what levers can be used to drive quality, innovation, prevention, productivity, and performance?
DRIVER: Incentives
Actions
Resources
Examples
Introduce incentives to promote focused action to improve recognition, screening, and access to diagnosis in primary and secondary care, community services, and local communities (LES, DES, CQUINs).
An NHS Bristol incentive scheme which has achieve over 50% sign up and from those practices, nearly 250 people were identified as having dementia and added to the registers. The biggest improvement was 37 people in one practice (2012-13). Read more »
This scheme, led by Stockport Clinical Commissioning Group, offers examples of partnership working between primary care, secondary care, social care and third sector organisations, to assist people with dementia and their carers/family in living healthily and well in the community. Read more »
This programme has helped practices to use examination of their patient register to identify patients with confusion or memory problems who might be in the early stages of dementia and/or whose condition may have deteriorated. Read more »
Ensure care pathways, systems, information and training are in place to support local implementation of national dementia CQUIN.
With local stakeholders, track progress, address challenges. Monitor referrals to memory assessment services in order to measure impact and outcomes.
The National dementia CQUIN aims to help identify patients with dementia and other causes of cognitive impairment, alongside their other medical conditions and to prompt appropriate referral and follow up after they leave hospital. Read more »
The Right Care is a call to action to transform the acute hospital experience for people with dementia and their carers. Read more »
Enable and support stakeholders to access pump priming monies to support local innovation, and implementation of innovations in dementia in order to accelerate change and improvement.
Communities across the South of England are benefitting from an extra £9 million to enhance treatment, care and support for people living with dementia, their families and carers. Read more »
DRIVER: Quality improvement
Actions
Resources
Examples
Work with pharmacists, primary, community, and secondary care providers to improve prescribing of (a) anti-dementia drugs; and (b) antipsychotics
The Dementia Commissioning Pack (Department of Health, 2011) included a set of accompanying resources to support the reduction of inappropriate prescribing of antipsychotics. Read more »
NHS Cornwall and Isles of Scilly uses the STAR tool to support medications review and ensure appropriate prescribing of antipsychotic medications. Read more »
Design, facilitate and promote engagement with general practices and primary health care teams to develop, implement and review general practice dementia care improvement plans.
The Gloucestershire dementia strategy recognises the pivotal role of primary care staff, and GPs in particular, in diagnosing dementia and in subsequently co-ordinating care across a range of services. Read more »
The NHS London quality outcomes tool for general practice provides bundles of outcome indicators for general practices to promote transparency, manage performance, and identify opportunities for improvement. Read more »
Somerset dementia strategy provides a framework to implement improved, responsive and quality services for people with dementia and their carers across Somerset. The accompanying action plan outlines work underway to achieve the strategy objectives. Read more »
DRIVER: Performance management
Actions
Resources
Examples
Monitor delivery of local diagnosis improvement trajectories at General Practice, and/or CCG level. With stake holders, consider
variation and range
factors affecting the capture and recording of dementia diagnosis
action to close gaps.
Set trajectories/ambitions, driving improvement via General Practice Contract, quality schedule, training plans.
This audit tool produced by NHS Cornwall and Isles of Scilly enables the identification of people living with dementia by General Practice. Read more »
