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PO1. Integrated Care

Detailed programme, abstracts and presentations

PO1.1. The evaluation of a visual editor for carers of people with dementia in the design of home based care

Nugent Chris, Hallberg Josef, Beattie Mark, Synnes Kare

One of the issues relating to the usage of assistive technologies is providing solutions which can be managed by non-technically orientated healthcare professionals. Within the current work efforts have been made to develop and evaluate a new software tool with the ability to specify, in a non-technical manner, the rules governing how technology within the home environment should be monitored and under which circumstances an alarm should be raised. A user interface, based on the premise of visual notations, has been developed to support the selection of the technology in addition to specifying the conditions and rules which will govern its operation. 

To test the utility of the approach a cohort of nurses (n=10) engaged with the system. Each participant was asked to undertake 3 tasks.  In the first two tasks participants were presented with two scenarios, one related to the process of grooming and one related to the process of medication management.  Participants were asked to use the user interface to select the necessary technology and to build the necessary set of rules to monitor if a person had correctly undertaken the tasks. In the third task, participants were presented with a completed scenario using the interface and asked to describe what the scenario represented. Each participant's solution was examined in addition to them completing a semi-structured questionnaire to evaluate their experience in using the system.

When asked to evaluate their experience of using the system on a scale from 1 to 10 (with 1 being poor and 10 being excellent) the average result from all 10 participants was 8.0. Participants were also provided with the opportunity to provide free response feedback in relation to both positive and negative elements in relation to their usage of the system. Consistently, positive feedback from participants commented upon the ease of use of the system in addition to its aesthetical appeal. Negative feedback from participants was mainly found to be in relational to minor usability issues which will be addressed in the next release of the software.

Overall, based on the evaluations the interface has proven its utility in providing a means to allow non-technically orientated healthcare staff to describe the rules required to manage technology within a home based environment.  Results following the evaluations will be used to guide the re-development of the interface and plans are currently underway to conduct evaluations with a larger cohort of users.

PO1.2. Low-threshold support services for community-dwelling people with dementia in Germany – Volunteers turning into professionals

Hochgraeber Iris, Bartholomeyczik Sabine, Holle Bernhard

Background: Volunteers are an important resource to support the care of people with dementia. The German social care system provides group- or individual services at home. Those volunteers receive a training and are supervised by professional health or social care workers. The study NisA-Dem investigates low-threshold support services. This presentation focuses on the perspectives of volunteers and providers regarding the role and status of volunteers in those services.

Methods: In an explorative cross-sectional study we used quantitative (standardised questionnaires) and qualitative (interviews and group discussions) methods. Data analysis was performed using descriptive statistics and a qualitative content analysis.

Results: We obtained 92 questionnaires, 4 group discussion and 4 interviews. The volunteers’ employment status differed: Only 50% of the people were in fact honorary engaged, the rest received a regular salary. Furthermore, reasons to be voluntary engaged were seeking for a meaningful activity and personal benefit. Volunteers perceived their engagement as their job. For the providers it was important to guide and supervise the volunteers by giving continuous and comprehensive training.

Conclusion: In general, volunteers seemed to have a high identification with their engagement and it seems to be an important part of their life. Some service providers prefer a traditional voluntary engagement. In contrast, others head for a certain professionalisation of the volunteers to generate a more structured and continuous services provision. This will be an issue to be discussed in further (policy) discussion in Germany.

PO1.3. Alzheimer's caregivers health status in agriculture-related population of Brittany

Goarin Hervé, Morvan Patrick, Michel Olivier, Somme Dominique

The French national agricultural social security service covers pensions and health expenses for active and retired farmers and agriculture-related employees, i.e. 595.000 people in Brittany (western France). 

The study: to analyse the health-related resources consumption of spouses/care-givers of people with Alzheimer's disease

Method: The regional database was checked to obtain study population. Spouses/care-givers in this study had to be covered by the same social security service and live at the same address. Study population was defined by reference to Alzheimer's diagnosis or the prescription of a specific drug. Co-morbidity of people and health status of spouses/care-givers was established through payment exonerations and drugs consumption.

Results: 4,112 people are known to have Alzheimer's, 953 men (mean age: 81.4) to 3’159 women (mean age: 84.3). Only 29% (1,196) are currently married, 2’509 (61%) widowed. People psychotropic drug consumption: SSRIs(4.3%), hypnotics (3.84%), benzodiazepines (3.78%), anti-convulsive (2.40%) other anti-depressive (2.35%) anti-psychotics (0%). Spouse/care-givers health status: among the 1’196 married patients, 457 live with their spouses. 322 care-givers (only 3 women) have serious affections. 179 (58%) have severe cardio-vascular problems and 87 (27%) have cancer. 369 care-givers (78%) benefit from paramedics interventions. 12% receive psychotropic drug, mostly hypnotics and benzodiazepines.

