Dementia Advisory Clinic Co-production Model

What was the issue you were addressing or working on?

East Dunbartonshire has the highest ratio of older people in Scotland. The percentage of population with dementia in the area is also greater than the national average and is expected to increase even further.

The clinic model contributes to a more efficient use of existing services through enhanced co-ordination of the existing resources of all of the partner organisations. They deliver flexibly and sensitively the type of advice and support that people with dementia have told us they need.


What you did?

A range of static and peripatetic advice clinics are available at different times and locations including community hubs, libraries, hospital sites and local businesses.  The Change Fund allocation is channelled through Ceartas Advocacy and ensures that the service user view remains central to the process.

Component parts of the process included:

  • Building a third sector consortium: putting together a formal agreement for a number of organisations to work together within a specific service framework did take time but the existing good practice expedited this process.
  • Agreeing the service design: development of a service delivery model that played to the strengths of each partner provider.
  • Channelling the resources: one ‘lead’ partner from among the three providers identified to manage funds, accountable to the Community Health Partnership, with Service Level Agreements formed with the other 3rd Sector providers.

What were the outcomes - benefits or otherwise?

  • By harnessing resources we are now able to:
    • avoid overlap between organisations and bodies and duplication of effort;
    • draw on greater capacity and resources collectively through partners;
    • test a much more flexible service that responds to older people’s needs;
    • take a longer-term perspective on what is a key service challenge; and
    • links GP diagnosis and QOF registers with specialist dementia services
  • People receive the best range of information from specialist services to cater for the multifaceted needs that dementia brings.
  • The service promotes self management at an early stage of the condition, more confident carers and anticipatory planning to avoid unnecessary crisis.
  • Over 200 people have attended clinics in the different settings, including hospital venues. A further 1,925 people are working with clinic staff in other settings.
  • Personal plans have been developed in line with the Alzheimer Scotland Five Pillars Model of dementia support and have been implemented from April 2013.
  • Increased number of people on GP Quality Outcome framework registers (QoF).
  • More people with dementia are managing their own care through SDS.
  • Specialist roles including Dementia Champions and Ambassadors created throughout East Dunbartonshire.
  • All care homes in the area receive specific training on dementia care, community supports and preventing unnecessary hospital admissions.
  • Significant reduction in hospital delays with only one person delayed in 2012/2013, and no-one to date in 2013/14 as a result of AWI issues.
  • Qualitative feedback on experience of care has been positive.
  • Nationally and international recognition:
    • Used by JIT as an example of co-production which supports Reshaping Care
    • Recognised at 2012 International Dementia Excellence Awards in Australia
    • Finalist at 2013 CoSLA Excellence awards and APSE)

Contacts - to find out more

Julie Christie,  julie.christie@eastdunbarton.gov.uk  0141 355 2200

Ready for Business Scotland case study:   http://readyforbusiness.org/wp-content/uploads/2013/06/cs-East_Dunbartonshire_Dementia_Clinics.pdf

Joanne McNeil PhD researcher University of Western Sydney. Social Innovation and Sustainability in the Public Sector.  Email: j.mcneill@uws.edu.au

Elke Loeffler Governance International case study: http://www.govint.org/good-practice/case-studies/the-east-dunbartonshire-advisory-clinic-model/