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North Street Medical Care

A General Practice with 6 partners, one of whom is a nurse-practitioner. Other staff: another nurse-practitioner, 2 salaried doctors, 2 GP trainees, 3 practice nurses and 2 HCAs. Main site in Romford (North Street Medical Care) with about 12 200 patients, smaller site in Marks Gate (Lawns Medical Care) with about 2000 patients. Training posts for F2 doctors and medical students. 2 practice managers: one Finance and IT, one HR and organisation. Ancillary staff, secretariat and reception staff. North Street site is a large converted house and Lawns Medical care is in a Health Centre.

28 October 2014
Local Alliances:
Havering Dementia Action Alliance

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?

1)      Dementia screening

2)      Referral to secondary health services for diagnosis of dementia

3)      Referral to other services for further management of dementia

4)      Liaison with social services and integrated care for vulnerable patients

5)      Awareness of and health services for carers

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

1)      Targeted screening

2)      Difficulty of making the diagnosis


2. Actions

  • Continue dementia screening.

    All patients eligible for screening have a yellow alert on their electronic records

    This highlights to the clinician when consulting that an offer of screening could be made

    This alert has been set up to target all eligible patients

    Patients are encouraged to book a screening appointment when they leave


    2014 - Second Quarter Update

    New member

  • Continuing care for patients in Nursing Homes

    North Street Medical Care delivers continuing care to 2 Nursing Homes

    Many of these patients already have a diagnosis of dementia

    Patients have medical and psychological needs reviewed regularly

    Medication is prescribed and monitored regularly

    North Street Medical Care works with the care home staff, patients’ relatives and other health care professionals to ensure whole person care


    2014 - Second Quarter Update

    New member

  • User friendly organisation for patients and their carers

    Raised awareness of the needs of patients

    Raised awareness of the needs of carers

    Safeguarding for vulnerable patients


    2014 - Second Quarter Update

    New member