Conclusion: Discussion will emphasise on specific drug prescription, high rate of cancer in care-givers and the low prescription of psychotropic drug in this agriculture-related population.

PO1.4. Accompanying card for older persons staying at home: Coordination, prevention and education tool for accompanying and allowing older persons being active

Closon MC, Praet JP, Zamora C ,Caty M,  Mormal M., Baeyens JP

Introduction: A survey leads among elderly and/or persons with or without dementia showed that older people who stay active within their immediate environment, use a social network or services, look for and establish progressively solutions, seek for assistance when dependence or cognitive problems are appearing, have more chance to stay at home. Prevention seems to be primordial.

Method: The project leaded in a commune of Brussels with medical and social actors aims to develop an accompanying card for older people, which encourage them to prepare actively their “ageing well’.  This card is proposed to all older persons  by the medical (hospital, medical doctor, nurse) and social actors of the commune. In a similar size and attached to the ID card, the accompanying card has to be filled in with the older person  or caregivers and include the following information:

  • The private address of the older person, in case she is lost or has an accident or an emergency hospitalisation;
  • The coordinates of her general practitioner: It is useful to encourage the elderly to have a general practitioner for the medical follow-up but also as a “spoke person” with other medical doctors in case of an hospitalisation;
  • The name of a close person to contact in case of an emergency;
  • A referent person to whom the elderly says her wishes in case she is not able to express them by herself (aggressive therapy …);
  • The name of 4 persons or social services allowing her to stay at home.  This aspect allows the elderly to be aware of the importance of building a network;
  • The contact name of a person within the commune who eventually knows the older person but has also a good knowledge of the resources available within the commune;
  • A “free/blank” space where the older person  can write her wishes.

Results: This card is now used by all medical and social actors in the commune. It proved to be useful in case of loss, cognitive problems, accidents or hospitalisation, when the older person  is not able anymore to provide the information. It facilitates the information and coordination work with the older person, for example to prepare her return at home after an hospitalisation. Collection of useful administrative  data  becomes  prevention and education tools. It allows the older person  to build progressively her aging and to keep a control on her choices, particularly in the choice of the stakeholders, the close contact or the referent person.

PO1.5. Social support group interventions in people with dementia and mild cognitive impairment: A systematic review and meta-analysis

Leung Phuong, Orgeta Vasiliki, Orrell Martin

Background: Social support group interventions for people with dementia aim to help patients gain a better understanding of their illness, express their feelings, share experiences, and develop coping strategies to cope with the disease. There are currently no studies that attempt to review systematically the benefits of social support group interventions for people with dementia and mild cognitive impairment (MCI). This study aimed to review the benefits of social support group interventions in improving well-being for people with dementia and MCI.

Methods: Systematic Electronic databases were searched for randomised control trials from 1985 to 2013 inclusive. Two reviewers worked independently to select trials, extract data and assess risk of bias for each of the studies meeting inclusion criteria, according to the criteria set by the Cochrane Review Group. 

Results:  A total of 623 studies were identified of which 2 met the inclusion criteria for this review. We found that although an increasing number of studies have evaluated the effects of social support groups for people with dementia in the last two decades, the majority of the studies have used either qualitative methods or pre and post design methodology. In the 2 randomised controlled trials identified, all participants (n = 197) were diagnosed with mild dementia.  When pooling data from the 2 studies we found that support groups do not decrease depression in people with dementia [(standardised mean difference (SMD) -0.91; 95% confidence interval (CI) -2.03 to 0.22)]. Data from one of the studies showed that support groups were favored in improving quality of life (Qol) for people with dementia (mean difference MD) 1.86; 95% (CI) -0.29 to 4.01), however the results did not reach statistical significance. The same study however showed that participation in social support groups increases patient self-esteem as measured via self-ratings [(mean differences (MD) 4.70; 95% (CI) 1.46 to 7.94)].

