The King’s Fund highlights our work

Dr Adrian Treloar, Older People’s Mental Health Services

Our work on integration, care coordination, dementia and carers is showcased in a report and video produced by the prestigious charity, The King’s Fund.

The report called ‘Oxleas Advanced Dementia Service - Supporting carers and building resilience’ highlights work led by Dr Monica Crugel and Dr Adrian Treloar. 

Dr Treloar said: “Well done to our clinical and managerial staff who have put so much into making this such a success.”

The King's Fund is an independent charity working to improve health and health care in England. It helps to shape policy and practice through research and analysis; develop individuals, teams and organisations; promote understanding of the health and social care system; and bring people together to learn, share knowledge and debate. The King’s Fund’s vision is that the best possible care is available to all.

The Advanced Dementia Service was formed in November 2012. It brought together two services - Greenwich Advanced Dementia Service (GADS) and Bexley Advanced Dementia Care At Home project.

GADS started in 2005 to provide care coordination, palliative care and support to patients with advanced dementia living at home and their carers. The model was implemented in Bexley in 2011 and now they operate jointly as Oxleas Advanced Dementia Service. The current service consists of a consultant in old-age psychiatry, several specialist nurses and a dementia social worker.

In Greenwich care coordination is led by a consultant old age psychiatrist, working alongside specialist nurses called community matrons. In Bexley, the same psychiatrist works with a community psychiatric nurse, an advanced practice nurse and a social worker specialising in dementia. Staff working within the service, liaise with community health services and GPs to provide care in patients’ homes, focusing on supporting the carer or family to provide palliative care for the patient.

An audit of the service has shown that 70% of patients die at home, compared to figures for England and Wales of six percent for dementia patients in 2010.

The report says: “The existence and continued success of the Oxleas service is due to a small team of individuals who have sought to deliver an integrated service for patients and families who often experience a disjointed health and social care system.”

Related video

Published on 18th September 2013