25th October 2014.
I made this film over a year ago. It explores the financially INCENTIVISED approach to the EARLY diagnosis of dementia as implemented in HEAT Target 4 (2008 - 2011) and included in the Scottish Government's First Dementia Strategy (2010 - 2013). Both these imperatives were based entirely on the "early diagnosis of dementia".
As anybody who knows me would confirm, I have long expressed concern about the potential harms of this approach. Mr Huggins, whose evidence features in this film, has this week confirmed that Scotland's approach is now based on timely diagnosis of dementia.
I am re-posting this film today as I am concerned that NHS England with the so-called "Cash for Dementia" has not learned the lessons of this experience.
This is a short film which carries some of the main points made by Geoff Huggins, Head of mental Health for the Scottish Government, to the enquiry of the All-Party Parliamentary Group on Dementia. Held in the Commons Committee Room 17 on the 13th March 2012.
The meeting was entitled "How to improve dementia diagnosis rates in the UK"
The full PDF - "Minutes of the Oral Evidence Session" of this meeting can be viewed here. It is open to public access on the internet:
It should be made clear that the film sequences of Geoff Huggins are not from this inquiry but from openly-available films of other conferences Geoff Huggins has spoken at. However the words are those of Geoff Huggins, given in correct sequence, but the full transcription of this meeting is as per above link.
The text on the unforseen consequences of Targets comes from the book "Intelligent Kindness" by Campling & Barratt: rcpsych.ac.uk/publications/books/rcpp/9781908020048.aspx
The article on ethics was from the British Journal of Psychiatry. It is titled: "The full spectrum of ethical issues in dementia care: systematic qualitative review." BJP June 2013 202:400-406; doi:10.1192/bjp.bp.112.116335
Available here: bjp.rcpsych.org/content/202/6/398.full
The article on QOF was written by Dr Des Spence and published in the BMJ. It is called "Kill the QOF" and was published on the 6 March 2013: bmj.com/content/346/bmj.f1498
The music is under common license, with many thanks to Dexter Britain:
(1) "New Approach" by Dexter Britain (dexterbritain.co.uk)
(2) "The Tea Party" by Dexter Britain (dexterbritain.co.uk)
(3) "From Truth" by Dexter Britain (dexterbritain.co.uk)
(4) "Collapsing Time" by Dexter Britain (dexterbritain.co.uk)
DISCLAIMER: this film does not represent the views of any organisation.
From: Gordon Peter (NHS FORTH VALLEY)
Sent: 05 August 2013 12:02
Subject: All-Party Parliamentary Group on Dementia
5 August 2013.
From the publicly available minutes of the meeting of the All-Party Parliamentary Group on Dementia regarding the topic: "How to improve dementia diagnosis rates in the UK" I have made a film of the evidence submitted by Geoff Huggins, Head of Mental Health for The Scottish Government. This Group meeting was held in the House of Commons on the 12th March 2012. The minutes are available to all, worldwide, through the Alzheimer's Society: alzheimers.org.uk/site/scripts/download.php?fileID=1396‎
I have decided to post this film on the internet but first wanted to ask Geoff Huggins, Head of Mental Health for The Scottish Government, if he is happy with the language that he used in his evidence at this parliamentary meeting?
From: David.Berry@scotland.gsi.gov.uk [David.Berry@scotland.gsi.gov.uk]
Sent: 09 August 2013 14:04
To: Gordon Peter (NHS FORTH VALLEY)
Subject: RE: All-Party Parliamentary Group on Dementia
Geoff hasn’t had time to look at what you’ve done. He obviously stands by the whole evidence he gave but, as with everything of this nature, he would want to be comfortable that everything you use is in context.