Conclusions: Although a lot of studies have investigated the benefits of social support group interventions for people with dementia there are only a few well-controlled trials. Our results show that social support groups do not decrease depression in people with dementia or result in increases in self-reported QoL. Limited data from one study show that support groups may increase self-esteem in people with early stage dementia, however future studies are required to reach a definite conclusion. The present review highlights the paucity of high-quality RCTs in the area. We conclude that social support groups may be of psychological benefit for people with dementia and therefore merit further research.

PO1.6. Effectiveness of a newly created curriculum for caregiver intervention in Mecklenburg-Western Pomerania

Kilimann Ingo, Schwarz Sabine, Luplow Maik, Greve Ute, Hoffmann Wolfgang, Teipel Stefan

Introduction: Almost 70% of people with dementia (PWD) in Germany are cared for at home by  a family caregiver (CG). Often CGs at the beginning of the disease have little information about disease course and upcoming difficulties; they are at risk to get overstressed, the likelihood of a nursing home admission of the PWD increases with the burden of care for the CG. Previous studies on CG intervention including education, training, support or counselling showed a reduction of  CG burden, improvement of CG well-being and delayed nursing home admission. However, the implementation of CG support and education in the real world care system, especially in demographic focus region such as rural areas of Mecklenburg-Western Pomerania (MV), is still little understood. Here we show the feasibility, implementation and effectiveness of a CG education in heterogeneous contexts of care in rural and urban areas of the German Federal State of MV. The CG intervention has been designed and implemented in close collaboration between the German Alzheimer Association, Section MV, and the DZNE Rostock/Greifswald.

Material and Methods: We conducted a total of four independent CG education courses (two in rural, two in urban areas) with eight modules each led by a trained nurse. A total of 39 CGs completed the course. Modules included information on the symptoms, the course and the causes of dementias and specially of Alzheimer’s disease, exercises for the management of challenging behaviour, social care and legal matters.

Results: Our modular curriculum fitted needs and expectations of CG as noted in baseline questionnaires. Over 80% of participants wished to receive education on the disease, counselling on disease specific problems such as challenging behaviour and legal affairs. Many CGs did not have enough information on the disease and available formal and informal resources of support. Post-program evaluation showed very high rates of  satisfaction with the curriculum. The results were consistent across rural and urban settings.

Conclusion: CG of PWD often have not sufficient information about specific sources of support. They wish to be better informed, but also want exchange among other CGs and hands-on training on coping with challenging behaviour. Our curriculum fits the needs and expectations of CG in rural and urban areas of the demographic focus region MV.

PO1.7. Multimodal non-drug therapy on dementia symptoms in nursing home residents with degenerative dementia in Thailand

Chankrachang Siwaporn, Singhanetr Sasiwimol

Objectives: To determine the effect of multimodal, non-drug therapy on depressive symptoms in Nursing Home residents with degenerative dementia.

Design: Observational study in one nursing home in Chiang Mai province.

Participants: Nursing home residents with primary degenerative dementia (Mini-Mental State Examination score < 24).

Intervention: The intervention comprised three components: motor stimulation, activities of daily living, and sensory stimulation.

Measurements: Overall geriatric symptoms were recorded using the Nurses' Observation Scale for Geriatric Patients, ADL functional independence using the Barthel Index, and caregiver evaluation.

Results: 38 were included in the intention-to-treat analysis At early at 1 week, results of the per-protocol analysis (n = 37) showed improvement of the caregiver happiness index. The total care time per case is also reduced.

Conclusion: As early as 1 week the multimodal intervention improved behavioural symptoms in nursing home residents, especially in social behaviour and IADL capabilities.

PO1.9. Population based norms by age and education for the MMSE. Ilion, Helioupolis Municipalities Hellenic Study (Il.Hel.M.Hel.St.)

Solias Andreas, Skapinakis Petros, Degleris Nikos, Pantoleon Maria, Politis Antonis

Introduction: For the last 38 years, Mini Mental State Examination (MMSE) has been widely used as a dementia screening measure in everyday clinical practice as well as in both cohort and cross-sectional studies. Its validity and reliability for the Greek population has explicitly been documented. However, the effect of age and education on the subject’s performance makes it necessary to reckon them in the estimation of the “cutoff score”.

Purpose: To estimate the prevalence of dementia in Greek population and determine the “cutoff score” by age and education-corrected norms.

Methods: Cross sectional study of 630 patients older than 55 years, who live independently in Ilion and Helioupolis Municipalities.

