Agenda Item No 5
The Vale of Glamorgan Council
Scrutiny Committee (Social Care and Health): 10th March, 2014
Report of the Director of Social Services
Dementia 3 Year Plan
Purpose of the Report
1. To inform Scrutiny Committee about the development of a Dementia 3 Year Plan for the Vale of Glamorgan and Cardiff.
That Scrutiny Committee:
1. Notes the contents of this report and the draft Dementia 3 Year Plan.
2. Notes the progress made in planning across agencies and organisations how to improve care and support services for people with dementia and related illnesses.
3. Considers proposing potential amendments to the report.
Reasons for the Recommendations
1. To ensure that Scrutiny Committee is aware that a three-year plan for dementia services is being developed.
2. To ensure that Scrutiny Committee notes the progress that has been made in developing this plan by means of collaborative working and listening to the voice of people who have dementia and their families.
3. To ensure members of Scrutiny Committee have an opportunity to influence the content of the Dementia 3 Year Plan.
2. The draft Cardiff and Vale Dementia 3 Year Plan is attached at Appendix 1. It has been developed for people with dementia and their carers, to help them live as well as possible with the consequences of the illness. The plan is the outcome of close cooperation between the Vale of Glamorgan Council, the Cardiff and Vale UHB, Cardiff Council and Third sector partners. There has been significant involvement by(service users and carer representatives. The plan is intended to address the needs of people with dementia and their carers over the next three years, as well as preparing for further increases in the number of people suffering from dementia related illnesses in the future.
3. The plan builds on previous national strategic documents, including the Dementia Action Plan for Wales, Dementia Vision, the How to Improve Dementia Guide, and 'Together for Mental Health’ (the national mental health strategy). The national dementia action plan outlines four key strategic themes and these are reflected in our local plan:
Making structural changes to economic, cultural and environmental conditions;
Improving infrastructure and access to services for all;
Strengthening communities; and
4. Currently, the Council does not have a discrete dementia strategy but its Commissioning Strategy for Older People 2011 - 2018 has provided strategic direction for developing older people's social care and wellbeing services, including those relating to dementia care. The draft Dementia 3 Year Plan outlines practical actions that support the delivery of the vision set out in the commissioning strategy.
Relevant Issues and Options
5. Much work has been done both nationally and locally to improve services for people with dementia and their carers. However, gaps remain and we need to plan for the predicted increase in demand for services across health, social care and the Third sector. Estimates show that across the Vale of Glamorgan and Cardiff the numbers of people with dementia related illnesses will increase by 54% between 2012 and 2030. The increase will be larger in the Vale of Glamorgan due to the anticipated larger increase in the size of the elderly population. The planning process needs to take into account the UHB Western Vale expansion programme.
6. A wide range of services are available specifically for people with dementia and their carers. These are provided by statutory agencies (the Memory Team, Mental Health Services for Older People, Community Resource Teams, day services), the independent sector (residential and domiciliary care) and the Third Sector (Alzheimer's Society, Age Connects, Crossroads Care in the Vale, etc.)
7. In order to support as well as possible people with dementia and their carers, the environment in which they live in needs to be inclusive and dementia-aware. One way of doing this is to a 'dementia supportive community’. This is defined by the Alzheimer's Society as: 'one in which people with dementia are empowered to have high aspirations and feel confident, knowing they can contribute and participate in activities that are meaningful to them’. It is planned that pilots for two such communities will take place, one in Barry and one in Cardiff West, prior to further roll out across the Vale and Cardiff. This will build upon the work being done nationally, through Dementia Vision to ensure that the public have a better understanding of dementia.
8. Diagnosing people with dementia in a timely fashion is critical in ensuring that treatment and support is given in the earlier stages of the illness. This can enable people to be cared for at home for longer, especially as earlier diagnosis can help to link carers into informal support networks and into organisations that provide advice and guidance, as well as ensuring that they receive an assessment in their own right. The Memory Team provides a diagnostic and early support service for people with suspected dementia. Later in the illness, the person may need access to Mental Health Services for Older People or other local authority social services for additional care and support and advice. Much everyday care and support can be given by NHS primary care staff, independent providers and a variety of Third Sector organisations.
9. Services also need to be shaped around the needs of people whose dementia affects them at a younger age (under 65). The younger onset community dementia service is nearing completion, and the inpatient unit is being established in Barry Hospital. However, further consideration is being given to developing 'accommodation with care' models to allow the Council and the UHB to commission jointly different forms of supported living for people with young onset dementia.
Resource Implications (Financial and Employment)
10. Demand for older people's care and support services is growing because of demographic and other pressures. There are no implications for the overall budget as a direct consequence of this report but implementing the plan on a multi-agency basis should help the Council to manage rising demand within the resources available.
Sustainability and Climate Change Implications
11. There are sustainability implications arising from forecasted changes in population and demographic patterns, with a specific emphasis on predicted rises in the numbers of older people living within the Vale of Glamorgan
Legal Implications (to Include Human Rights Implications)
12. There are no legal implications arising from this report. The Vale of Glamorgan Council will continue to implement and adhere to the Mental Health (Wales) Measure 2010.
Crime and Disorder Implications
13. There are no crime and disorder implications arising from this report.
Equal Opportunities Implications (to include Welsh Language issues)
14. The Mental Health Measure (Wales) 2010 extends the right to mental health care and treatment to all ages ensuring that all citizens have the same opportunity to receive the right care at the right time.
15. Community Leadership:
CL2 – Increase customer satisfaction and improve how customers access services by developing more integrated service delivery with our partners and being more innovative in how public buildings are used.
CL4 – Explore opportunities for working collaboratively within the Vale and regionally which will lead to improved services for customers, support innovation and deliver savings.
16. Health, Social Care and Wellbeing:
HSCW7 – Work with the third sector and business organisations to deliver and preventative, community approach to supporting older people to live as independently as possible, including people with dementia related illness.
Policy Framework and Budget
17. There are no implications for the existing policies.
Consultation (including Ward Member Consultation)
18. This report does not have specific application in any individual ward.
Relevant Scrutiny Committee
19. Social Care and Health.
Scrutiny Committee (Social Care and Health): 15th July 2013 - Community Mental Health Team for Older People.
Scrutiny Committee (Social Care and Health): 13th January 2014 - The Vale of Glamorgan Health, Social Care and Wellbeing Partnership
Lance Carver, Head of Service, Adults Service
Dr Suzanne Wood, Consultant in Public Health Medicine
Phil Evans, Director of Social Services