Eugene Murphy (Roscommon-Galway, Fianna Fail)
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427. To ask the Minister for Health his plans to provide dementia advisers in each county; his further plans to provide key workers and dementia-inclusive community co-ordinators in each local health office in order to ensure the development of a dementia inclusive Ireland; and if he will make a statement on the matter. [39916/18]

Jim Daly (Cork South West, Fine Gael)
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As a response to the challenges facing people with dementia and their families and carers, the National Dementia Strategy was launched in December 2014. The Strategy contains 35 priority and additional actions and its implementation is being led by the National Dementia Office in the HSE. Progress made to date and future plans, are recorded in the mid-term review of the Strategy's implementation, which was published in May this year.

The strategy’s implementation was boosted at the time of its launch through a joint programme of investment by the HSE and the Atlantic Philanthropies. This €27.5 million investment allowed for a number of key actions within the strategy to be resourced and implemented. It funded the PREPARED programme, which offers education and clinical resources for GPs and primary care teams; intensive homecare packages for people with dementia; the Understand Together awareness campaign; and the establishment of the National Dementia Office, which has an important role in implementing the strategy. The office has made substantial progress towards developing evidence-based care pathways for people with dementia. Additional projects have been funded by the Dormant Accounts Fund.

In 2016 and 2017, the National Dementia Office partnered with the Alzheimer Society of Ireland on a project to map dementia-specific community-based services and supports. It provides a useful snapshot and baseline study into what, where and when dementia services are being offered. The study has also been used to inform a service finder hosted on the National Dementia Office’s website. This allows people to search for dementia-specific community services in their area. There are gaps in access to services and a large variance in what services are provided across the country. The National Dementia Office has met with senior HSE officials in each Community Healthcare Organisation region to highlight gaps in each area and to develop local action plans to improve service provision.

The National Dementia Office has also developed a needs analysis framework to support local dementia service planning and development. This framework is a mechanism to help the Office direct time, energy and resources into dementia care that most appropriately meets the needs of people with dementia. It will be used to make dementia service development more responsive and consistent across the country.

The National Dementia Strategy calls for the HSE to consider the provision of dementia advisers, based on the experience of demonstrator sites. An evaluation of the Dementia Adviser Service was published on 26th September. It recommends the continuation and expansion of the service to ensure equity of access countrywide.

A priority action in the National Dementia Strategy is the appointment of key workers to coordinate each patient's care and promote continuity, and ensure that the patient knows who to access for information and advice. It is proposed that the key worker will be responsible for the coordinated planning and delivery of individually tailored care plans, developed in consultation with the person, their family carers and a range of health and social care practitioners. The key worker will also provide expert knowledge and leadership in dementia.

The Department of Health has secured funding through the 2018 Dormant Accounts Action Plan to continue funding in 2019 for the Dementia Community Activation Coordinator post which has been co-funded through a partnership between the Alzheimer Society of Ireland and the HSE during 2018. The Community Activation Coordinator is working with national organisations and key community stakeholders to support community dementia champions across Ireland. The Coordinator will seek to grow the number of champions and people within communities to take action to create sustainable dementia inclusive communities.

The level of funding available for the Department of Health in 2019 and the quantum of services to be provided by the HSE will be considered as part of the national Estimates and budgetary process and National Service Planning.