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Author: Great Britain. National Audit Office Publisher: The Stationery Office ISBN: 9780102963328 Category : Medical Languages : en Pages : 50
Book Description
The Department of Health has developed an ambitious and comprehensive strategy for dementia, Living Well with Dementia (February 2009). Yet, despite the Department stating that dementia is now a national priority, it has not been given the levers or urgency normally expected for such a priority and there is a risk that value for money will remain poor unless these weaknesses are addressed urgently. Dementia was not included in the Department's tier 1 Vital Signs indicators for the NHS, through which it monitors performance. Other levers such as joined-up commissioning and comprehensive performance information, are not yet fully developed. Achieving transformation in the proposed five years will be very challenging. The Department does not have evidence on current and future costs and benefits; the strategy is likely to cost much more than the estimated £1.9 billion over ten years. The Department expects implementation of the strategy to be mostly funded through efficiency savings arising from the acute hospital and long-term care sectors, though the NAO foresees difficulties in achieving this. There is no basic training for healthcare professionals on how to understand and work with people with dementia. Strong leadership is also key to improving services, but this is not yet in place in local NHS and social care delivery organisations, nor is there enough joined-up working between health and social care services for people with dementia. The report points out that there are some examples of excellent practice which could already be making a difference if they were adopted across the country. But it is not clear that services are making best use of money.
Author: Great Britain. National Audit Office Publisher: The Stationery Office ISBN: 9780102963328 Category : Medical Languages : en Pages : 50
Book Description
The Department of Health has developed an ambitious and comprehensive strategy for dementia, Living Well with Dementia (February 2009). Yet, despite the Department stating that dementia is now a national priority, it has not been given the levers or urgency normally expected for such a priority and there is a risk that value for money will remain poor unless these weaknesses are addressed urgently. Dementia was not included in the Department's tier 1 Vital Signs indicators for the NHS, through which it monitors performance. Other levers such as joined-up commissioning and comprehensive performance information, are not yet fully developed. Achieving transformation in the proposed five years will be very challenging. The Department does not have evidence on current and future costs and benefits; the strategy is likely to cost much more than the estimated £1.9 billion over ten years. The Department expects implementation of the strategy to be mostly funded through efficiency savings arising from the acute hospital and long-term care sectors, though the NAO foresees difficulties in achieving this. There is no basic training for healthcare professionals on how to understand and work with people with dementia. Strong leadership is also key to improving services, but this is not yet in place in local NHS and social care delivery organisations, nor is there enough joined-up working between health and social care services for people with dementia. The report points out that there are some examples of excellent practice which could already be making a difference if they were adopted across the country. But it is not clear that services are making best use of money.
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts Publisher: The Stationery Office ISBN: 9780215544759 Category : Political Science Languages : en Pages : 48
Book Description
The National Audit Office report on this topic was published as HCP 82, session 2009-10 (ISBN 9780102963328)
Author: Shibley Rahman Publisher: ISBN: 9781785920370 Category : Dementia Languages : en Pages : 384
Book Description
Focusing on how to support the wellbeing of people with dementia in care homes and home care, this book highlights the foundations of high quality care. Based on the latest research and evidence, the book tackles head on the barriers to excellent dementia care, and engages with the latest initiatives that promote health and wellbeing.
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts Publisher: The Stationery Office ISBN: 9780215038197 Category : Medical Languages : en Pages : 44
Book Description
This report, from the Committee of Public Accounts, follows on from an NAO report, (HC 604, session 2006-07, ISBN 9780102945614), and examines the prevalence and costs of dementia, diagnosis and early intervention, access to and quality of support services, and experiences of people with dementia in hospital and care homes. Dementia is a term for a range of progressive, terminal organic brain diseases. It affects about 560,000 people in England and costs the economy some £14 billion a year. The Committee has set out a number of conclusions and recommendations, including: that dementia has not been an NHS priority though, following the NAO report, the Department of Health is developing a National Dementia Strategy; that there is no single individual with responsibility or accountability for improving dementia services; that between a half and two-thirds of people with dementia never receive a formal diagnosis; that there is poor awareness amongst the public and some professionals of dementia; that people with dementia and their carers should be given a single health or social care professional contact point to improve the co-ordination of their care service; that between half and two-thirds of all carers do not receive the carer's assessment to which they are entitled; that 62 per cent of care home residents are currently estimated to have dementia, but less than 28 per cent of care home places are registered to provide specialist dementia care; that hospital care for people with dementai is often not well managed, increasing the risk of longer hospital stays, admission to a care home and a deterioration in the patient's health.
