[Mr. Gary Streeter in the Chair] — Dementia Strategy

Part of the debate – in Westminster Hall am 10:49 am ar 16 Mawrth 2010.

Danfonwch hysbysiad imi am ddadleuon fel hyn

Photo of Phil Hope Phil Hope Minister of State (the East Midlands), Regional Affairs, Minister of State (the East Midlands), Department of Health 10:49, 16 Mawrth 2010

I will do my best to reply to the hon. Gentleman today in the time allotted to me. Regional baseline reviews were completed in the autumn, paving the way for detailed local dementia plans. He asked whether they would be received this year. Yes, I hope so. They will be delivered as we start the new financial year. New joint commissioning guidance was published in June. That addresses the point made by Tony Baldry about how accountability and responsibility have to be shared locally, because it is health and social care that meet the needs of people with dementia. Joint commissioning is the answer about how we ensure that local partners work together to meet the needs of patients and their families.

An online dementia portal has been established to capture and disseminate best practice with regard to the complex number of organisations involved in providing dementia services. The sector skills councils-Skills for Care and Development and Skills for Health-have embarked on a mapping exercise considering training opportunities for professionals working with people who have dementia to address the specific question that I was asked. It is also considering the gaps that may exist.

An earlier area for action is the work that we are doing with the Royal College of General Practitioners-the point about GPs was raised during the debate-to develop new training materials for GPs to raise their awareness and understanding of patients who may have early signs of dementia.

We have accepted the conclusions and recommendations of the anti-psychotics review, including the call for a two-thirds reduction in the use of anti-psychotic drugs. Professor Alistair Burns, the new national clinical director, will lead on implementing those recommendations, starting with a full audit of prescribing practices. We want that completed by this October, to answer the question from the hon. Member for Sutton and Cheam, so the two years will be to October 2012.

We are also boosting public and professional awareness through the dementia awareness campaign that we launched in partnership with the Alzheimer's Society a few weeks ago. I hope that many people will have seen the adverts and the TV campaign, which are doing a great job.

On research, I have set up and chaired the first meeting of the new ministerial group to improve the quantity and quality of research submissions competing for the £1.7 billion of research funds available from the National Institute for Health Research and the Medical Research Council. At the first meeting, I made clear my intention to issue a research call in the future to invite new bids for dementia research covering the causes, cures and care of people suffering from this disease. I will ensure that hon. Members see a copy of the minutes of that meeting. It was a very good meeting. The charities that have been mentioned are involved as partners, and five work streams are under way.

I make no apologies for that long list. I know that others wish to describe us as not having got on with the process of delivery; I am demonstrating thoroughly just how much we are doing that.

Let me deal with one or two other points that have been made. On funding, I have said that dementia is a complex disease that spans health and social care, and we have a variety of levers involving a variety of organisations to achieve the change that we want to see locally. There is cross-party consensus that we should not make it a mandatory requirement in the national operating framework or return to ring-fenced funding. I do not think that anyone has asked for that today. I think that that is right. However, I can confirm that the operating framework of 2010-11 continues to refer to the dementia strategy, building on the recommendations in the 2009-10 operating framework that PCTs should prioritise improvements to local services for the early identification of and Intervention in dementia and that PCTs should work with local authorities to consider how they improve those services.

Furthermore, the new QIPP-quality, innovation, productivity and prevention-programme will guide the NHS through the savings that it needs to make over the next five years, and that will cover dementia services. The world-class commissioning programme will continue to enable the NHS and social care to commission the right services.

Most important of all is winning the hearts and minds of people locally, which is what all the people whom I have mentioned, including those leaders in and outside the Department, and I are doing with energy, determination and success. We have given the NHS freedom and flexibility. It is right-I think that Mr. O'Brien referred to this-that it has that freedom and flexibility, but it needs to be held to account for its progress. Therefore, we are conducting a full review of progress through a national audit of dementia services. That will examine the number of dementia leads in hospitals, the number of memory services established and the use of anti-psychotic drugs. We expect the first results to be available by the autumn. The audit will consider how money is spent on dementia services as a whole-not just the £150 million, but the £8.2 billion being spent on health and social care for people with dementia.

We are taking this issue forward. I am proud of the work that we have done as a Government. I look forward to being here in June to report further on the progress that the Government have made in meeting the needs of people with dementia.

intervention

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