Innovation/Service Improvement Synopsis
The Newquay dementia pathway
A model of primary care based dementia community service which enabled a GP-led Memory service to be set up. This introduced a primary care based dementia liaison practitioner role provide specialist in-reach into care homes and community hospitals; run a country wide ‘Worried about your memory?’ public information and awareness campaign; and introduce a standardised dementia health check for all people diagnosed with dementia
Long Term Condition
Dementia
Meets National Priority Area
Avoidable admissions
Benefits to Patient
Patients supported to stay at home. Early cognitive stimulation prescribed
Memory Care and meetings in groups for cognitive stimulation therapy
Benefits to Staff
Part of an effective MD team. Patient stays on the case load until the end of life-continuity of care
Cost Savings/Efficiencies
No cost data. Efficiencies in working as a patient focused team
Outcomes Measured
Outcomes within the integrated care pathway have been measured using the Quality Outcome Framework. Significant event audit monthly. DoH audit tool used - result positive feedback
Sustainability
Service has been running for 2 years. 2 of the 16 locality based DoH integrated care pilot sites in dementia care and mental health
Transferable
Suitable for other Trusts and GPs
Project Status
Current – ongoing
For more information e-mail
info@nisw.co.uk
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