This document explains the evidence that has been used in designing the service to support people with dementia, whether living at home or in care homes, as well as dementia-specific elements of other Communities. The information is designed for use by commissioners for business case purposes.

Key points include:

• People with more advanced dementia may have complex needs that fluctuate from day to day
• Current service models are not meeting the challenges that dementia presents
• Managing behaviours that challenge in dementia is important
• Primary care should support people with dementia to live at home and in care homes
• Most people with dementia live at home
• Access to intermediate care, reablement and rehabilitation services is key

Download: Case for change – Communities for people living with dementia/a>