Scotland's National Dementia Strategy (2017 - 2020)
Scotland's Third National Dementia Strategy (2017 - 2020) builds on work carried out since dementia was made a priority by the Scottish Government 10 years ago. Significant progress has been made in this time, however for many people, the gap between policy and real life experience remains too wide.
The new commitments are progressive and ambitious, and will help deliver high quality, person centred support for people with dementia, their families and carers from the point of diagnosis to the end of life. It will require local areas throughout Scotland to maintain and increase their investment in dementia care, making dementia a priority locally.
The strategy contains 21 commitments, including ensuring timely diagnosis, continuing to ensure high-quality post post-diagnostic support (based on our 5 Pillars Model of Post-Diagnostic Support), care co-ordination in the community (based on our 8 Pillars Model of Community Support) and a commitment to test new ways of supporting people with advanced dementia and at the end of life including testing our Advanced Dementia Practice Model.
The strategy continues the commitment to the Promoting Excellence Framework and supports the new Allied Health Professionals framework, Connecting People, Connecting Support. Additionally it commits to the ongoing work to improve Acute Hospitals, Specialist Dementia Units and Care Homes.
The commitment to Post Diagnostic Support goes beyond the initial guarantee of a minimum of one year of Post Diagnostic Support from a named Link Worker for individuals diagnosed early in their illness. The strategy commits to continuing this support, using the 5 Pillar Model approach beyond 12 months if necessary, until formal health or social care supports are needed.
The strategy ensures that individuals diagnosed later and whose needs would more appropriately be delivered using the 8 Pillar Model receive Post Diagnostic Support from a Dementia Practice Coordinator and through until advanced illness.
These commitments enhance a progressive dementia policy which was already world-leading.
On page 14 of the strategy, the video below is referred to; the video explains why Post-Diagnostic Support is so important for people with dementia, their families and carers.
Scotland's National Dementia Strategy (2013 - 2016)
The National Dementia Strategy 2013 - 2016 sets out the work that the Scottish Government and its partners in NHS Scotland, local government and the third and independent private sectors have undertaken and will work towards to improve support, care and treatment for people living with dementia, their families and carers.
This strategy (2013-2016) piloted the 8 Pillar Model of Community Support, developed by Alzheimer Scotland sets out the responses that are essential to support people with dementia, their families and carers.
The new strategy highlights three key challenges over the lifespan of the strategy and sets out how the Scottish Government will seek to address these:
- Ensuring that all care and support to people living with dementia, their families and carers promotes wellbeing and quality of life, protects their rights and respects their humanity.
- Services and support from diagnosis, and throughout the course of the illness, including supporting the needs of carers, must continue to improve. This support must be person centred, and should understand care and support from their perspective, not the perspective of service managers or clinicians.
- The redesign and transformation of services to ensure that they are adequately supported to deliver service effectively and efficiently.
The second dementia strategy commits the Scottish Government to 17 headline commitments on improving the standards of care received by people living with dementia, their families and carers.
The document also includes a 10-point National Action Plan to support the implementation of the Standards of Care for Dementia in Scotland in acute care settings.
Scotland's National Dementia Strategy (2010 - 2013)
Scotland's first Dementia Strategy was published in 2010, setting out the work that the Scottish Government and its partners in NHS Scotland, local government and the third and independent sectors sectors must work towards to improve support, care and treatment for people living with dementia, their families and carers.
The Strategy identified five key challenges needing to be addressed to improve the life of people living with dementia, their families and carers. These challenges were:
- Fear of dementia that means people delay in coming forward for a diagnosis.
- Information and support after diagnosis for people living with dementia, their families and carers is poor.
- General healthcare services do not always understand how to respond to people living with dementia, their families or carers, leading to poor outcomes.
- People living with dementia, their families and carers are not always treated with dignity and respect.
- Family members and people who support care for people with dementia do no always receive the help they need to protect their own welfare to enable them to go on caring safely and effectively.
While a strong foundation has been established with the work of the first National Dementia Strategy, there is still much to do to ensure people can live well with dementia.