Dementia Support UK: Connect, Consult

英国痴呆症支持：联系、咨询

• 批准号: 62967
• 金额: $ 9.24万
• 依托单位: HAMMONDCARE INTERNATIONAL LIMITED
• 依托单位国家: 英国
• 项目类别: Feasibility Studies
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=62967
• 关键词: Dementia; Support; UK; Connect; Consult

**Dementia Support UK: Connect, Consult** is an accessible dementia consultancy service that builds a support infrastructure for the care of people with dementia across the care home sector during COVID-19\. Using videoconferencing, this non-pharmacological and person-centred model will provide care home staff with dedicated one-to-one time with a dementia consultant to:* Better understand the behaviour of the person living with dementia* Problem solve* Build capacity within the sectorThis highly innovative approach was developed in Australia by Dementia Support Australia (DSA). Since its commencement in 2016, this Australian Government-funded programme led by HammondCare has supported over 14,000 people with dementia in care homes, domestic homes and hospitals. DSA builds sector capacity through consultancy. A KPMG analysis focused on carer distress, medication use, health resource utilisation and clinical outcomes reported that the model achieves significant reduction in clinical symptoms (without recourse to antipsychotic medication) and significant reduction in carer stress. KPMG's economic analysis revealed that the model is more effective and less costly than comparable programs and, importantly, there are also savings to downstream health service utilisation, e.g. hospitalisations.There is no comparable service in the UK. As such, it adds value to the current system and does not require input from already stretched health and social care services. The innovation is unique in that it:* Offers a nationally consistent infrastructure;* Can be accessed by any care home;* Provides direct access to a dementia specialist consultant - there is no reliance on third party authorisation;* There are no clinical restrictions on referral, other than confirmation that a person is living with dementia.We know that the care sector has been severely impacted by COVID-19; services feel isolated and routines and taken-for-granted support networks have been interrupted. However, if people with dementia and care partners are **supported in times of disruption, helped to develop resilience,** have plans in place to **mobilise assets and resources**, and are **supported in times of stress and distress within their own care homes and communities**, we can reduce the need for more costly health resources, such as hospital care. By avoiding crisis responses in the lives of people with dementia, and seeing ageing with dementia as a task of understanding complexity, we believe we can significantly impact on the wellbeing and quality of life of the people we serve and reduce the inequalities that people with dementia presently face within the health and social care system.**Extension for Impact**Dementia Support UK, Connect Consult has used the current Innovate UK Business Led Response to COVID-19 Grant to test a new model of care workforce support in relation to dementia. The current grant has facilitated new understandings about the types of support people with dementia need during this pandemic and the support the care workforce requires to meet these needs. Our early impact data finds that we are already seeing positive outcomes for both people living with dementia and care home staff. From the responses received to date, 82% of respondents report a reduction in the behaviours that they were seeking assistance with and 73% reported a reduction in stress caused by the behaviours. There is strong evidence of capacity building within care teams, with 73% of staff reporting that they would feel confident using our advice and resources with another resident in the same situation. There is also early evidence that Dementia Support UK may reduce the use of statutory services, with 73% of referrers indicating that the resident would have been referred to a more expensive service, such as a mental health team without the input of Dementia Support UK. We recognise that this impact has to be tested over time and we would plan to use the extension grant to explore impact in more detail. In addition, we have been able to identify our USP in the current health and care system, in offering real-time, problem solving solutions for care staff, who are under pressure, with a fragmented infrastructure of support. It is the combination of these factors which have led to our focus on an app-based subscription model of support for any sector working with people living with dementia. We believe this has the potential to save downstream health and social care costs and will use the grant extension to build an app, develop demonstration capabilities, gather impact data and secure beta customers. We have used the current grant to explore new and emerging markets for this service and will use the extended time to consolidate this early scoping. There are no comparable service offerings. The care sector uses existing NHS resources to address need. These are subject to lengthy delays or are currently unavailable, due to COVID-19 restrictions. The current workforce has also had a year like no other, with burn-out and mental health issues now of concern given the duration of the pandemic to date, and no clear end in sight. In addition, new markets have emerged. For example, the prison service and the domiciliary care sector, where support is not available in meeting real-time behavioural issues that staff can experience without the available expertise to respond. Charities that specialise in dementia support for families are available but under significant demand. In summary, this change of scope is a focus on real-time, mobile, accessible responses to the needs of any workforce that supports a person living with dementia. The aim being to support staff as they are experiencing a problem, to promote better care for people living with dementia, and to reduce the costs of potential downstream health resource use. Secondary savings are expected in preventing workforce burnout and associated costs to individuals, organisations and society.

