National Dementia Pathway themes


(Risk of people developing dementia is minimised)"

DIAGNOSING WELL (Timely accurate diagnosis, care plan and review within first year)


(Access to safe high-quality health and social care for people with dementia and carers)"


(People with dementia can live normally in safe and accepting communities)"


DYING WELL (People with dementia die with dignity in the place of their choosing)


Minds & Voices


Before diagnosis promoting awareness, challenging myths, a call for transparency

At the time of diagnosis - positive language and hope through research

Post diagnosis - services to fit us rather than us having to fit services

The future - ongoing support that is not time-limited'




DAA priorities and identified gaps

Prevention: Public Health promotion


Improve early identification and accurate diagnosis


Establish a post diagnostic pathway of support


Carer’s support

Have a positive campaign about living with dementia




Series of statements here for services to populate– see BMS as an example below



We will


Work to improve awareness and understanding of the factors that increase the risk of dementia and how people can reduce their risk by living a healthier life


Work with professionals to increase the uptake of annual NHS Health Check for people over the age of 65 and for earlier age groups there is education around risk factors and self-help


"what’s good for your heart is good for your head" campaign.


Work with professionals to increase

increase the uptake of health checks for people with learning disabilities.



Understand local Public Health data to target interventions aimed at risk factors e.g., obesity, alcohol, deafness


Increase opportunities to address social isolation and loneliness through social prescribing etc




We will:


Work towards a target of

everyone receiving a formal diagnosis in a timely manner (BMS)


Provide a personalised approach to assessment and diagnosis with shared decision making


Ensure that diagnoses are delivered in a way that recognises the impact on the person and their carer, their needs and that full follow up support is offered tailored to individual diagnosis/needs


Work to ensure that the

diagnosis process is clear and transparent (information beforehand) to people and involves no more professionals or appointments than necessary (BMS)


Work together to explore alternative diagnostic pathways, for example using other professionals and tools such as DIADEM


'Work together to address bottlenecks in the current pathway


Develop clear, accessible information to ensure people receive timely, appropriate support


Ensure a 'safe travel' from the point of diagnosis and throughout


Ensure that people affected by dementia design and participate in post-diagnostic support


'Provide proactive, personalised support with a named coordinator


We will


Ensure people with dementia are in the driving seat of shaping and developing services, learning and research in York


Promote participation in research with and alongside people with dementia rather than ON people with dementia


Improve access to support and develop peer support options delivered by people living with dementia


Offer more choice and control by expanding personal health budgets for people assessed as being eligible for care


Build on 'discharge to assess' and Home First approaches to prevent unnecessary long stays in hospital which could lead to worse outcomes and increase someone's long-term needs


Monitor and share the progress of new technology and the ways it could support people living with dementia and their carers


Provide seamless holistic support that is easily accessible with no thresholds or time-limit 

Refine data on people with dementia to inform planning and commissioning of high-quality services

Ensure that people with dementia have a single digital health and care record that is accessible to all professionals involved in their care. This must include advance care planning




We will


Develop family support (wider than just carers) and develop more support for working age adults to support them in employment'


Work with employers to emphasise the importance of supporting and valuing carers of people living with dementia in employment


Ensure people with dementia are not discriminated against because of their diagnosis


Establish a network of peer groups of people with dementia across the area


Start the dementia conversation and maintain an open dialogue with people living with dementia and their supporters throughout the life of this strategy and beyond'


Challenge the disabling language, attitudes and environment that impede the lives of people living with dementia


Develop dementia

awareness and intergenerational projects in schools

We will


Develop training and awareness around the importance of advance care planning and end of life care  


Improve and promote information advice and guidance to enable people to make early and informed decisions around mental capacity,  planning for the future and end of life care


Work to challenge the social and professional stigma and nervousness around death and dying





We will


Provide a learning and development framework that meets the learning needs of health and care professionals regardless of role, position, or experience


Review the training and development offer to independent sector care staff

and work with providers to assess training and development needs


Ensure that people with dementia are involved in leading and developing all dementia learning and development across the York area.


We will provide opportunities for everyone with dementia to answer questions about the impact of their diagnosis amongst peers.



Hearing patient voice, co-design, and person-centred approaches to improvement



Our we will statement include both people with dementia and carers….