Quality statement 6: Physical and mental health and wellbeing

Quality statement

People with dementia are enabled, with the involvement of their carers, to access services that help maintain their physical and mental health and wellbeing.

Rationale

People with dementia are not always in a position to seek help or advice about other issues that could be affecting their health and wellbeing. Therefore it is important that they are enabled to access services where routine screening and other assessments can take place.

Quality measure

Structure: Evidence of local arrangements to ensure that people with dementia are enabled, with the involvement of their carers, to access services that help maintain their physical and mental health and wellbeing.

Outcome:

a) Feedback from people with dementia that they are enabled to access services that help maintain their physical and mental health and wellbeing.

b) Feedback from the carers of people with dementia that the person they support is enabled to access services that help maintain their physical and mental health and wellbeing.

What the quality statement means for each audience

People with dementia can have routine check-ups of their physical and mental health and can see healthcare professionals when they have concerns.

Carers of people with dementia are involved in helping the person they support have routine physical and mental health check-ups and see healthcare professionals when they have concerns.

Local authorities and others commissioning services work with providers to ensure the services they commission enable people with dementia, with the involvement of their carers, to have routine check-ups of their physical and mental health and see healthcare professionals when they have concerns.

Organisations providing care and support ensure people with dementia are enabled, with the involvement of their carers, to access services that help maintain their physical and mental health and wellbeing.

Social care and healthcare staff enable people with dementia, with the involvement of their carers, to access services that help maintain their physical and mental health and wellbeing.

Source guidance

NICE clinical guideline 42 recommendations 1.1.1.4 and 1.2.1.2.

SCIE guide 15: Pain management.

SCIE guide 15: Eating and nutritional care.

Data source

Structure: Local data collection.

Outcome: a) and b) Local data collection.

Definitions

Enabled

This refers to local protocols and the specific actions contained in those protocols that ensure people with dementia have routine check-ups of their physical and mental health and wellbeing, and have access to services when they have concerns about their physical or mental health.

Carers

The Department of Health defines a carer as someone who provides unpaid support to family or friends who couldn't manage without this help, whether they're caring for a relative, partner or friend who is ill, frail, disabled or has mental health or substance misuse problems.

Services that help maintain physical and mental health and wellbeing

Examples of services that help maintain physical and mental health and wellbeing include:

  • general practice

  • occupational therapy services

  • Admiral nurses

  • community palliative care

  • health promotion services, including smoking cessation

  • mental health teams

  • opticians

  • hearing therapists

  • dentists

  • chiropodists

  • physiotherapy services.

Equality and diversity considerations

NICE clinical guideline 42 recommendation 1.1.1.7 lists alternative and additional support that may be needed if language or acquired language impairment is a barrier to accessing or understanding support.

Social care and healthcare staff should identify the specific needs of people with dementia and their carers arising from diversity, including gender, sexuality, ethnicity, age and religion. These needs should be recorded in care plans and addressed (NICE clinical guideline 42 recommendations 1.1.1.3 and 1.1.1.5).

NICE clinical guideline 42 recommendation 1.1.1.1 highlights that people should not be excluded from services because of diagnosis, age or coexisting learning disabilities.