Results: 27.3% of the subjects tested in the study were diagnosed with memory disorder according to their MMSE scores and the validation for the Greek population. The effect of age and education to the subjects’ performance was statistically significant (p=.000). The use of standard “cutoff score” was not proved to be useful for the personalized interpretation of the results, as documented by the fact that older individuals with lower education had a poorer performance relatively to younger, highly educated subjects. Comparatively to the group age of 55-60 years, the odds ratio after the age of 75 years varies from 2.58 to 4.91. Regarding the variable factor of education, the odds ratio for the first degree education graduates decreases from 1.43 to 3.19 for the third degree education graduates in comparison with the group of illiterates. 

Conclusion: The use of the “cutoff score” algorithm and the simultaneous estimation of age and education effect on MMSE score may prove useful for the proper evaluation of MMSE performance. According to the age and education of examine candidates in the community and the primary care, we propose the use of the 25th percentile as a more useful cutoff score in order to decrease the false positive results.

PO1.10. The utility of cognitive tests in predicting safety to drive in people diagnosed with dementia

Vella Kristina

Introduction: The utility of cognitive tests in predicting safety to drive in people diagnosed with dementia is well-established. However, there is still no consensus on which tests are the “gold standard” in predicting driving ability.

Objectives: To carry out a systematic review on the recent literature examining the neuropsychological tests that are associated with driving ability in individuals with dementia.

Method: A literature search of a number of electronic databases including Medline, PsycInfo and EMBASE from 2005 to 2013.  This was supplemented with hand searching of relevant journals.

Results: Twelve articles met the inclusion criteria. The most routinely used tests yielded inconsistent results. However, tests within the domains of attention and concentration, visuospatial skills and memory and learning were found to be most closely associated with driving ability. Three studies provided cut-off scores for neuropsychological batteries they developed.

Conclusion: The results from this study confirm the findings of previous reviews. There is no individual measure that can adequately predict fitness to drive in people with dementia. However, as evidenced in recent studies a combination of tests tapping various cognitive domains is more accurate at predicting ability to drive. In addition, the use of cut-offs in these studies is a very important step in this areas of research as it improves the clinical utility of neuropsychological tests. 

PO1.11. Dementia curriculum development in Nursing Baccalaureate Study

Naldahl Karin

Background: In 2009 the individual Member States within The European Commission were asked to recognise Alzheimer’s Disease (AD) as a priority on the European public health arena and to compose a European Plan of Action for the purpose ofimproving the research, prevention, treatment and continuously support for patients with AD and their carers – to enhance quality of life for persons with dementia.Several member states, including Denmark, havesigned a National Dementia Activity and Strategy Plan. In continuation of these strategies The Nursing School of Hjoerring, University College of Northern Denmark, has worked with curriculum development in dementia care.

Purpose: Curriculum development:To initiate and improve second-year students’ professional knowledge and personal attitudes towards persons with dementia and their families  -  in community nursing care as well as in residential care.

Method: Systematic search for literature about stigmatising attitudes among young nursing students towards persons with dementia.The search also includes literature about learning activities which bring aesthetic learning contents and processes in focus - and hereby challenge the negative attitudes towards a more positive, empirically based approach to dementia care.

Historical reading of AD. AD as a conceptual term, as a biomedical and psychiatric disease with aggressive behaviour or as a neurological and age-related, chronic disease which calls for a person centered care with rehabilitation in the family. As conclusion to this reading the theoretical platform for dementia care in Hjoerring isoutsidepsychiatry andinsidethe humanistic module of second year. A module which integrates communication, psychology, pedagogy, nursing practice and meta theories – and offers nursing students a platform to catch dementia illness from the perspective of patients and families, bridges the gap between person and disease and incorporates altruistic values in dementia care. Classroom teaching follows a didactic, relational model. Aesthetic learning contents and processes including use of narratives, are highly in focus. Compulsory student group work finishes classroom teaching – to improve students’ ability to identify nursing problems and strengthen their academic argumentation.

Results

  • Two (of many students’ statements) catch the learning process “Dementia care is much more complex than I thought” “I have never been aware that I can make the person’s illness worse”.
  • The clinic nurses states that our students’ interest in dementia care has improved - in community nursing care as well as in residential care.
  • A Danish poster version won the annual poster prize, Danish National Knowledge Center of Dementia, 2011.