**英国痴呆症支持：连接，咨询**是一项无障碍的痴呆症咨询服务，可在2019冠状病毒病期间为整个养老院部门的痴呆症患者护理建立支持性基础设施。通过视频会议，这种非药物和以人为本的模式将为养老院的工作人员提供专门的一对一时间与痴呆症顾问：*更好地了解痴呆症患者的行为*解决问题*在部门内建立能力。这种高度创新的方法是由澳大利亚痴呆症支持（DSA）在澳大利亚开发的。自2016年启动以来，这个由澳大利亚政府资助的项目由HammondCare牵头，已在养老院、家庭家庭和医院为14000多名痴呆症患者提供了支持。DSA通过咨询建立行业能力。KPMG对护理人员痛苦、药物使用、卫生资源利用和临床结果的分析报告称，该模式显著减少了临床症状（无需使用抗精神病药物），并显著减少了护理人员的压力。毕马威的经济分析显示，该模式比同类项目更有效，成本更低，重要的是，还节省了下游医疗服务的利用，例如住院治疗。在英国没有类似的服务。因此，它增加了现有系统的价值，并且不需要已经捉襟危肘的卫生和社会保健服务的投入。这项创新的独特之处在于：*提供全国一致的基础设施；*任何护理院均可使用；*提供直接接触痴呆症专家顾问的机会-不依赖第三方授权；*除了确认某人患有痴呆症外，对转诊没有临床限制。我们知道，护理部门受到COVID-19的严重影响；服务感到孤立，常规和理所当然的支持网络已经中断。然而，如果痴呆症患者和护理伙伴在混乱时期得到支持，帮助他们培养复原力，制定计划来调动资产和资源，并在他们自己的护理院和社区面临压力和痛苦时得到支持，我们就可以减少对更昂贵的卫生资源的需求，例如医院护理。通过避免痴呆症患者生活中的危机反应，并将痴呆症患者的老龄化视为理解复杂性的任务，我们相信我们可以显著影响我们所服务人群的福祉和生活质量，并减少痴呆症患者目前在卫生和社会保健系统中面临的不平等。**影响扩展** Connect Consult已使用当前的创新英国企业主导应对COVID-19补助金来测试与痴呆症相关的护理人员支持的新模式。目前的赠款促进了对本次大流行期间痴呆症患者需要的支持类型以及护理人员为满足这些需求所需的支持的新理解。我们的早期影响数据发现，我们已经看到痴呆症患者和养老院工作人员都取得了积极的成果。从迄今收到的答复来看，82%的答复者报告说，他们寻求帮助的行为减少了，73%的答复者报告说，这些行为造成的压力减少了。有强有力的证据表明护理团队的能力建设，73%的工作人员报告说，他们在遇到同样情况的其他住院医生时，使用我们的建议和资源会感到自信。也有早期证据表明，英国痴呆症支持可能会减少法定服务的使用，73%的转诊者表明，如果没有英国痴呆症支持的投入，居民将被转介到更昂贵的服务，例如心理健康小组。我们认识到，这种影响必须经过时间的考验，我们将计划使用延期拨款来更详细地探索影响。此外，我们已经能够在当前的卫生和保健系统中确定我们的USP，为面临压力的护理人员提供实时的、解决问题的解决方案，并提供分散的基础设施支持。正是这些因素的结合，使我们专注于基于应用程序的订阅模式，以支持任何与痴呆症患者有关的部门。我们相信，这有可能节省下游的健康和社会护理成本，并将利用拨款延期来构建应用程序，开发演示能力，收集影响数据并确保测试客户。我们已经利用目前的赠款为这项服务探索新的和新兴的市场，并将利用延长的时间来巩固这一早期范围。没有可比的服务产品。护理部门利用现有的NHS资源来满足需求。由于COVID-19的限制，这些服务可能会延迟很长时间，或者目前无法提供。目前的工作人员也经历了前所未有的一年，鉴于疫情迄今持续的时间，精疲力竭和精神健康问题现在令人担忧，而且看不到明显的结束迹象。此外，新的市场已经出现。例如，监狱服务和家庭护理部门，在解决工作人员在没有现有专门知识的情况下可能遇到的实时行为问题方面得不到支持。专门为痴呆症家庭提供支持的慈善机构是可用的，但需求很大。总而言之，这一范围的变化侧重于实时、可移动、可获取的应对措施，以满足任何支持痴呆症患者的工作人员的需求。其目的是在工作人员遇到问题时为他们提供支持，促进对痴呆症患者的更好护理，并降低潜在下游卫生资源使用的成本。在防止劳动力倦怠和个人、组织和社会的相关成本方面，预计会有二次节省。