Royal College of General Practitioners

The RCGP is the professional membership body for family doctors in the UK and overseas. We are committed to improving patient care, clinical standards and GP training.

Updated:
13 June 2016
Location:
National
Sectors:
Health, Care, Membership Organisations

1. Action Plan

1. The National Dementia Declaration lists seven outcomes that the DAA are seeking to achieve for people with dementia and their carers. How would you describe your organisation’s role in delivering better outcomes for people with dementia and their carers?

The revised Dementia Strategy Implementation Plan (Quality outcomes for people with dementia: building on the work of the National Dementia Strategy, DoH 2010) prioritises 4 areas for quality improvements in dementia care. Primary care, and GPs, have key involvement in 3 of these:

Good quality diagnosis and intervention

Living well in care homes

Reduction of antipsychotic drugs in dementia. 

The RCGP's role will be focused on these 3 areas, initially at a national level, through the work of the RCGP champion for Ageing/Older People (Professor Louise Robinson). Professor Robinson is already working collaboratively with the Department of Health National Dementia Stragtegy (via the Workforce Developemt Group and the National Implementation Board), British Geriatrics Society Older Peoples Forum and Alzheimer's Society. 

In addition, Louise Robinson  is the primary care lead, representing the RCGP, on the Ministerial Advisory Group on Dementia which is led by the National Dementia lead Professor Alistair Burns. This group is facilitating work on priorities i) and iii). 

2. What are the challenges to delivering these outcomes from the perspective of your organisation?

The main challenge is that the above actions/outcomes are currently led by a named individual representing the college as one of their clinical champions. The RCGP clinical champion initiative, whereby a named GP represents the college in their particular clinical area, is due to end in 2011, with Professor Robinson's role as Clinical Champion for Ageing and Older People due to finish in December 2011.  

From 2012 to 2014, the RCGP would need to identify an individual/college representative to lead and take over the role of leading on the National Dementia Declaration Action Plan. 

Additional challenges are around the core training of GPs and ensuring that the GP curriculum meets the needs of an increasingly ageing population with GPs sufficiently skilled to care for both people with dementia and older people in general. Dementia is just one health challenge presented by an ageing population, GPs need to recognise this and that people with dementia have physical as well as mental health needs.  

Currently only about one third of GPs will choose to include care of older people as a part of their compulsory core training; the College may need to consider if this is sufficient for a 21st century GP and their population.

Member contacts

www.rcgp.org.uk/

Member website

http://www.rcgp.org.uk/

2. Actions

  • Range of educational resources

    A range of educational resources focused on dementia that are available to both RCGP members through the college, but also to all NHS GPs via sources such as the DoH Dementia Information Portal.

    Status:
    Delivery

    2012 - Third Quarter Update

    N/A

    2012 - Second Quarter Update

    Dementia as RCGP Clinical Priority: appointment of a National RCGP clinical champion for dementia 2012 -2015.

    These interviews have been held in March 2012 and we are delighted to inform you that Dr Jill Ramussen, a London- based GP, and Professor Louise Robinson, an academic GP in Newcastle have been appointed to share this

    exciting role. Jill and Louise came in to post in April 2012 and are currently developing their work plan for the Dementia clinical champion role 2012-2015

    – further details of this will be summarised in the next update for the Alliance.

    2012 - First Quarter Update

    Dementia as RCGP Clinical Priority: appointment of a National RCGP clinical champion for dementia 2012 -2015.

    Professor Robinson submitted an application to the RCGP in October 2011 to seek RCGP approval for Dementia to become a RCGP Clinical Priority theme. This was successful; interviews for the RCGP National Clinical Champion in Dementia will be in February and the successful candidate announced in March 2012 in time for the next update. Details of their planned programme will be brought to the Alliance in subsequent updates. 

  • Cognitive assessment tools

    Cognitive assessment tools that are acceptable and user friendly to GPs

    Status:
    Implementation

    2012 - Third Quarter Update

    N/A 

    2012 - Second Quarter Update

    N/A 

    2012 - First Quarter Update

    N/A 

  • Guidance for GPs

    Guidance for GPs on the provision of better health care in care homes

    Status:
    Delivery

    2012 - Third Quarter Update

    N/A

    2012 - Second Quarter Update

    Nothing to report  

    2012 - First Quarter Update

    Nothing to report 

  • Identifying models of good practice

    Identifying models of good practice on the reduction of anti-psychotic drug prescribing in primary care

    Status:
    Implementation

    2012 - Third Quarter Update

    N/A 

    2012 - Second Quarter Update

    Nothing to report

    2012 - First Quarter Update

    Nothing to report

  • National guidance developed

    National guidance developed in collaboration with other relevant colleges ie Royal College of Psychiatry, on the prescribing of antipsychotic drugs in dementia.

    Status:
    Implementation

    2012 - Third Quarter Update

    N/A

    2012 - Second Quarter Update

    N/A

    2012 - First Quarter Update

    N/A