The Fife Dementia Strategy: 2010 â 2020 - The Knowledge Network

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National Context Consultation on the Scottish National Dementia Strategy Better Health, Better Care (2007, NHS Scotland): An action plan outlining the actions the Government will take to improve health. The central themes of the Action Plan are patient participation, improved healthcare access, and a focus on the twin challenges of improving Scotland's public health and tackling health inequalities. Better Outcomes for Older People (2005, NHS Scotland): A framework for developing joint services with three functions: • To promote the implementation and mainstreaming of joint and integrated services by local partnerships. • To set out the requirements and timescales which the local partnerships of NHS Boards and councils should meet in developing joint and integrated services. • To act as a tool to assist in the implementation of joint and integrated services. Clinical Guidance for Dementia (2006, NICE/SCIE): A joint national clinical guideline on the management of dementia. Key recommendations include: integrated working across all agencies; assessment, support and treatment (where needed) for carers; dementia care training for all staff working with older people; and improvement of care for people with dementia in general hospitals. Delivering for Mental Health (2006, Scottish Executive): The mental health delivery plan for Scotland which sets out targets and 14 commitments for the development of mental health services. Improving services and support for people with Dementia (2007, National Audit Office): A critical report investigating the quality of care received by people with dementia and their families. It found that the quality of services received was extremely variable, that there were deficiencies in carer support, and that services in the community or care home are not consistently delivering their objective of supporting people to live independently for as long as possible. Living & Dying Well (2008, NHS Scotland): An action plan to ensure that good palliative and end of life care is available for all patients and families who need it in a consistent, comprehensive, appropriate and equitable manner across all care settings in Scotland. It is intended for all health and social care policy makers, planners and practitioners, and is designed to produce achievable and measurable changes which will ensure quality improvement and enhance patient and carer experience. 96
Management of Patients with Dementia – A National Clinical Guidance (2006, Scottish Intercollegiate Guidelines Network): The guideline considers investigations and interventions in which direct benefit to the patient with dementia can be demonstrated. SIGN evaluates research using a hierarchy of evidence to weight studies in an effort to form reliable clinical guidelines. SIGN recognises the overall lack of high quality research for people with dementia, and the difficulty in using small or quantitative studies as a means to issuing guidance. Delivery Framework for Adult Rehabilitation: The Frameworks focus on improving effective management of long term conditions such as dementia through providing early intervention, diagnosis and rehabilitation are important to people with dementia, especially those living at home. 97
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The Fife Dementia Strategy: 2010 -
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CONTENTS Foreword..................
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Executive Summary Dementia in Fife
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individuals who receive a diagnosis
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SECTION 1 Purpose & Scope of the St
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1.9 Due the complexity of the condi
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1.16 The Single Shared Assessment (
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involved in providing tailored care
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SECTION 2 Vision for Dementia Servi
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dementia specific learning resource
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equire a range of ongoing and short
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ecognise the symptoms and specific
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together to develop and utilise cur
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Following a diagnosis of dementia,
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development, have gone some way in
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detailed guide to disseminating inf
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psychoactive medicines have been sh
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online resources (3.3), and a singl
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services. This should be done once
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4.4 Supporting Carers AIM Implement
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with service providers and carers i
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4.5 Housing AIM Support people with
Page 49 and 50: In order to ensure appropriate hous
Page 51 and 52: 4.6 Design for Dementia AIM To prov
Page 53 and 54: 4.7 Care at Home AIM Provide servic
Page 55 and 56: • The support of assistive techno
Page 57 and 58: 4.7.3 Improve joint working and com
Page 59 and 60: I’m not allowed to travel on my o
Page 61: Fife Council Supported Transport Se
Page 64 and 65: is referred on to a more appropriat
Page 67 and 68: 4.9 Short Breaks AIM Provide short
Page 69 and 70: example, many services provided for
Page 71: determining the quality of carer in
Page 74 and 75: incorrect prescribing, and more sui
Page 76 and 77: dementia. Prior to admission into c
Page 78 and 79: egular part of their daily care, an
Page 81 and 82: 4.11 Hospital & Acute Care AIM Peop
Page 83 and 84: 4.11.2 All people over the age of 6
Page 85 and 86: 4.12 Emergency Services AIM Emergen
Page 87 and 88: 4.13 Palliative & End of Life Care
Page 89 and 90: SECTION 5 Implementation & Delivery
Page 91 and 92: are the result of a series of small
Page 93 and 94: • a positive social environment t
Page 95 and 96: APPENDIX 2: Projected prevalence of
Page 97 and 98: APPENDIX 4: Dementia Advisor The fo
Page 99: APPENDIX 5: The Local and National
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The Fife Dementia Strategy: 2010 â 2020 - The Knowledge Network