National Clinical Lead for Dementia visit

Date: 29 April 2019

Alistair Burns visits CHAT in Enfield

On Monday 29th April NHS England’s National Clinical Director for Dementia and Older People’s Mental Health Professor Alistair Burns visited North Central London, 1 of 3 areas selected in England exhibiting examples of best practice in dementia care. North Central London are in the top 5 areas with the highest dementia diagnosis rates in the country. 

One of the examples of best practice in dementia care is Enfield Care Home Assessment Team. Older people in care homes are amongst the most frail, vulnerable and dependent populations in our communities, as well as physical health conditions, 80% of people living in care homes have dementia[i] and people with dementia have worse outcomes when admitted to hospital[ii].    

The NHS England Long Term Plan published in January 2019 sets out clear recommendations and new investment to fund integrated care for an ageing population and expanded community multidisciplinary teams (MDTs). The Enfield Care Home Assessment Team (CHAT) exemplifies system wide partnership working, it is an integrated multi-disciplinary mental and physical health team with strong links with primary care, all underpinned by seamless support from local Geriatricians and Consultant Psychiatrist. 

By commissioning an enhanced integrated care homes service there have been clinically significant improvements in quality of care, patient outcomes and commissioning outcomes leading to significant cost savings. 

Since 2013 CHAT has achieved;

  • 35% reduction in the number of A&E attendances and non-elective admissions.
  • 7% reduction in falls.
  • 99% of residents died in their preferred place.
  • 39% of residents have had their medication reduced or stopped.
  • 8,409 hospital attendances and 8,109 GP call outs have been avoided.
  • 7,606 care home staff and managers attended training on 59 subjects

CHAT are improving the lives and deaths of residents in care homes across Enfield and now supporting care homes in its neighbouring borough Haringey. 

North Central London want to share some of their best practice in older adult’s mental health and dementia care, alongside other areas across England who are also achieving good outcomes ahead of Dementia Action Week 20-26th May – Why not join the conversation and pledge your action for Dementia Action Week here #DAW2019 

 

NOTES TO EDITORS

More information about dementia can be found here; https://www.alzheimers.org.uk/

More information about programmes of work being undertaken on dementia in North Central London can be found here; http://www.northlondonpartners.org.uk/ourplan/Areas-of-work/dementia-care-across-north-central-london.htm

More information about Dementia Action Week can be found here;

https://www.alzheimers.org.uk/get-involved/dementia-action-week

[i] 80% of people living in care homes have dementia. Dementia – the true cost: Fixing the care crisis. https://www.alzheimers.org.uk/sites/default/files/2018-05/Dementia%20the%20true%20cost%20-%20Alzheimers%20Society%20report.pdf. Alzheimer’s Society, 2018.

[ii] People with dementia have worse outcomes when admitted to hospital. Fix Dementia Care – Hospitals. https://www.alzheimers.org.uk/sites/default/files/migrate/downloads/fix_dementia_care_-_hospitals.pdf. Alzheimer’s Society, 2016.  

 

 

 

  • Summary:

    On Monday 29th April NHS England’s National Clinical Director for Dementia and Older People’s Mental Health Professor Alistair Burns visited North Central London, 1 of 3 areas selected in England exhibiting examples of best practice in dementia care. North Central London are in the top 5 areas with the highest dementia diagnosis rates in the country.