Equality Impact Assessment

Name of the proposal : The Dementia Advisor Service

Department : Adult Services

Name of lead officer : Miriam Smith

Publication date: 01/12/2011

Review date: 03/12/2012

Departmental Manager Approval by : Richard Ellis

Departmental Manager Approval date : 24/11/2011

 

 

Main purpose and aims of the policy, plan or project

To continue to provide The Dementia Advisor Service in Andover and extend provision to Eastleigh, Romsey and Southern Parishes .

Living well with Dementia – A National Dementia Strategy’ set out a vision for transforming dementia services .It outlined 17 key objectives aimed at improving the quality of care and outcomes for people with dementia.Objective 3 within the strategy is

' Good quality information for those diagnosed with dementia and their carers. '

The role of The Dementia Advisor was developed by the Department of Health to support the delivery of objective 3 and 22 demonstrator sites were selected to pilot the service and The County Council was successful in its bid to be a demonstrator site.

The role of the dementia advisor is to signpost and facilitate access to appropriate care , support , advice and information for the person with dementia, their carers and family.

The service aims to focus on well being and empowerment and build resilience and independence in dealing with dementia thus supporting people to remain at home for longer with fewer interventions and repeat admissions to hospital and residential care.

An internal review was undertaken of six other services across England , the outcome of which support and validates the County Councils approach and proposal for future service delivery.

Main elements of the policy, plan or project

Extensive consultation was undertaken in the development of The National Dementia Strategy which identified the need for a Dementia Advisor Service .

This was further supported by the consultation undertaken for Hampshire County Councils Older Persons Mental Health Strategy.

Local consultation was carried out prior to the service commencing and was led by a local steering group of key stakeholders.

People with dementia ,their carers and relevant professionals were consulted about what they saw as the role of The Dementia Advisor Service in a joint event with NHS Hampshire.

The Early Intervention in Dementia event brought together key stakeholders to discuss the best ways of moving this service forward and to ascertain expectations and ways of improving on the existing model – the outcomes of which have led to changes in the specification for this service .

A schedule of clear monitoring expectations has been built into the service specification including monitoring of referral numbers , gender, ethnicity , age , impact on early diagnosis etc

Detailed Assessment

Age: Impact : High
Any specific issues identified: The majority of service users are older people, therefore younger adults are the minority of service users. This Service needs to be equally responsive to the needs of younger adults with dementia , their carers and families.
What action will be taken to address any identified issues: Service providers will be expected to provide training around dealing with early onset dementia and supporting carers and families of young people with dementia. They will be required to evidence knowledge of particular services best equipped to meet this need
Disability: Impact : High
Any specific issues identified: The pilot of this service identified that people with a learning disability and diagnosis of dimentia, have not always had the appropriate access to Dementia services.
What action will be taken to address any identified issues: Ensure Training is in place for Dementia Advisors and volunteers in meeting the needs of people with a disability who also have a diagnosis of dementia. Ensure monitoring of performance quality indicators
Faith: Impact : Low
Any specific issues identified:  
What action will be taken to address any identified issues: Monitor against quality perforformace indicators
Gender: Impact : Medium
Any specific issues identified: More females than males have requested the support of this service. It is not clear what the barriers to accessing this service are for male carers. Dementia advisors need to be sensitive to supporting the needs of men as primary carers.
What action will be taken to address any identified issues: Provider to explore male carer issues when training volunteers and in peer support groups and identify how this can be addressed.
Transgender: Impact : Medium
Any specific issues identified: Ensuring open access to the service by people who are gay, lesbian, bisexual and transgender
What action will be taken to address any identified issues: The service will be promoted at gay, lesbian, bisexual and transgender groups and evidnece monitored as part of the monitoring and review cycle
Race: Impact : Low
Any specific issues identified:  
What action will be taken to address any identified issues: Service and performance quality indicators will be monitored for training and activity in this area.
Sexual Orientation: Impact : Medium
Any specific issues identified: Ensuring open access to the service by people who are gay, lesbian, bisexual and transgender
What action will be taken to address any identified issues: The service will be promoted at gay, lesbian, bisexual and transgender groups and evidnece monitored as part of the monitoring and review cycle
Marriage / civil partnership: Impact : Low
Any specific issues identified:  
What action will be taken to address any identified issues:  
Pregnancy & maternity: Impact : Low
Any specific issues identified:  
What action will be taken to address any identified issues:  
Other factors: Impact : Low
Any specific issues identified:  
What action will be taken to address any identified issues:  

Details of why some groups are low and/or no impact

The Dementia Advisor Service will pay careful attention to the faith/belief and tradition needs of its service users and will undertake training so as to ensure its services users can access the service in a way that is appropriate for them.

As this is predominantly a service for older people the impact on pregnancy and maternity is low however carers of child bearing age may be impacted upon.

Other factors that the service provider will be aware of include the needs of people with mental health needs , people on low or with no income and thos ewho may be socially isolated or living in rural communities.

Conclusion

Hampshire County Councils small area population forecasts that by 2016 38% of its population will be over 65 yrs with the greatest increase being in people aged 85 and over.The prevalence of dementia doubles with every five year increase in age.

Living well with dementia - a National Dementia Strategy ' launced in February 2009 recognised the need to provide good quality information support and guidance to people with dementia, their carers and families culminating in the development of The Dementia Advisor Service.

The service has been in pilot stauts in Andover since Hampshire County Councils succesful bid to be a demonstrator site for this new and innovative service and indicative evidence suggests that it decreases the number of referrals being made to Community Mental Health Teams and increases inclusion within the local community.

The Dementia Advisor service supports the delivery of The Joint Hampshire Commissioning Strategy for Older Persons Mental Health which is underpinned by what older people with mental health needs and their carers tell us about how we can improve the delivery of services and support in Hampshire.

This service supports service user choice and control at every stage of the journey with dementia from pre diagnosis to end of life and will reduce the number of interventions from Adult Services as well as emergency and repeat admissions to hospital and residential respite.

This service promotes inclusion and community cohesion

 

For more information please visit the Hampshire County Council Equality & Diversity web page.