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Laurel Bank Surgery

Established in 1992, Laurel Bank Surgery is a three-partner GP surgery in Headingley. Our 7000 patients are drawn from a variety of socio-economic backgrounds, and diverse cultural and religious origins, ages, and levels of dependence. We take a pro-active approach to the many changes of the NHS and General Practice, whilst remaining conscious of, and responsive to, the needs of our diverse practice population. As a Training Practice we are committed to delivering the most knowledgeable, informed and effective patient care with equality, dignity and respect for all.

17 December 2015
Yorkshire and Humber
Local Alliances:
Leeds 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?

Laurel Bank Surgery is committed to delivering an excellent standard of care for those patients living with dementia, and their carers.

The practice has a register of all patients diagnosed with dementia; these patients are routinely given a health check and monitored by our GP Dementia Lead.    We are also pro-active in early identification of dementia.  We undertake monthly audits to highlight those at risk of dementia and then invite these patients in for assessment.  We send all patients eligible for a NHS CVD Health Check a dementia awareness booklet by post, and discuss this with them when they attend the health check.  

We organised Dementia Friends training for our staff and now feel we have a much deeper understanding of the realities and the misconceptions of dementia, and more equipped to provide effective care and support.

Through improving our identification, understanding and treatment of those with dementia, we hope to improve the quality of life for those in our care.  By joining the Dementia Alliance we feel we are helping to raise awareness and improve services as part of a larger, national community. 

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

There are still a few newer staff members who have not had the training, and there will always be new starters who need it, or refresher training needed, but I plan to arrange to have Carers Leeds come back and I can organise an inter-surgery training session for this.  I think it should be mandatory training for all healthcare staff, just as vulnerable adult and safeguarding chidlren is now.

The other challenges are the time spent auditing and checking patient records, as well as seeing patients in person, but I think practices should ensure it is a priority and the time should be found. We feel there is a national effort to raise awareness and improve the quality of life for those living with dementia, and effort should be put in now.

2. Actions

  • Train all staff in Dementia Awareness

    We aim to train all staff as Dementia Friends. We have already had Carers Leeds in to train the admin staff (who now wear their Dementia Friends badges on their uniform). Although GPs are trained in the course of their clinical studies, we feel it would be beneficial to have all nurses, and ideally all the GPs trained in the same way.

    Being implemented
  • Identify all carers and ensure they are receiving support

    We are going through our list of patients with a diagnosis of dementia and checking their carers have been identified. We will then contact them to ensure they are aware of all the support they can access. If the carers are our patients this will also help us to provide better, more supportive care for the carers themselves (e.g. being more flexible with non-attendance of appointments, etc.).

    Being implemented
  • To be pro-active in identifying those at risk of dementia

    Singing up to and delivering the Dementia Enhanced Service which ensures all patients at risk of dementia are identified and assessed by a GP.

    Being implemented
  • To deliver a high standard of care to those living with dementia

    Patients with a diagnosis of dementia are identified and added to a Practice register which is reviewed routinely by the Dementia Lead GP (a GP Partner). A healthcheck is offered to all patients on the register to assess their current state of health and to discuss and agree a care plan.  

    Being implemented
  • Encourage locality-wide dementia awareness training

    To arrange inter-surgery training from Carers Leeds within Leeds West Clinical Care Commissioning Group (CCG). To ensure a training event runs at least bi-annually to allow staff from all local surgeries to become Dementia Friends, and so raising the standard of interaction that patients with dementia and their carers can expect from anyone at their GP surgery.