Area Plan: Dementia

Peer support workers for unpaid carers

These could be in GP clusters for example

Risk Reduction Prevention – dementia awareness and reducing risk of dementia with Public Health Wales

Primary prevention out-reach work with sporting bodies/clubs

To increase awareness and share advice/signposting on brain health to try and reduce numbers referred with CTE /YOD associated with contact sports. This could be done in collab with YOD service/Memory Team/ Public Health Wales

Further develop range of options that are more flexible and able to deliver consistent, sustainable and person-centred care and can be adapt

BAME: understanding dementia

A contact with BAME communities, education and understanding into dementia could start from much younger generation - at schools. We need a tailored course into dementia, taking into consideration age of participants and simply keep them interested in the subject. They, our children, would be our future of dementia friendly communities and they would be our 'face to face connectors ' with own family at first place They also would be capable to take their knowledge and understanding of the subject into wider communities.

LD and Dementia services growing LD population: work with existing established LD dementia pathways to ensure appropriate support available

Provide a personalised care pathway for a person living with dementia and their carers so that people can link in with support as needed.

At point of diagnosis/request for help you need​ proactive contact/action to support you e.g. primary care pathway and coordinated pathways

Review best practice in dementia residential and nursing homes in to inform future approaches to commissioning

Standards and practice. What is good dementia care?

Better integration & communication between services providing community support eg. MHSOP, MT, YOD, CHLT to best meet individual needs

Increase service user and carer input into service developments and their own person-centred care plans

Increase psychology provision to reduce delays to diagnosis for those needing more detailed neurocognitive assessment

Funding to support designated cognitive health clinics for targeted risk factor reduction in patients with MCI

Increase nursing capacity to support with secondary care memory clinics to improve efficiency of reviews and increase numbers of assessments

Speak to people from Black, Asian and ethnic minority groups about how we make assessment & diagnosis more accessible to these groups.

Increase staff numbers within memory assessment services to meet demand of growing numbers of referrals to reduce delays to diagnosis

Standardised approach to screening tools that is based on evidence

Tools such as delirium (4AT) / cognitive screening (AD8 / Mini ACE) Use is monitored and evaluated

Wards are supported to follow the Hospital Charter enabling equity of approach eg carers supporting care on the wards

Care plans are co produced with person who has dementia and family.

Care plans to be person centred and used alongside the read about me so they are linked.

An increase on Dementia Specialist roles

Particularly in AU and MEAU care settings

Access to care enhancers such as Hug dolls / RITA'S / Cariad pets / sensory equipment in care areas

Other HB have significantly invested in these and similar

Better information about future planning - capacity and informed decision-making

Includes info around ACP, legal prep, capacity, voice, annual health check? - this links to advocacy and third sector (social value)​

Workforce empowerment: Dementia Learning and Development Team

Research into dementia. Beyond clinical

(Tech, Innovation, Research and Innovation Hub) - supporting research about how people can live their best lives and sharing information about the latest research with people with dementia and carers in accessible language.

Advocacy

Timely access to advocacy for people with dementia where people are entitled to it or do not have support to ensure their voice is heard – map what exists and any duplication to maximise availability

Tailor the needs of unpaid carers of people living with dementia so that they have appropriate respite