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Morthen Road Group Practice

We are a GP practice to the east of Rotherham centre. We have three branch surgeries to serve the 11,000 patients who are registered with us.

11 June 2015
Yorkshire and Humber
Local Alliances:
Rotherham Dementia Action Alliance, Yorkshire & Humber 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?

Help with signposting patients and their carers.   

Our practice manager is a Dementia Champion and has delivered Dementia awareness sessions to our reception team in house. 

We have used the Kings Fund EHE Environment Assessment Tool to assess the two largest branches with the help from two of our PPG members, one of which is a carer for her Mum who has dementia.

We have also engaged with the Carers Resilience project and are currently referring into the service wherever possible.

We engaged with the NHS England initiative last year by running the Dementia Toolkit which identifies patients who are at risk of developing dementia. Their patient records were reviewed to see if there was anything else we could do in practice about this.

Our practice manager has offered to run awareness sessions at other GP practices across Rotherham and also at the Rotherham wide PPG meetings.

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

The role of a receptionist is a lot more complicated than people imagine and remembering to signpost patients and their carers to dementia resources is just one of many tasks. 

Appointments times for GPs are very lean and again, although they are willing, signposting patients and their carers to dementia resources is another task to cram into limited time. 

Not everyone has access to websites (easiest route), and although we carry leaflets in our practice, carers are sometimes overwhelmed with looking after their family member and don’t have the time or energy to follow things up.

2. Actions

  • Diagnosis Rates

    GPs  to consider  actively engaging in the ‘Worried about your Memory’ campaign – aim to increase diagnosis rates in Rotherham

  • Dementia and Memory problems- Records flaging

    Work being done to consider flagging  patients records to indicate when a patient has Dementia and memory problems

  • Use of NHSE - Dementia Toolkit

    The practice has completed NHSE Dementia Toolkit to identify conditions which are predisposed to individuals developing dementia . 

  • After Diagnosis support

    The practice has engaged with Rotherham Social prescribing Project to provide after diagnosis support .

  • Carers support

    Ensure Carers of PWD are registered as a carer and support is offered and issues are looked out for.The practice has engaged with the new  Carers Resilience Project ,working collaboratively with AZ society and Crossroads Care

  • Staff Dementia Awareness - Dementia Friends - Dementia Friends Champion

    Most staff in the practice have had Dementia awareness training this will continue to be an action point.  

    Staff are encouraged to sign up as a Dementia Friend.                        

    Practice manager is a Dementia Friends Champion    

    Being implemented
  • Dementia Friendly Physical Enviroments

    The practice has  carried out the Kings Fund EHE environment Assessment Tool on two branches, consideration is being given to this area when looking at Braithwell surgery refurbishment.


  • Provisions of privacy

    Ensure there is availability of a quiet area in case a PWD or carer is distressed - this avaliable to all patients

  • Information decemination

    Put AZ society and other support services on practice website to give support information to patients