Dementia Commissioning Know How

Yorkshire & the Humber Clinical Networks | February 2019| Dementia Commissioning Know How

The resource is primarily intended to support CCGs who are endeavouring to improve
dementia care services and are striving to meet the national ambitions. It will also be of
interest to STPs in helping to clarify work which will add value for dementia care

The tool covers the dementia care pathway and advocates a systematic, standardised
approach to investigating and enhancing the attributes and processes that positively
impact effective commissioning of dementia care services.

After working through the document, commissioners should be able to identify and
develop, or enhance, the abilities and processes that need to be in place in order to
successfully deliver commissioning of high quality dementia care services including:
• Strategic and leadership qualities and abilities
• Awareness of current performance
• Collaborative working with service providers
• Use of appropriate levers and incentives
• Accuracy and use of data in monitoring and reporting
• Resources to address any gaps or improvements required
• Futureproofing knowhow (Source: Yorkshire & the Humber Clinical Networks)

Dementia Commissioning Know How

Dementia in older age: barriers to primary prevention and factors

Evidence review showing that changing some behaviours in midlife can reduce the chances of getting dementia in older age | PHE


These documents help commissioners and researchers make decisions about prioritisation of primary prevention measures relevant to dementia.

This review, by the Personal Social Services Research Unit (PSSRU) at the London School of Economics and Political Science (2016), shows that there is evidence that the risk of dementia is increased by:

  • physical inactivity
  • current smoking
  • diabetes
  • hypertension in mid-life
  • obesity in mid-life and depression

It also shows that mental activity can reduce the risk of dementia.

To promote primary prevention of dementia, it is important to understand both the barriers to primary prevention and factors which facilitate primary prevention.

Read the full overview here

Monthly announcement of national dementia diagnosis rate

Alistair Burns, NHS England’s clinical director for dementia has written to CCGs with an update on national priorities and the latest dementia diagnosis figures, for April 2017 | NHS England

The monthly CCG letters can be found below with the national dementia diagnosis rates alongside general updates on national priorities. Commissioners are asked to cascade this information to member practices.

NHS England Dementia: Good Care Planning

Care planning is crucial in delivering improved care for people living with dementia, and supporting their families and carers | NHS England

good care planning
Image source: NHS England

The importance of having a high quality care plan that is reviewed regularly is reiterated through its inclusion in the CCG IAF as one of the dementia indicators. It also forms a key part of the forthcoming evidence-based treatment pathway for dementia.

Simply having a care plan, whilst being a good start, is not enough. Any care plan needs to be personalised to the specific needs of each person with dementia and reflect changes in their care needs over time. To support the adoption of high-quality care plans NHS England has developed a guide Dementia: Good Care Planning, with input from people living with dementia, their carers and health and social care professionals.

View the full range of resources here

Commissioning for Value mental health and dementia packs

NHS RightCare has published new data packs for a range of mental health and dementia services for each CCG.

NHS RightCare has published new Commissioning for Value mental health and dementia packs for each CCG. The packs contain data across a range of mental health and dementia services, and include a number of new indicators not included in previous packs. The information is intended to support discussions about mental health care in local health economies to improve the value and utilisation of resources.

 Rotherham CCG Commissioning for Value Mental health and dementia pack:

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National dementia diagnosis rates and monthly workbook published

The National Clinical Director for Dementia, Professor Alistair Burns has been writing to CCGs with the national dementia diagnosis rate in order to achieve and maintain the national ambition of diagnosing 2/3rd of the estimated population living with dementia.


The monthly CCG letters can be found below with the national dementia diagnosis rates alongside general updates on national priorities. Commissioners are asked to cascade this information to member practices.

CCG Letter – Dementia Diagnosis Rates – November 2016
CCG Letter – Dementia Diagnosis Rates – October 2016

Read the full overview here

NHS England offering support to CCGs to improve dementia care

Following publication of the CCG improvement and assessment framework 2016/17, NHS England is offering support to CCGs to improve dementia care | NHS England

NHS England introduced a new CCG improvement and assessment framework in 2016/17, fully aligned to the Five Year Forward View and NHS planning guidance. This brings together a range of key indicators, enabling NHS England and CCGs to work together, using the indicators to drive improvement for patients.

There are national ambitions for transformation in a number of vital clinical priorities, including Dementia.  Each priority area has a number of indicators in the framework and the areas are assessed by independent panels, with a separate, clear rating.  These ratings are published on MyNHS.   Each area has its own support programme for CCGs, which may already be in place or is being introduced in stages.

The dementia support offer recognises that CCGs will have varying levels of need for support and provides three levels, which can run concurrently.  The more bespoke levels of support will be focused on a smaller number of CCGs with the greatest identified need.

Read the full outline here

Commissioning for Value packs for CCGs

NHS Rightcare has published the last four in its set of Commissioning for Value packs for CCGs to help them identify the best opportunities for improving value for their populations.

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The focus packs are on Cancer and Tumours; Mental Health and Dementia; Maternity and Early Years; and Musculoskeletal, Trauma and Injuries.  The information contained in each pack is designed to support local discussions and inform a more in-depth analysis around common conditions and pathways.

NHS Rotherham CCG focus packs available here

Dementia post diagnostic support planning

London Clinical Networks. Published online: 10 May 2106

dementia toolkit2
Image source: London Clinical Networks

Guidance for commissioners and providers to meet the NICE Quality Standard on Dementia (QS1), which states that people with dementia should have an assessment and an ongoing personalised care plan, agreed across health and social care.

This is a guide for »

  • Commissioners
  • Service providers, including health, social care, voluntary and charitable organisations

This guide will be of interest to »

  • People living with dementia
  • Their families and friends
  • Practitioners in dementia care

The purpose of this guidance is to »

  • Describe the key elements of person-centred support planning
  • Describe how to write a new support plan
dementia toolkit
Image source: London Clinical Networks

A support plan should capture what is important to the person living with dementia.

Once a support plan is put in place it needs to be reviewed regularly, to reflect changes in needs, wishes and circumstances.

The professional who helps putting the support plan together should assume the person with dementia has capacity and use clinical judgement, using the Mental Capacity Act when needed.

Find the full toolkit here