I am writing to make a request under the Freedom of Information Act 2000 for factual information relating to your Local Authority’s commissioning and provision of post-diagnostic dementia support, Cognitive Stimulation Therapy (CST), and community-based cognitive health services.
Context and Intended Use
This request is made as part of pathway mapping for an NIHR-funded feasibility study (NIHR510823: Early Digital CST for Dementia) and will require the input of adult social care.
We are requesting information from Local Authorities to understand how dementia support is commissioned and delivered across social care in England.
Aggregated findings may be published in a peer-reviewed journal and as part of the NIHR final report. Individual Local Authorities will not be identified by name without prior agreement. I include this context in the interests of transparency.
All questions relate to the most recent 12-month period for which data is available unless otherwise specified. Please indicate the period covered in your response.
SECTION A: CST AND COGNITIVE SUPPORT PROVISION
A1. Does your Local Authority currently commission, fund, or provide Cognitive Stimulation Therapy (CST) for people with dementia, either directly or through funded partners?
Response: Yes / No
A2. If yes, which organisation(s) deliver CST or structured cognitive support funded by your Local Authority?
Response: Organisation name(s)
A3. How many individuals received CST funded by your Local Authority during the most recent 12-month period?
Response: Number (or estimate)
A4. Does your Local Authority currently fund any structured cognitive support programmes for people with dementia other than CST?
Response: Yes / No
A5. If yes, please provide the name(s) of the programme(s).
Response: Name(s)
A6. Is there currently a waiting list for CST or structured cognitive support funded by your Local Authority?
Response: Yes / No / Not held
A7. If yes, how many people are currently waiting?
Response: Number / Not held
A8. What is the average waiting time from referral to commencement of CST or structured cognitive support?
Response: Number of weeks / Not held
A9. In which setting(s) is CST or structured cognitive support delivered?
Response: Day centre / Community venue / Care home / Person's home / Online / Other
A10. Which service(s) most commonly refer people into CST or structured cognitive support?
Response: Memory service / Adult Social Care team / GP / Community mental health service / Voluntary sector organisation / Self-referral / Other
A11. Who primarily delivers CST or structured cognitive support commissioned by your Local Authority?
Response: Local Authority service / NHS provider / Voluntary sector provider / Independent provider / Mixed model
SECTION B: DAY SERVICES AND COMMUNITY SUPPORT
B1. Approximately how many people with a recorded dementia diagnosis are currently receiving Adult Social Care services (excluding residential and nursing care)?
Response: Number (or estimate)
B2. How many dementia-specific day service places does your Local Authority currently commission or provide?
Response: Number
B3. Has the number of dementia-specific day service places increased, decreased, or remained the same during the last three years?
Response: Increased / Decreased / Remained the same
SECTION C: CARER SUPPORT
C1. Does your Local Authority commission or fund support services specifically for unpaid carers of people with dementia?
Response: Yes / No
C2. Does your Local Authority offer or fund training or education programmes for carers of people with dementia?
Response: Yes / No
SECTION D: FALLS AND CARE CO-ORDINATION
D1. Does your Local Authority have a specific protocol, pathway, or formal arrangement linking dementia support services with falls prevention services?
Response: Yes / No
SECTION E: DIGITAL APPROACHES
E1. Has your Local Authority commissioned, piloted, funded, or evaluated any digital or technology-enabled cognitive intervention for people with dementia?
Response: Yes / No
E2. If yes, please provide the name of the technology and provider organisation.
Response: Name(s)
SECTION F: WORKFORCE
F1. Which staff group(s) currently deliver CST or structured cognitive support within services funded by your Local Authority?
Response: Occupational therapist / Dementia support worker / Social care worker / Activity coordinator / Voluntary sector staff / Other
F2. Has your Local Authority identified workforce capacity as a barrier to providing CST or structured cognitive support at scale?
Response: Yes / No
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If any part of the request is unclear, or if information is not held, I would welcome a brief indication of this rather than refusal of the request in its entirety. I am happy to discuss refinements in accordance with your duty to advise and assist under Section 16 of the Act.
Please provide information electronically where possible.
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CLARIFICATION REQUESTED:
Please can we ask for clarification re. Cognitive Stimulation Therapy (CST). Please can this be clarified as to how the Requester defines this as a local authority service, as this is usually a health service.
CLARIFICATION RECEIVED:
If you do not deliver Cognitive Stimulation Therapy because the health service does that’s fine however it would be helpful to understand what if any support the Council provides to those with Dementia and/or Memory and Cognition needs.