NZ Framework for Dementia Care


Category: Health and Social - Primary Care
Updated on: 11-Jun-2016

Advance Care Plan document and guide.

The national ACP working group have now completed their update to the ACP template and guide. Working with consumer groups around the country, the team have developed a plan and guide as a single document that provides clearer, simpler prompts to help people consider and document the care they would or would not want in the future. The plan can be completed as a writable PDF or in hard copy. You can access the plan and guide at

Contributor: Shereen  Moloney - 30 Aug 2016, 12:41 PM

Title: Dementia and Driving Safety - A Clinical Guideline (Revision – 2014)

Author: Driving with Dementia Working Group Auckland, Counties Manukau, Waitemata and Northland DHBs


NZDC Article: 

Description: As health clinicians we are under an obligation to consider the driving safety of our patients and to deal with any risk to themselves or others from unsafe driving, especially in those who suffer from Mild Cognitive Impairment (MCI) or Dementia.  However the decision as to whether a person with dementia is fit to drive is complex, and often traumatic for the person with dementia.  This guideline was developed in the Northern Region to assist all clinical staff in assessing the driving safety of a person who wish to continue driving in the context of having cognitive impairment.

Target Audience: HCP (clinicians) working with people living with dementia

Appropriate Audience: HCP (clinicians) working with people living with dementia

Contributor: Dementia Resources Project - 28 Oct 2016, 6:19 PM

This is  about "Managing Challenges to Well-being" ( per NZ Dementia Framework).  Most "challenges" are managed in primary care, hence the inclusion of this collection of research under primary care. Please comment if you research is not here or in the wrong place. Thanks

Contributor: Chris Perkins - 31 Oct 2016, 9:09 AM

This file contains a list of research on "Awareness and risk reduction" as per the NZ Framework for Dementia care.

While some is not specific to dementia, research referring to healthy living in older people is included.

Contributor: Chris Perkins - 31 Oct 2016, 9:54 AM

Resource type: Video and training programme

Title: Barbara’s story – training for awareness of dementia



Attachments (name in file): Nil

Description: An awareness campaign from the UK for Health Care Professionals (HCP), specifically designed to give HCP an idea of how a person living with dementia might feel. They identified the growing dementia affected population. The organisation says “we need to do more for these patients, which is why we have embarked on a new campaign to raise awareness of dementia for staff in our hospitals and working in the community. More than 12,500 staff have seen Barbara's Story”

As part of this initiative, every member of staff must attend an innovative training session, the main focus of which is a short film about Barbara and her experiences during a hospital visit.

All staff are expected to have a good understanding of the issues faced by patients with dementia so they can recognise and support our care for these vulnerable patients.

Target Audience: Care workers and HCP

Appropriate Audience: People with dementia, Famility carers, care workers and HCP

Notes: This is a UK based initiative. The videos are available via youtube or the website to view. Use of the videos may be appropriate during education sessions.

Pricing: Nil

Contact Person: contact for information relating to “Barbara’s story” is and twitter handle @GSTTnhs


The Barbara effect – What happened what staff watched the videos

The organisation asked staff what they will do differently after watching Barbara’s Story.

Here’s what they said…

I will smile more

I will always introduce myself

I will take more time to get to know my patient

I will not talk over a patient

I will understand how anxious patients can be

I will be more patient

I will make sure the patient has finished their meal before I clear their plate

I will use a patient’s preferred name

I will be a person as well as a professional

I will always be kind and understanding

I will pass on what I have learned about dementia

To find out more about Barbara, email

Contributor: Dementia Resources Project - 22 Jan 2017, 7:48 PM

Title:Services for Seniors brochure – Ministry of Social Development

Source/Link:The link to download the brochure is on this page

Description:This brochure is updated a couple of times a year. It contains a summary of the services the Ministry of Social Development offers older people. It pulls together in one brochure a lot of the information that is covered within the Ministry of Social Development website.


Target Audience: Older people.

Appropriate Audience: Older people, family or carers of older people.

Pricing: Free online resource

Contact Person: call 0800 552 002, email 

Contributor: Dementia Resources Project - 24 May 2017, 3:34 PM

Title: Elearning Dementia Education Resource for GPs & Practice Nurses


Press release from Associate Health Minister Nicky Wagner:

Description: An eLearning Dementia Education Resource for GPs and Practice Nurses across New Zealand has recently been published on the University of Auckland’s Goodfellow Unit website.

It is designed to build primary care confidence, competence, and consistency in assessing, diagnosing, and managing mild cognitive impairment and typical dementia.

The Northern Regional Alliance led the development of the resource on behalf of the four Health Regional Alliances and in partnership with the Goodfellow Unit. The Goodfellow Unit is an accredited continuing medical education/professional development provider for the Royal New Zealand College of General Practitioners.

The resource, which can be accessed at no cost to health professionals, is a result of a national collaboration between primary, secondary and tertiary care providers. It is heavily informed by the Waitemata DHB pilot of GPs and practice nurses assessing, diagnosing and managing mild cognitive impairment and typical dementia. You can read more about that pilot in the Waitemata DHB Primary Health Care Cognitive Impairment Pathway Pilot: Final evaluation.

Each topic in the resource has a short video presented by a geriatrician or psychiatrist of older people, with the key points, printable resources and relevant electronic links noted below each video.

Topics covered include:

  • why diagnose in primary care
  • cultural considerations
  • what dementia is and what types there are
  • what mild cognitive impairment is
  • diagnostic work up
  • diagnostic discussion   
  • when to refer to a specialist  
  • dementia care plan 
  • living well with dementia 
  • risk reduction 
  • legal implications 
  • hints from GPs in Pilot
  • viewpoints of people with dementia.


Target Audience: Primary health care workers, GPs, practice nurses, nurse practitioners

Pricing: Free



Online contact form:

Contributor: Dementia Resources Project - 29 Jun 2017, 10:05 AM

Title: HOPE - Health of Older People E-resource (Mental Health Services for Older People)



This resource is specifically designed for qualified clinicians working in both community and in-patient settings. Nonetheless, service users and their carers, family and whanau are also welcome to use this site. It identifies both the specific skills (competencies) necessary to work in this expanding clinical area. It also offers an e-learning platform that allows access to peer assessed information that delivers the knowledge required to fulfil each competency.

Target Audience: Clinicians

Appropriate Audience: Clinicians, older people, carers, family/whānau of older people


Lisa Melissa -

Contributor: Dementia Resources Project - 28 Jul 2017, 3:59 PM

Title: Ministry of Health – New Zealand Framework for Dementia Care



This publication provides DHBs and the health and social support sectors with a guide for developing their dementia care pathways.  The framework has three guiding principles:

·         following a person-centred and people-directed approach

·         providing accessible, proactive and integrated services that are flexible to meet a variety of needs

·         developing the highest possible standard of care.

The publication also highlights five key elements for effective dementia care:

·         awareness and risk reduction

·         assessment, diagnosis, early intervention and ongoing support

·         living well

·         meeting challenges to maximise wellbeing

·         end of life.

Overarching factors that must be considered across all five key elements are also identified:

·         education and training for people with dementia and their families and whānau

·         workforce education and training

·         readily accessible information

·         governance

·         family and whānau support

·         culturally appropriate services

·         funding streams

·         monitoring and evaluation

·         advocacy.




Phone: 0800855 066

Contributor: Dementia Resources Project - 03 Aug 2017, 10:44 AM