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NHS Southwark CCG

NHS Southwark Clinical Commissioning Group (CCG) is made up of all 44 GP surgeries in the local area. We are responsible for planning, monitoring and paying for most of the health services you will receive as a resident of Southwark. Our job is to make the most effective use we can of the money we have been allocated and make sure that it is being used to best meet your needs.

8 October 2015
Care, Faith Groups, Finance, Membership Organisations, Pharmaceutical, Commissioners Sector
Local Alliances:
Southwark 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?

NHS Southwark CG is responsible for ensuring that all patients receive a timely diagnosis and have access to post diagnostic support services to support them to live well with dementia in the community.

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

 Challenges include variation in practice referrlas to SLMS

  • Increase in demamd is causing increased waiting times
  • Patients have to attend several follow up appointments and have an MRI scan before a diagnosis can be made
  • Transport can be a problem for some patients and carers
  • GP inconsistencies with coding of dementia diagnosis on practice QoF registers
  • Capacity of post diagnostic support services to support patients on an ongoing basis, not just at the point of diagnosis
  • Carer support is lacking
  • Navigation around the vast number of support services available to people and chosing the service that is right for them
  • Flexibility of services to cater for everyone’s needs

2. Actions

  • Reduce waiting times at SLMS

    Reduce waiting times by increasing staffing levels at the Memory Service, relocation of the service on to one site with an outpatient’s clinic and MRI scanner on site with Kings Gerontology and GSTT acute staff working as part of an integrated team.

    This will mean lower DNA rates, fewer follow up appointments, and a quicker diagnosis and access to support for people newly diagnosed and their carers.

  • Develop a memory service within primary care

    Southwark are piloting a dementia diagnosis and post diagnostic support offer within general practice. This will mean that patients can be diagnosed and treated quicker in an environment familiar to them, closer to home and will be linked in to a range of community support organisations to keep them well in the community and reduce social isolation.

    Initial Scoping
  • All Southwark General Practices will become Dementia Friendly in 2015/16

    All practice staff at GP practices across Southwark will become dementia friendly by March 2016. This means that each practice will attend a dementia friends session (40 minutes) and reception staff, practice nurses and GPs will be more aware of the symptoms of dementia so they can help the patient to orientate themselves within the practice, send additional reminders about appointments, help with medication management advice, support carers and link in with support services by using the online directories from Age UK (Older Person’s Directory) and the Alzheimer’s Society (Dementia Connect).