City and Hackney PBP, North East London ICB, East London FT, Homerton Healthcare FT, Alzheimer’s Society, London Borough of Hackney and City of London Corporation

An Alliance Model of Dementia Care From Diagnosis to End of Life

The integrated dementia service holds all patients with dementia from diagnosis to end of life, ensuring ongoing and timely support by their named practitioner and supported by Coordinate My Care, a shared digital care plan to support crisis management. Patients diagnosed with mild Cognitive Impairment are also recalled for reassessment and timely intervention. This is an alliance-led collaborative between secondary care, primary care, the voluntary sector, urgent care, commissioners, local authority, patients and Coordinate my Care Partners to address the prevailing concerns about the lack of joined-up services and shared care planning. This partnership has a real sense of place, community and purpose, said the judges. Their approach has effectively harnessed the potential of several aspects that are rarely all mastered at the same time. A relentless focus on a clear goal, a real passion to work with people and communities.

To read this entry in full visit HSJ Solutions.

Highly commended: North Middlesex University Hospital Trust, Haringey Local Authority, Enfield Local Authority, AgeUK Enfield, Enfield Connections Riverside Enfield and Enfield Carers - Community Advice Hub


  • Fast-Track Cities London - Working Towards Zero HIV in London Through an Improvement Community Partnership
  • Manchester University FT, Royal Manchester Children’s Hospital - Greater Manchester Children’s Rehabilitation Project: Major Trauma School Reintegration Service
  • Mid and South Essex FT - Anchoring the Southend 2050 Ambition
  • One Northern Devon - A Place-Based, Person-Centred, System Partnership
  • OneNorwich Practices - Living Well Team
  • South and West Hertfordshire Health and Care Partnership - An Integrated Virtual Hospital
  • University Hospitals Coventry and Warwickshire Trust - Integrated MSK Pathway