Historically, the development of services for dementia has had limited attention and the commissioning responsibilities for dementia services have reflected dementia’s marginalisation as a healthcare issue. This has resulted in dementia services being commissioned in a fragmented way, largely driven by the extent to which the severity of presenting symptoms coincides with existing service arrangements. Commissioning is therefore fragmented across a variety of commissioning portfolios whose remits are focused on procuring services targeted at different levels of symptom severity.

The NHS Commissioning Support for London dementia implementation programme was run in partnership with the Department of Health. The programme developed the dementia services guide, a suite of further products, a series of events and a network of contacts with commissioners of dementia services to improve the dementia care pathway.

The dementia services guide provides comprehensive guidance on developing an integrated dementia care pathway. The guidance is supplemented by a series of appendices that focus on dementia needs analysis for London and detailed tools to support the implementation of key elements of the guide.

In late 2011 London Health Programmes and one of the six London PCT clusters worked collaboratively on a QIPP project to improve the care pathway for people with dementia who access acute hospital care.  This legacy document uses learning from the project to provide a high level template for others considering such work, using a Plan Do Study Act (PDSA) model and concludes LHP’s programme in relation to dementia

These documents represent the legacy of the London dementia implementation task group and will be built on by future published work on dementia in the capital.