Author: Great Britain: National Audit Office Publisher: The Stationery Office ISBN: 0102945616 Category : Medical Languages : en Pages : 76
Book Description
Dementia is a term for a range of progressive, terminal organic brain diseases, including Alzheimer's. Some 560,000 people in England are estimated to have dementia, with a steeply rising trend over the coming years. Some 476,000 people are unpaid carers of people with dementia. Direct costs to the NHS and social care are currently at least £3.3 billion a year, but the overall annual economic burden is estimated at £14.3 billion. This report examines what health and social care services are available for people with dementia and their unpaid carers in England and whether they are providing effective and good quality support. Until 2005 the Department of Health attached little priority to dementia, and progress was hampered by a lack of good quality data, by stigma, and by the low level of political and national focus on older people's mental health. The NAO conclude that services are not currently delivering value for money to taxpayers or people with dementia and their families. Whilst health and social care services are spending significantly on dementia, spending is late - too few people are being diagnosed or being diagnosed early enough. Early interventions that are known to be cost-effective, and which would improve quality of life, are not being made widely available. Services in the community, care homes and at the end of life are not delivering consistently or cost-effectively against the objective of supporting people to live independently as long as possible in the place of their choosing. The rapid ageing of the population means costs will rise and services are likely to become increasingly inconsistent and unsustainable without redesign. Recommendations cover: improving diagnosis and early intervention; improving management of services; gearing the system to respond to the major challenges of dementia in the future.
Author: Anthea Innes Publisher: Jessica Kingsley Publishers ISBN: 0857005030 Category : Health & Fitness Languages : en Pages : 266
Book Description
Focusing on theoretical, policy and practice issues which are predicted to become fundamental priorities in the near future, the contributors to this important book examine how dementia care works around the globe. They explore the theory underpinning dementia care, the applications of this theory in the latest dementia care research and how this research is influencing and shaping practice. The contributors are leading practitioners, policy influencers and researchers who analyse case studies from the UK, the USA, Canada, Australia, India, France and Malta with the aim of encouraging a dialogue and exchange of interdisciplinary initiatives and ideas. Their insights into how policy and dementia strategies are developed, and the range of approaches that can be taken in dementia care practice, are a positive step towards ensuring that the needs of people with dementia around the world are met, both now and in the future. This book makes essential reading for practitioners, researchers, policy makers and students in the field of dementia care.
Author: Grahame Smith Publisher: CRC Press ISBN: 1482245760 Category : Medical Languages : en Pages : 277
Book Description
Dementia is both a personal and a societal challenge. The goal of Dementia Care: A Practical Approach is to focus on how practitioners can meet this challenge with hope and compassion, thereby enabling those with dementia to live well. The book takes a ‘strengths approach’ with an emphasis on exploring sustainable strategies. Its content is underpinned by relevant policies and strategies and explicitly links to research evidence while always valuing the voices of those living with dementia. Covering various dementia strategies, the book provides a clear vision of dementia care delivery and is mapped to the Curriculum for UK Dementia Education. For health care students, the content is also mapped to the requirements of the Health and Care Professions Council and the Nursing and Midwifery Council. The book includes experiences of people living with dementia, practical examples, self-assessment questions, and key point summaries. It is a valuable resource to practitioners, informal caregivers, families, individuals with dementia or those wanting to know more about the subject.
Author: Great Britain. National Audit Office
Author: Great Britain. National Audit Office
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Author: Shibley Rahman
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Author: Buz Loveday
Author: Great Britain: National Audit Office
Author: 
Author: Anthea Innes
Author: Juanita Hoe
Author: Grahame Smith