circumstances • Increasing agreement on how service providers can implement those approaches • Shared decision making to support patient preference • Rigorous use of ROMs • 33% of YP will be “recovered” even after the best evidence-based interventions Resource • This group accounts for about 55% of YP and families currently accessing CAMHS • It accounts for the 15% of the cost of CAMHS provision • Pbr analyses suggest this is a middle costing service in the payment system Need • This group would benefit from focused, evidence-based treatment with clear goals • This group falls into the scope of NICE guidance • Around 45% of families in this group fall into one NICE guidance • The rest of families have multiple problems Provision • The THRIVE Model suggests: health services as main providers • Language of treatments and outcomes • Health input should involve specialised technician in different treatments • Explicit charters for children and families: • Treatment should involve explicit agreement at the outset as to what success would look like • How would success occur and when 24
Recommend
More recommend