PO1.12. Singular and socially oriented group living for persons with dementia vs traditional nursing home- a pilot study

Span Ursula, Span Edith, Auer Stefanie

Introduction: The appropriate stage specific care of persons with dementia (PwD) in institutional settings is becoming a specialty and specific knowledge is required. Creative and affordable ideas for optimising the quality of life for PwD, the care team and the involved relatives are now needed. In the development of new concepts, the appropriate balance between physical/medical care and social care concepts seem important. There is some evidence in the literature that small-scale and homelike facilities with a socially oriented care concept may be a more appropriate living environment for PwD. In this pilot study we compared a newly developed socially oriented group living environment in which care is only provided on demand with no organisational connection to an institution (singular) to traditional care environments.

Methods: In this longitudinal observation design, PwD residing in the group living were matched to PwD in traditional care environments. All persons are assessed at baseline, 3 months and 6 months. A follow up observation after 6 months was set up. As main outcome variables, Quality of life (QOL-AD; Person with dementia version) was chosen for the PwD. For the care team, the main outcome was Work Satisfaction and a global measure of change (CGI), for family members, QOL-AD (family version) and a CGI was used. The pilot study started in July 2012 and will end in July 2013.

Results: 36 PwD in the different stages of the disease were recruited. Results of the study will be presented at the meeting.

PO1.13. Dementia Service Centers in Austria: A comprehensive Support Model for Persons with Dementia and their Carers

Auer Stefanie, Span Edith, Reisberg Barry

Objectives: Early disease detection and early treatment are prominent goals for improved Quality of life (QoL) of PwD (WHO 2012). Traditional medically oriented structures often do not meet the needs of PwD and their family members for post diagnostic support and treatment.  Providing low threshold long-term community services for Persons with dementia (PwD) promoting independent functioning of PwD and supporting caregivers could be a possibility to reach this goal and work against  the exclusion of PwD from our societies and reduce stigma attached to this disease. The Model of the Dementia Service Centre (DSC) was developed for this purpose.

Methods: The team of a DSC consists of social workers, psychologists and specially educated trainers. Firstly, persons are welcomed to the structure and receive information about the service provided. Persons with memory dysfunction are screened by a psychologist and referred to a medical specialist for medical diagnosis. PwD are offered a stage specific training either in group or single sessions at least once per week for 2-3 hours and caregivers are offered teaching modules, support groups and individual counselling sessions. Close to the community actions (festivities, dances, and lectures) are taken to promote inclusion of PwD and their caregivers into the community.  In order to reach as many affected families and the general population, actions are taken to work against the stigmatisation of PwD. The main outcome goals of this treatment model are early disease detection and the prevention of premature institutionalization of PwD. For caregivers the main outcome variables are caregiver burden and depressive symptoms. A longitudinal database collecting disease related variables, social variables, organisational variables and caregiver variables was created. 

Results: 6 Dementia Service Centres (DSC) were established throughout the county of Upper Austria since 2002. The feasibility of all treatment elements for the structure is established. About 80% of persons treated in this structure receive a medical diagnosis during their treatment in the DSC.

Conclusion: The model of DSC has been successfully established and is well accepted by the population. The programme is funded by the County of Upper Austria.

PO1.14. What influences place of care and death of people with dementia? A systematic review of qualitative evidence

Gysels Marjolein, Johnston Bridget, Bausewein Claudia, Petkova Hristina, Shipman Cathy, Murtagh Fliss

Objective: Planning for quality care in terms of access to services and preferred place of care and death needs to build on best available evidence. We systematically reviewed qualitative evidence on preferences and factors influencing place of care and death for people with dementia.

Method: This is part of a large systematic review on place of death for patients with non-cancer conditions. Six electronic databases, reference lists, cited references were searched. Original studies relating to people with dementia, in all languages, study types and publication status were included. Study quality was assessed with a standard scale. A narrative synthesis was conducted.

Results: 12 qualitative studies relating to people with dementia were identified, and 3 other studies reported on mixed samples, including people with dementia. The studies investigated issues of: 1. Hospice care: access to hospice care was problematic. Hospices were poorly attuned to dementia care. 2. Home care: One study showed the necessary conditions that make home care possible for people with dementia. 3. Entry into care homes: diverse and difficult decisions for families precede placements.  4. Decision making: the strongest theme was the emotional burden of end of life decision making. Preferences were not necessarily consistent with carers’ values, who received little support in their caring role.

Conclusion: Advance care planning is crucial in achieving preferred place of care and death for older patients and those with dementia. Preferences and factors influencing place of care/death were complex, influenced by families’ needs, and frequently evolved over time.

