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'Major changes' needed in dementia provision

Major changes need to be made in the way dementia services are planned and commissioned in Wales, according to a report from the Care and Social Service Inspectorate Wales.

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Current dementia arrangements 'not sustainable'

The CSSIW review into dementia care took place between July 2013 and January this year. As part of the review, the inspectorate visited five local authorities to look at how well services for people with dementia and their carers was being commissioned.

The report found:

  • significant gaps in the planning and provision of prevention and early intervention services
  • the commissioning of preventative services from the third sector is ad hoc
  • a need for greater focus on the quality of care and people's quality of life when monitoring service contracts.

By 2021, the number of people with dementia across Wales is projected to increase by 31% and by as much as 44% in some rural areas.

Local authorities and health boards must increase the pace at which they are transforming services to deliver integrated models of care that will effectively support people with dementia and their carers.

The report identifies that the current arrangements for commissioning services are not sustainable in the face of projected future demands and financial pressures.

– Imelda Richardson, CSSIW Chief Inspector

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