Care Co-ordination in the Community

Care co-ordination ensures people living with dementia and their carers get the right health and social care, at the right time, and in the right setting.

The World Health Organisation report that care co-ordination can improve patient and carer experience and outcomes, reduce hospital admissions and emergency department attendances and reduce lower medical costs.

Our key work in this area is listed below.

Identifying critical success factors for integrated care co-ordination of people with dementia in the community: A focus on Midlothian

We have worked with Midlothian Health and Social Care Partnership to understand critical success factors in supporting care co-ordination for people with dementia and carers in the community. A report of findings will be published Summer 2019 to support the spread of learning to other areas. 

The critical success factors are shown below:

Care Co-ordination Whole System Implementation

The Focus on Dementia team will be working collaboratively with one health and social care partnership over a 2 year period to support the redesign of their dementia pathways from diagnosis to end of life, and to share learning across Scotland.  

The successful test site will be informed in June 2019.

Evaluation of the effectiveness of the “8 Pillars” model of home-based support

The Scottish Government commissioned Blake Stevenson to undertake an evaluation of the 8 Pillars home-based support model for people with dementia, please click on the links below for more information and to download this report: