Dementia Herefordshire
Home page
- Some general links
- Dementia Strategy and Action Plan
- People with Dementia and their Carers - Strategy and Implementation Plan 2013-2015
- Hereford Memory Clinic Service
- re 4, Work is not joined up between clinicians
1
1.1
Google on which page see
Living well with dementia in Herefordshire - strategy
- carer included 48 times
1.2
Dementia Services - Herefordshire CCG here
- carer included twice
the page includes:
Herefordshire care pathway [pdf] 381KB
Dementia Strategy and Action Plan [docx] 50KB
Intergrated needs assesment for people with dementia and their carers [pdf] 786KB
Find these links here.
1.3
Herefordshire: Dementia Day centres services here
2 Dementia Strategy and Action Plan [docx] 50KB
Local
In Herefordshire, there are estimated to be approximately 3000 people with Dementia , but only 34% of people have been diagnosed . This means that services and opportunities may not be available at the right time to support people with Dementia and their carers. Herefordshire’s demographics, with a large and growing proportion of people aged 65 and over, means that the prevalence of Dementia, and the need for high quality services that enable people with Dementia to remain independent, is growing.
and the £ pool is becoming shallow
The Health and Wellbeing Board recognizes dementia as one of the long-term conditions affecting Herefordshire that would benefit from a shared partnership approach to ensuring that people and their carers are supported during all stages of their illness or caring role.
is this apparent in practice?
3 People with Dementia and their Carers
Strategy and Implementation Plan 2013-2015
3.1 Timely provision of practical information for patients, carers and families on diagnosis and through the patient journey
Five CrISP 1 programmes have been planned for 2014-15 for people who are caring for those with a recent dementia diagnosis.
3.2 To promote carers to register and participate in local carers forums
Support carers of people with dementia through 1-2-1 and group support
The local Mind office lost funding for these.
CrISP 1 programmes not explained - see here more Herefordshire
4 Hereford Memory Clinic Service
4.1
Rated as high quality by patients and peer review, accredited by RC Psych
Patients can attend with a family member or carer
The team have sic developed a referral guide with information for GPs
Patients are provided with a Case Register
The last line does not come within the author's experience.
4.2 Weaknesses
Waiting list is approximately 6 months, which means that few get early diagnosis
Concern that GPs may be holding back on referrals due to long waiting times
Some GP referrals are poor, e.g lack of information about social situation
Medical focus of sessions. All patients are seen by a consultant
All Memory Clinic staff are male, causing problems if a female requires an ECG
>>>>>>>>>>>>>>>
All patients are seen by a consultant - not in the author's experience if that is supposed to include outpatients who are assessed at home. His wife has not seen a consultant. On 20 Dec 2016, her first annual assessment due in August had not been carried out.
4.3 Threats
The Memory Clinic is not able to handle the current demand for services. As demand increases, waiting times will increase further and the benefits of early diagnosis will not be realised for these patients
‘Manpower review’ underway by 2gether Foundation Trust. May have further impact of the staffing and capacity of the Memory Clinic
Requirement to maintain accreditation.
4.4 Navigating the system
“Work is not joined up between clinicians and the voluntary sector services which potentially means duplication of activities and work”
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
5
In concluding this page, the author has selected the most appropriate statement:
re Hereford Memory Clinic Service -
."Work is not joined up between clinicians .."
source see last line of Navigating the system - p6. Plenty more negative comment.
The author, as carer, has direct experience.
pagetop here for pasting Dementia Herefordshire Home page here