Community Areas of Sustainable Care And Dementia Excellence in Europe
Priority AxisTechnological and Social Innovation
Lead partnerThe Health and Europe Centre
Date de début01/04/2017
Date de fin31/03/2023
Project budget9 324 211 €
ERDF amount5 594 527 €
The 65+ age cohort is rising from 18.2% of total EU population to 28.7% by 2080, creating an explosion in demand for elderly care services, currently unmet appropriately. Patients are often 'parked' in expensive hospital beds as there is no suitable local service provision. Dementia services cost the EU €130bn p.a; 3 of the 4 countries have higher than average dementia rates >1.55%. To avoid overwhelming health systems, new approaches are needed for elderly/dementia care (EDC) across all ages with wide applicability across different cultural/social settings which crucially must be financially sustainable.
To date new developments have focused on removing the people living with dementia (PLWD) to a safe place rather than providing a porous continuum of care that enables them to stay in their own home as long as possible.
The challenge is to provide sustainable person-centred programmes of care support in local communities.
To develop a financially sustainable approach to elderly/dementia care (EDC) that can be replicated across the 2Seas area & potentially further across Europe. Uniquely this will be tested via existing state owned buildings. The facilities created will provide short term respite & longer term care & will fully engage with the local community. They will also be the basis for a cascade of shared learning & cross border excellence in dementia care for the future. The approach will have wide applicability & play a significant role in addressing the increasing demand. The outcome will be a step change improvement in EDC in the 2Seas area allowing PLWD to stay in their homes for as long as possible. CASCADE will recognise that dementia is long term and that a person's needs on day one of diagnosis will be very different to their needs 20 years later and it will create a model that provides appropriate care at every point on the continuum.
A new holistic model of care for PLWD and the elderly in local communities encompassing respite, rehabilitation & residential care. This model will be financially sustainable, relevant to both public and private settings and freely available.
A cross border centre of EDC excellence through telemedicine to promote virtual consultation/learning/research/innovation
50 new beds across two countries for the elderly and PLWD (40 in the UK - PP2 = 30 at Centre of Excellence; PP3 = 10 at Guesthouse for Dementia -please see WP4 infrastructure; 10 in BE - 5 at PP6 & 5 at PP8 - please note the BE PPs are not applying for infrastructure ERDF but will fund this themselves)
New multi-lingual learning package providing training for all people having contact with people living with dementia
Internationally peer reviewed evidence base, showing the cost saving of this new way of working leading to project roll out across 2Seas area & further
Cross border approach
PP5 have trialled a small scale 'guesthouses with care' model, having established market need. Guesthouses with care provide short-term care for the elderly in a hotel-type setting as a step-up to or step-down from hospital stays. CASCADE will evaluate this model. Currently there is only anecdotal evidence showing high patient satisfaction with 85-90% occupancy rate. Other service providers want to roll this model out. PP7 have specific dementia expertise eg training for wider stakeholders to enhance the quality of dementia care. CASCADE will combine & scale up these pockets of excellence to create new methods of service delivery for the provision of EDC to support people to live well in therapeutic communities rather than hospitals.
NOTE*****For a full glossary of terminology and explanation of the CASCADE model in detail please go to http://wp.me/P7jo40-sw *****NOTE
CASCADE has had another exciting and busy year, with all partners contributing actively, bringing their skills and experience and learning from each other. The project aims to share and build on the best of people-centred care for People Living With Dementia, developing and testing a "2Seas Area" model to enhance and transform existing provision. The first draft of this Model of care is now ready, and it's already being implemented in two delivery sites in Belgium (benefitting a larger number of people than originally anticipated). The tourism aspect - providing opportunities for people often overlooked by traditional providers - has been incorporated and is being actively marketed.
Alongside this, partners are working on the training, development and technological aspects of the project, with work progressing well - this will bear fruit over the coming year or so, and be incorporated into the CASCADE offer. Evaluation is well integrated, with the two evaluation partners actively involved in all elements of CASCADE's work alongside delivery partners. The Cross-Border Centre of Excellence will be ready in 2019, providing another setting to test the model, and promotion is already well under way, with significant local and regional mobilisation.