Initiative In place Not at this time To Action Arrange a clinical meeting for GPs with your OPMH Consultant to discuss your local dementia pathway and resources available locally GPs discuss patient’s regularly with CMHT at MARM, BIM, VW & S/G meetings. A meeting with just CLINICIANS and CMHT for additional training purposes, may be useful. Discuss further. Review your Dementia QOF template and make it meaningful to patients This is ongoing work which the GPs, Practice Manager and her assistant undertake. Arrange a training session for whole team which focuses on the experience of someone with Dementia – LMCS “lunch and learn” resource pack, Dementia Action Alliance and Alzheimer’s Society are among providers of training. Done in Oct 2016 with Sue Sparks. Certs & Staff Facing Guide given. Prior to that GP did staff training f/up from her own Dementia Training in 2015. Staff encouraged to be Dementia Friends. ACC attended Dementia Conference March 2016. PM & ACC attended BAVLAP meeting 2016 to make “Beaminster And Villages Local Area Planning”, Dementia Friendly. Further information and training updates provided at our monthly staff meetings. Always keep a slot in the agenda for Dementia Champions to raise new concerns or issues and discuss how to overcome. Review Use of antipsychotics and other dementia drugs – audit this See GP Only one CH patient on antipsychotic drug at present. Give each member of staff the booklet “customer facing staff guide” from the Alzheimer’s Society (Costs £5 for 25 booklets) optional Done PARTNERSHIP working with carers, family and friends Initiative In Place Not at this time To Action
Encourage a culture where dementia is not stigmatised Awareness day arranged for 13/5/17. Contact made with other local community organisations, including shops, Brownies and BAVLAP for example. To link up with others in the community to strengthen this culture, e.g. Dorset Fire & Rescue Service, local Police CSO, Over 50’s groups, School, Brownies, etc. When someone is concerned their memory do a formal assessment and refer if needed Already do. Any concerns from any patient, would be dealt with empathetically by surgery staff with suggestion of GP apt or by directing to information resources if preferred. Assessments and referrals made with consent of patient. Reiterate procedure to staff. Be aware of the need to offer early support after diagnosis Recognising Memory Loss day is aimed at raising the importance of this aspect. Audit all codes such as “cognitive decline or mild memory disturbance” to ensure they have been converted to a Dementia code once a formal diagnosis is made **** X***** Work has already started on audit of these codes. GP anticipates completion soon, which will then require our final figures to be updated. Remind all relevant clinical staff to code “cognitive decline” & “mild memory disturbance” and convert to relevant dementia code once formally diagnosed, at next training session. Once coded add a “major alert” to patient notes so that everyone is aware of their diagnosis Routine procedure, but will remind all relevant clinical staff to do this at next training session. **** Remind all relevant clinical staff to add major alerts at next training session Consider if possible to book double appointments for them – they need more time! It is current practice for to book dementia patients a double apt, ask how they intend to get to it & if required, offer to liaise with carer or Country Cars. If To write up final protocol, once the technical issues with icons has been resolved.
games, puzzle, book activities to occupy. Uncluttered floor space and plain carpets In place, although MN have a play mat in children’s corner. Clear signage for toilets and exits - use symbols Done & on approach to door, painted white edges & steps. Arrange for a person with dementia and their carer to do a walk round of the surgery - either one of your patients or a “mystery shopper” who the WAHSN will invite Arranged before iSPACE implemented and will invite same patients back for return and further opinion. Ask the Patient Participation Group to get involved with the project - to undertake the Kings Fund – is your health centre dementia friendly – audit and survey of patients and collaborate on creating leaflets and any other actions such as starting a carers drop in every 2 to 3 months. The PPG will be invited to participate in the survey of dementia patients & carers. They are already involved with our carers drop in and some are vetted to deliver medication supplies to the housebound. This is also valuable regular contact for patient & feedback for surgery. Members are also involved with private prescribing, e.g. local walking group,