NHS England supports systems to improve the quality, consistency and experience of dementia care through the use of national implementation guidance and practical improvement tools.

Dementia 100

Dementia 100: pathway assessment and improvement tool is a core resource to support local systems to assess, plan and improve dementia care pathways. Developed by the National Collaborating Centre for Mental Health (NCCMH) and commissioned by DHSC, Dementia 100 provides a structured, evidence- based framework to help systems understand how well their dementia pathway is working and where improvements are needed.

The tool supports a whole pathway approach, spanning:

• prevention and risk reduction
• assessment and diagnosis
• post diagnostic support
• ongoing care and support
• crisis, urgent and end of life care

Dementia 100 brings together best practice guidance, quality standards and the lived experience of people affected by dementia. It is designed to support commissioners, providers and system partners to work collaboratively, identify gaps, reduce unwarranted variation and drive continuous improvement.

Dementia 100 builds on, and should be used alongside, the Dementia Care Pathway: full implementation guidance, published by the National Collaborating Centre for Mental Health  (NCCMH) in July 2018 and commissioned by NHS England. This guidance sets out key commissioning, service design and delivery considerations to support high quality dementia care across the pathway.

Together, these resources support a shift from the focus on diagnosis alone towards whole system improvement, encompassing quality, integration, personalisation and outcomes for people living with dementia and their families.

Additional resources to support implementation include:

• High impact change model: Improving the timely and effective discharge of people with dementia and delirium into the community
• RightCare dementia scenario

If you have any questions please email: england.dapi.mh@nhs.net