PO1.15. Where do we start with the improvement of care for frail, older people: action points from the Dignity Network Group

Gysels Marjolein, Cohen-Mansfield Jiska, Achterberg Wilco, Husebo Stein, Husebo Bettina

Objective: European governments are now preparing for the predicted increase of care needs at the end of life. Meanwhile, quality of care for frail, older people remains poor in practice. We aimed to identify priority areas for the improvement of care for frail, older people and the actions required to achieve this.

Method: An international meeting was organised and participants were selected from an expert network of care for frail, older people. The workshop consisted of presentations on priorities from multiple country and disciplinary perspectives with a focus on Europe, and structured group discussions. Analysis applied standard qualitative techniques.

Results: The workshop comprised 20 participants from 9 countries in Europe and Israel. They identified priority areas on:

  1. A conceptual level: a) raising awareness to the importance of quality care for older people, and recognising staff’s competence; b) developing new care models based on systematic evidence and accurate definitions.
  2. A practical level: a) providing care with special attention to access to care, support for care workers, and reduction of regulations; b) facilitating living conditions with available medical provisions in place, avoidance of transfers, personalised care, regard for families and expertise of care for the dying.

They identified mechanisms to increase quality care through structural changes requiring education to raise the level of expertise in caring for older people, and communication between the different parties involved (public, policy-makers, family, staff and family).

Conclusion: This meeting identified the limits of current care practices in long-term care and explored the potential for change. Collaborative initiatives between policy, practice and research were planned to realise the conceptual changes which are the driving force to raise societal awareness and achieve changes in the daily care for older people.

PO1.16. Designing for dementia

Boon Jon

The presentation will describe the process of designing and commissioning Hammerton Court, a new £13.5m Dementia Intensive Care Unit for the Norfolk & Suffolk Mental Health Trust at the Julian Hospital in Norwich, which was completed in March 2012. The project won the Constructing  Excellence ‘Project of the Year’ and ‘Innovation and Collaboration’ categories in 2012 for the Eastern Region. The unit was visited by Jeremy Hunt, the UK Health secretary, in October last year, his first official visit outside London. In praising the design and facilities, he said that his visit was to learn from the positive and innovative work at the unit to help people with dementia. The £13.5m unit comprises 36 en-suite rooms in 3 wards, together with lounges, treatment and therapy areas. It also houses the Norfolk Dementia Care Academy, which aims to be a centre of excellence in training staff and carers to look after people with the illness.

Perhaps more than for any other building type, the environment and layout of a Dementia unit can influence the health and well-being of the residents, and play a role in improving their level of care. The presentation will describe how the design responded to the behavioural effects of Dementia symptoms. The brief was developed using latest research and an intensive structured consultation process with specialist clinical staff, existing patients and their carers. Interiors are designed to retain a domestic feel, and each ward is grouped around an internal themed courtyard. The presentation will describe how an attractive and stimulating internal environment aims to improve quality of life for patients. Communal spaces are focussed towards sensory stimulation and encouraging activities by residents, visitors and carers. The design team worked with an Arts Coordinator to incorporate artwork by local artists. This ranges from a large suspended mobile in the circulation ‘hub’, through murals, to sculptures in the courtyards and photos on the walls. The building is highly sustainable, achieving a BREEAM Healthcare ‘excellent’ rating. It has under-floor heating supplied from ground source heat pumps; solar panels for generating hot water and electricity; and a grass roof to attenuate rainwater run-off and enhance bio-diversity. The scheme was designed using Building Information Modelling (BIM), utilising a collaborative 3D parametric model, and the presentation will describe how this process can achieve improved team coordination and design integration.

PO1.17. Findings from the National Audit of Memory Services

Hodge Sophie

In summer 2013 the National Audit of Memory Clinics will be completed. This audit was commissioned by the Department of Health and carried out by the Royal College of Psychiatrists’ Centre for Quality Improvement. It follows on from the NHS Information Centre’s report Establishment of Memory Services (2011) and provides an update against the targets set out in the Prime Minister’s Challenge on Dementia (2012). All memory services in England and Wales are being asked to complete a questionnaire about various aspects of their work; what services they provide, cost, capacity, early diagnosis rates, waiting times, service user involvement and recruitment for research studies. Here we will present the findings from the audit, including the general picture of memory services across England and Wales and a breakdown by region.

 

 
 

Last Updated: Friday 30 August 2013

 

 
  • Acknowledgements

    The 23rd Alzheimer Europe Conference in St. Julian's, Malta received funding from the European Union, in the framework of the Health Programme. Alzheimer Europe and the Malta Dementia Society gratefully acknowledge the additional support provided by foundations and companies.
  • European Union
 
 

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