Designing and Delivering Dementia Services

Dr Hugo de Waal is a Consultant in Old Age Psychiatry in Norfolk, UK. Since 2011 he leads the Norfolk Dementia Care Academy, which produced a comprehensive package of education, training and research in dementia care and more recently was appointed as the Clinical Director of the South London Academic Health Sciences Network for Dementia. He has published widely on education and dementia in peer-reviewed journals and international textbooks, including e-learning modules on 'learner-centred teaching'.

Dementia is increasingly and widely recognised as a serious health and social challenge, in the developed world as well as in the developing world. The need therefore to design and implement dementia care services of high quality is becoming more and more vital, particularly given the likelihood of ever increasing demand in a world, which likely sees resources at best remaining at current levels.Designing and Delivering Dementia Services describes current developments in the design and configuration of dementia services. It offers an informative and detailed overview of what constitutes high quality care, considering the circumstances patients and carers may find themselves in.For dementia to get the priority it deserves, a number of factors are important and the book charts the invaluable contributions of various Alzheimer's Associations and Societies: this provides a focus on dementia strategies and plans at national levels: the book reports on the state of affairs regarding such strategies and provides a unique insight into the process of how one of these was developed and implemented.Recognising the need to prove that service developments lead to a higher quality of care, increased productivity and increased efficiency, the book links the resulting picture to service-based research methodologies, with an emphasis on the strengths and limitations of that research.Contributions from 17 countries on 4 continents give an overview of the state of affairs across the world, paying attention to successful - and less successful - initiatives to improve dementia care. The book furthermore provides pragmatic approaches to ensure planning becomes reality, highlights the need for structured workforce development, education and training and describes the opportunities afforded by assistive technology.This book is of prime informative and practical value given that pressures on dementia services are projected to mount across the world against a backdrop of limited resources and expertise.Designing and Delivering Dementia Services* Defines the problems involved in meeting an increasing demand for dementia care services in a poorer world* Maps initiatives and developments in the design and configuration of these services in a variety of international settings* Analyses these developments against the background of political and health economic circumstances* Provides a road map of where health services should go in response to this growing challenge.The first book to define, analyse and map initiatives for dementia care services in a time of increasing demand and decreasing resources, this book is essential reading for commissioners, senior clinicians and service planners in health and social care. It will also be of interest to academic researchers involved in qualitative services research as well as quantitative health economic research, health and social care managers and those involved in workforce planning and development.

Foreword viiPreface ixContributors xiSection 1 The need for dementia services of excellence: Setting the scene 11 The need for dementia care services 32 The historical development and state of the art approach to design and delivery of dementia care services 17Section 2 Service models 313 Services for people with young onset dementia 334 Services for people with incipient dementia 465 Services for people with mild dementia 606 Services for people with moderate dementia 737 Services for people with severe dementia 90Section 3 External drivers of service development 1038 How to get results in public policy for Alzheimer's and dementia services 105Alzheimer's disease international 105Politics, dementia and ageing in Australia 107Making dementia a European priority 111Dementia and politics in England 1159 Developing policy that works for dementia: National and global lessons in what makes a difference 11910 Health economics, healthcare funding and service evaluation: International and Australian perspectives 126Section 4 Services and developments around the world 13911 The Americas 141Argentina 142Brazil 146Chile 149The United States of America 15112 Australasia 155Australia 156China 159India 163Japan 166South Korea 17013 Eastern Europe 173The Czech Republic 174Hungary 176Poland 179Turkey 18214 Western Europe 184Germany 185Spain 189Sweden 192The United Kingdom 195Section 5 Designing and developing services 19915 Developing a business case, negotiating, securing funding 20116 Workforce planning and development 21517 The role of assistive technology in the care of people with dementia 229Index 241