1. Understand demand

10 key steps

Understand demand

Questions to consider

what are the local needs – today, and what is the forecast?
what is the ‘supply gap’?
what is people’s experience?
what needs to improve?

DRIVER: True prevalence, incidence, diagnosis rates, forecast

Actions	Resources	Examples
Review current diagnosis rate(s) at General Practice, and/or CCG level. With stake holders, consider variation and range factors that may be affecting the capture and recording of dementia diagnosis; methods and options for improving rates of diagnosis: consider the domains covered within the ’10 Key Steps’.	Dementia diagnosis and management Dementia Prevalence Calculator Dementia: A state of the nation report on dementia care and support in England Everyone counts: planning for patients 2013-14 Health matters: midlife approaches to reduce dementia risk Putting dementia on the map Right to Know campaign The dementia profile World Alzheimer Report 2013 World Alzheimer Report 2014, Dementia and Risk Reduction	Accelerating Dementia Diagnosis 2012 action plan This plan sets out actions to accelerate dementia diagnosis across Cornwall and the Isles of Scilly. Read more » Dementia diagnosis audit template This audit tool produced by NHS Cornwall and Isles of Scilly enables the identification of people living with dementia by General Practice. Read more » London dementia needs assessment This dementia needs assessment describes the population at risk of dementia, highlighting particular characteristics relevant to London. Read more »
Map and review current diagnosis pathway(s), activity and contracts in order to establish estimated true prevalence actual and projected demand v. supply the quality of service response; improvement priorities deliverables and associated outcomes actions to deliver improvement leadership and time frame governance, monitoring and review of delivery	Dementia diagnosis and management Dementia diagnosis improvement plan Guidance on the use of neuro-imaging in the assessment of dementia in Primary Care Implementation guide and resource pack for dementia care Map of Medicine for dementia assessment Map of Medicine for dementia management New models of care for dementia NICE dementia quality standard Quality outcomes for people with dementia	Accelerating Dementia Diagnosis 2012 action plan This plan sets out actions to accelerate dementia diagnosis across Cornwall and the Isles of Scilly. Read more » Dementia care pathway This document produced by NHS Bristol outlines the care pathway for people with dementia and their families and carers living in Bristol. Read more » Dementia diagnosis in Walsall Walsall Clinical Commissioning Group has developed whole-system dementia commissioning model to improve diagnosis, the experience and outcomes of people with dementia and their carers. Read more » Dudley dementia pathway and gateway service The Dudley Dementia Pathway provides a single point of access for GPs and other health and social care professionals who can refer for assessment to specialist nurses. Read more » Early intervention and diagnosis, local delivery action plan 2012-13 This plan sets out actions to improve the diagnosis of dementia and provide better services for people living with dementia across Dorset, Bournemouth and Poole. Read more » Enhancing the early diagnosis of dementia across East Berkshire This project aims to improve the early diagnosis of dementia by increasing the number of initial screening assessments and raising awareness about the benefits of assessment and early diagnosis as part of an overarching Aging Well campaign across East Berkshire. Read more » Integrated Pathways in Nottingham Nottingham West Clinical Commissioning Group has incrementally commissioned a range of long term conditions pathways that have spread and sustained as models of good practice. Read more » Memory services for an ethnically diverse population in Tower Hamlets The introduction of an integrated, patient centred dementia service has had a positive effect on diagnosis rates and cost effectiveness in the London Borough of Tower Hamlets. Read more » South West memory services peer review This report shares the findings from the peer review of memory assessment services which took place in the South West at the start of 2012. It highlights for Clinical Commissioning Groups and their local partners innovation, learning, and opportunities for improvement across the diagnosis pathway. Read more »
Review outcomes for people using diagnosis and post-diagnosis pathway(s); listen to the experience of people seeking help with memory problems involve people living with dementia in the (re)design of local pathway(s).	CMG48: Support for commissioning of dementia care Dementia and People with Intellectual Disabilities: Guidance on their Assessment, Diagnosis, Interventions and Support Dementia: A state of the nation report on dementia care and support in England Dementia: assessment, management and support for people living with dementia and their carers Health matters: midlife approaches to reduce dementia risk Making involvement count National Audit of Dementia – third report New models of care for dementia NICE dementia quality standard Prevalence of dementia in population groups by protected characteristics: a systematic review of the literature	Dementia diagnosis in Walsall Walsall Clinical Commissioning Group has developed whole-system dementia commissioning model to improve diagnosis, the experience and outcomes of people with dementia and their carers. Read more » Making involvement count The resource pack is made up 18 cards each aimed at giving specific information, advice and top tips on a range of topics that will help overcome or prevent this, and support people with dementia to get involved in activities whilst recognising their current abilities. Read more »