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Dementia


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Dementia (December 2016)

Summary

  • There are currently 3,195 people aged 65+ who have a recorded diagnosis of dementia in Wirral.

  • Overall, projections estimate that the number of people with dementia in Wirral will increase from 4,798 in 2015 to 7,019 in 2030

  • Dementia rates are expected to increase in Wirral by 46% between 2015 and 2030. This is lower than the projected England increase of 59% over the same period.

  • Wirral has an estimated diagnosis rate of 71.7% for late onset dementia (aged 65+) compared to the national average of 67.7%.

  • Wirral has an estimated diagnosis rate of 72.7% for all age dementia, which is better than the national target of 66.7%.

  • The elderly population (aged 90+) are estimated to experience the sharpest increase, 74% between 2015 and 2030.

  • Contrastingly, the rate of early onset dementia (aged under 60) is estimated to decrease by 12% between 2015 and 2030.

  • Despite increasing numbers of inpatients, the ratio of inpatient service use to recorded dementia diagnoses decreased between 2012/13 and 2014/15. This may be explained by the improving dementia diagnoses rates in Wirral.

  • The largest proportion of dementia-related inpatient admissions typically lasted less than 7 days (49.8%) between 2013/14 and 2015/16.

  • 97% of dementia-related inpatient admissions were by those aged 60 and over.

  • Close to 80% of inpatient admissions came through Accident & Emergency (2013/14 to 2015/16).

  • The most common primary diagnosis for dementia-related secondary diagnosis was “Urinary-tract infections” (6.9%).

  • Dementia-related emergency admissions have increased between 2012/13 and 2014/15.

  • In 2015, dementia was the leading underlying cause of death for females, and second most common in males.

  • The actual costs involved in prescribing dementia drugs in Wirral decreased by 42.5% over the last 3 financial years (2013/14 to 2015/16).

  • Services provided to those with a recorded condition of dementia by Wirral Department of Adult Social Services increased by 608% between 2012/13 and 2015/16.

  • The largest single service provision was ‘Home Care – Personal Care’ (13.3%). However, an aggregation of residential services showed 1 in 5 people (19.4%) received support outside of the home environment.

  • Claughton ward had the highest rate of service users with a recorded condition of dementia between 2012/13 and 2015/16.

  • People with learning disability are more likely to develop dementia, more prominently those with Downs Syndrome having a 50% chance of developing dementia after the age of 60.

  • There is expected growth in the number of people from BME communities who will develop dementia as the BME population ages.

JSNA Dementia Section December 2016 here


Other Content 

Dementia and Mental Health Resources
NHS England have provided Mental Health Resources in the form of information, tools and guidance to support mental health commissioning and the transformation of services in relation to dementia. Access here

Dementia does not discriminate - The experience of Black, Asian and minority ethnic communities
(All-Party Parliamentary Group on Dementia, 2013) 


Listening to people with dementia and their carers


Dementia Profile for Wirral here and link to Dementia Intelligence website

Dementia support programme, the Joseph Rowntree Foundation (JRF) (November 2015)
Dementia Friendly Communities: sharing learning from Bradford and York here
As part of this programme JRF has published How can we make our cities dementia friendly: sharing the learning from Bradford and York. These reports identify key messages from two independent evaluations of areas that are relatively advanced in their dementia friendly community (DFC) developments. Bradford report here, York report here

How can and should UK society adjust to dementia? (July 2015)
This Joseph Rowntree Foundation paper explores the application of the ‘social model’ of disability to dementia. It aims to stimulate debate about new ways forward in understanding, and ways to meet the needs of the growing number of people living with dementia. Access report here   

Background information related to Dementia
here

Government Policy on Dementia here  and Dementia Challenge site here 

Dementia maps of variation and state of the nation report 
Department of Health has recently published maps of variation and state of the nation report into the range and provision of dementia care and support services in England. Click to view here

The Carers Call to Action
Dementia Action Alliance have produced a PDF version of their booklet written by carers for carers of people living with dementia about their shared vision called The Carers' Call to Action. They have also produced a 20 point checklist to identify where the gaps and the strengths are in local areas. More information: www.dementiaaction.org.uk/carers

Improving care for people with dementia
Government website carrying a range of information to help support the care of people with dementia. Access page here

Note: A JSNA section is still curently in draft and i am hopeful that, with CCG colleagues, will be published in the near future

Key information sources for you to consider:
Health and social care outcomes frameworks (Collection)
Public Health England Data and Knowledge Gateway
NHS Information Centre
ChiMat
JSNA other useful sources of information

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