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Dementia United
Making Greater Manchester the best place in the
world for dementia care
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Dr Emma Vardy
Consultant Geriatrician and Clinical dementia lead Salford Royal hospital
British Geriatrics Society Spring meeting, Liverpool
11th May 2016
Patient & Customer Focus
Continuous Improvement
Accountability
Respect
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GM devolution
Dementia United
Landscape in Salford
How this is shaping dementia care in Salford
My experience
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Outline
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GM Devolution
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‘To ensure the greatest and fastest possible
improvement to the health and wellbeing of
the 2.8 million’ citizens of
Greater Manchester
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http://www.gmhsc.org.uk/
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Background to GM Devolution
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• Agreement settled in November 2014
• Including transport, planning and housing
• GM will hold £6 billion each year from April 2016
to use through “devolution” on health and social
care
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Focus for devolution of health
and social care:
• Joining up health and social
care services e.g. hospitals
and GP practices
• Better care in the
community
• Health promotion and
disease prevention
• Better mental health care
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• Agreement between local
councils/NHS organisations
and government that
decisions affecting local
people will be made in GM,
rather than nationally
• Offers control on how public
money is spent in GM
• New way of working
includes policing, housing,
transport and health/ social
care
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What is GM devolution?
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Purpose of GM devolution
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• Facilitate opportunities that have greater and faster impact, on
health, wealth and wellbeing
• To enable a local response to the needs of GM, using
experience to help change the way that public money is spent
• To co-ordinate commissioning decisions which support services
to tackle some of the major challenges for physical, mental and
social well-being
• Close health inequalities gaps within GM and between GM and
UK
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This will be achieved by:
• Decisive governance systems binding on all partners
• Working across CCGs, local authorities and trusts to create
aligned local plans feeding one GM strategic plan
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Why GM?
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• Within GM there is a longstanding desire for greater
autonomy from central government.
• Desire to improve integration of health and social care
• History of joint working and reform.
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• Vanguards
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– 2011 GM became the first Combined Authority in England
– 2013 Greater Manchester’s 12 clinical commissioning groups
(CCGs) came together to form a single association.
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– integrated primary and acute care systems (‘Salford Together’)
– Multi-specialty community providers (‘Stockport Together’)
– acute care collaboration (Salford Royal NHS Foundation Trust
working both with Wrightington, Wigan and Leigh NHS
Foundation Trust)
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What is going to happen?
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• A new mayor to be elected in 2017 with
responsibility for transport and policing, but
not health
• Local NHS organisations will be responsible
for delivering health services and have a
significant voice in decision making via GPs,
hospital doctors etc.
• Local bodies will make decisions that will
lead to a real difference in the lives of GM
residents
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Dementia United
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• GM devolution health and social care
agreement-dementia early implementation
priority (physical and mental health)
• Transformation programme led by Sir David
Dalton with key partners Haelo and
Alzheimer’s Society
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• Innovation and Improvement Science Centre, Chief Exec Prof
Maxine Power
• Support design and delivery of improvements in public services,
‘large scale change’
• ‘mission is to positively influence the delivery of public services,
restore hope and become a powerful agent for change by adding to
the growing knowledge of how improvement works in theory and
practice.’
• ‘use this work to support Salford partners (Salford Clinical
Commissioning Group, Salford City Council, Greater Manchester
West Mental Health NHS Foundation Trust, the University of Salford
and Salford Royal NHS Foundation Trust) to improve health and care
services delivered to Salfordians.’
• Hosted body of Salford Royal NHS Foundation Trust since 1/4/13
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Manchester Metropolitan University
MediaCityUK
Mind in Salford
NHS England North
PA Consulting Group
Salford CCG
Salford City Council
Salford Council of Voluntary Services
Salford Public Health
Salford Royal
Social adVentures
Social Finance
Start in Salford
Strategic Clinical Networks & Senate, Greater
Manchester
Lancashire and South Cumbria
Tameside and Glossop CCG
Tameside Metropolitan Borough Council
The Landing
University of Manchester
University of Salford
Unlimited Potential
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6 degrees
Alzheimer’s Society
Association of Medical Research Charities
Bury Council
Care Plus Group
Department of Health
Four Season Healthcare
Garden Needs
Global Action against Dementia
Greater Manchester Health and Social Care
Devolution
Greater Manchester Academic Health Science
Network
Greater Manchester Alzheimer’s Society
Greater Manchester Police
Greater Manchester West Mental Health Trust
Haelo
Health Education North West – North West
Foundation School
Lancashire and South Cumbria
Manchester Camerta
Manchester CCG
Manchester City Council
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Who is involved
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Social finance
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“Social Investment is the provision of finance with the expectation, and measurement, of a
social as well as financial return”
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Pledges
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1. Improve the lived experience
2. Reduce variation
3. Key workers
4. Co-production and re-design
5. Technology adoption
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• Pledges will interlink
• Joined up approach
• Ownership Manchester wide
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Putting it all together
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Landscape in Salford
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• Integration
• Horizontal eg Healthier Together (Trauma,
stroke, abdominal surgery)
• Vertical (all stages of care) eg Salford as ICO
• Significant adoption of technology to date
• Electronic patient record (EPR)
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My experience
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• Started as Clinical Dementia Lead SRFT July
2016
• Invited as stakeholder to first Dementia United
meeting the same month
• Soon after met up with key individuals
• Monthly stakeholder meetings
• Locality meetings January 2016
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Dementia steering group
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• Meet monthly
• Membership review
• Bringing together key clinicians and health
professionals
• Meeting focussed on patient pathway
• Shaping workstreams and action plan
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Digital Salford
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EPR (Sunrise)-access primary care record
Bundles, orders sets, information
Opportunity for rapid scaled up change
Measurement and audit
BASIC-pilot for people with dementia to test
drive virtual reality rehabilitation system
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My vision for Dementia United in
Salford
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Joined up care
National standards
Enhanced efficiency
Boundaries broken down
Best care for patient every time
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Reflections on last 11 months
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• Embedded into Salford Royal and Dementia
United very quickly, immediate and wider team
• Facilitated contacts and networking
• Culture of change and innovation
• QI well developed
• High level of integration
• Rapid and increased engagement
across trust
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NHS England visit
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Dr Emma Vardy said…..
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• “Dementia United has catapulted dementia
into the spotlight, doors that were jammed
before have been flung open.”
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Reflections on last 11 months
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• Encouragement to innovate, supported pilot
delirium follow-up clinic
• Recognition that leadership requires
mentorship
• Well supported study leave, including new
consultant course and senior leaders course
• Smooth transition from clinical/academia to
clinical/managerial role
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Acknowledgements
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• Haelo (Maxine Power, Stuart Clough)
• Dementia steering group, Salford Royal
hospital (Jackie Marsh, Paul Walsh)
• Department of Ageing and Complex Medicine,
Salford Royal (all 12 consultant colleagues)
• Staff and patients of Salford Royal Hospital
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Contacts
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• Website: www.dementiaunited.net
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• Email: [email protected]
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• Twitter: @dementiaunited
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• [email protected]
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Any questions?