Nominate a Practice Champion A member of staff to be responsible for signposting dementia patients /carers to suitable resources. Can be a non-clinical member of staff A Champion is identified Mental Capacity Act Training, safeguarding To ensure that all members of staff have completed the MCA and safeguarding mandatory Training. National Skills Academy for Health training; 90% of staff have completed training Practice to register for their local Alzheimer’s Society Newsletter Receive the newsletter and the resources that are available locally; Singing for the Brain, memory Cafes, support groups etc. Dementia Connect. Dementia Connect is Alzheimer's Society's comprehensive services directory for people affected by dementia in England, Wales and Northern Ireland. Enter your postcode or place name to find voluntary, statutory and private services nearest and most relevant to you. Each listing includes a map and clear, essential information about that service. If you would like to find your local Alzheimer's Society office please use the search. SPACE principles Potential Ideas for Action Plan Resources Outcomes Publish Dementia resources on practice website – e.g. DAA, Dementia Connect, Dementia Roadmap. The Dementia Roadmap provides high quality information about the dementia journey alongside local information about services. Dementia page on practice website PARTNERSHIP working with carers, family and friends
Message in a Bottle - relevant information regarding your medical history and medication is kept within a plastic and placed in a specific place within your home eg your refrigerator so if emergency services are called they know where to access the bottle and the information. Dementia Awareness Event for patients/public Consider local Alzheimer’s Society /Age UK holding an event in the surgery for patients Consider PPG running an engagement event Consider identifying Patient Champions SPACE principles Potential Ideas for Action Plan Resources Outcomes Apply for community recognition/integration Working towards becoming Dementia Friendly- DAA. Share plans on the Dementia Action Alliance website. Consider applying for “Safe Place” status. Work with Dementia Friendly Community Initiatives. Dementia Action Alliance; Safe Place scheme Practice should have Action Plan published on the DAA website, and record the progress of the actions Driving To inform the DVLA ( NB may still be able to drive Contact, local district and county councils for alternative travel resources; E.g. Dial a Ride; Concessionary Bus Passes/taxi fares; 90% of patients have recoded in their notes
Planning for the future Encourage Power of Attorney conversations, advanced care plans, wills. Consider early conversations around EoL; preferred place of care/death and DNR status End of Life planning in Dementia; Advanced Care Planning in Dementia . 95% of patients to have had a discussion about the future at their annual review principles Potential Ideas for Action Plan Resources Outcomes Planning for the present Consider each patient with Dementia at a meeting. Consider sharing a plan for each patient on the Shared Care Platform ( as used for the Avoiding Admissions DES) Consider regular meetings with a MDT to discuss patients on the register ( similar to Gold Standards Meeting) suggested attendees; GP, Practice Nurse, Dementia Champion, Local Carers support rep, District Nurse, Dementia Advisor/ CPN, social worker, pharmacist. To produce a Care Plan as required for the Avoiding Unplanned Admissions DES and publish on the shared care platform. Quarterly meetings with action plans and minutes /reports 85% to have a shared Care Plan on platform Appointment management Flag patient notes with an “alert” to offer a double appointment if appropriate Encourage patients to a carer/friend to appointment To send patient prior to appointment If patient’s DNAs, to proactively rebook an appointment 85% of patients to have notes “flagged” 100% of patients to have named clinician ( GP or Nurse) as key co-ordinator Post Diagnostic Support Service Consider referring patients on to dementia ‘post diagnosis support services’ /Dementia Advisors ( NB depends on local commissioned services) 95% patients made aware of the local Dementia Advisory service
Financial support Consider advice re council tax rebates, Attendance Allowance, Carers funding. Local County Council Welfare Benefits Team Benefits Enquiry Helpline for people with disabilities and carers Tel: 0800 88 22 00 www.direct.gov.uk SPACE principles Potential Ideas for Action Plan Resources Outcomes Patient/Carer feedback Consider a patient/carer survey Friends and family Survey completed, with a report and action plan. ENVIRONMENTS that are dementia friendly. Consider a walk around of the surgery by staff members, patients, carers Kings Fund toolkit Audit and toolkit performed by practice Consider designating a “quiet area” to reduce risk of agitation (inside or outside) Develop a “memory Box” for the waiting room for use by dementia patients and carers/staff Memory Box available Consider making the surgery a safe haven for people who are found wandering in the area Uncluttered floor space and plain carpets signage for toilets and exits - use symbols. Good lighting, sense of calm Consider; signage, noise, carpets and accessibility, memory clock for orientation.