Greenmount Medical Centre
Greenmount Medical centre is an established practice in Bury, Greater Manchester. We care for over 10,000 patients and have 7 GPs, a nurse team of 6 and a team of administrative and reception staff. We are committed to providing excellence in healthcare, advice and support for all our patients whatever their individual needs. Our aim is that patients and healthcare professionals work together to ensure the most appropriate care is provided. This partnership philosophy extends further and our active patient participation group exists to make sure that patient needs and the practice offering are always heading in the same direction. We are a training practice and regularly have doctors at various stages of training working in the practice as well as medical students. We welcome the opportunity to work together with local organisations to make Bury a 'dementia friendly' area.
- 17 May 2016
- North West
- Health, Medical
- Local Alliances:
- Bury 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?
Greemount Medical Centre supports the National Dementia Declaration. The practice aims to ensure that patients living with dementia, and their carers feel understood and supported by the team at Greenmount Medical Centre throughout their patient journey, from before diagnosis to the end of life.
The practice has role in the identification and assessment of possible dementia, diagnosis and in ongoing management. We can signpost patients and carers to other organisations and services which they may benefit from.
We welcome the opportunity to work together with local organisations to make Bury a 'dementia friendly' area.
2. What are the challenges to delivering these outcomes from the perspective of your organisation?
The main challenges are the increasing workload in primary care, competing priorities in other areas of healthcare and sometimes lack of resources.
Early and accurate diagnosis of Dementia especially in high risk groups
1. Run a search to identify people who possibly have dementia but are not on the dementia register (e.g. people on medication usually prescribed for dementia, people referred to the memory service)
2. Review of people identified as possibly having dementia and place them on the register if appropriate or arrange further assessment
3. Offer assessment to people considered at high risk of developing dementia (aged over 60 years with cardiovascular disease, over 40 years with Down’s syndrome, over 50 years with learning disabilities and those with neurodegenerative conditions such as Parkinson’s disease, age over 75 years)
4. Offer assessment to those who have any concerns about memory or other aspects of cognitive function
5. When an initial assessment suggests a diagnosis of Dementia a more in depth assessment and other investigations are carried out, sometimes within the practice and sometimes by colleagues in secondary care, depending on the circumstances of the patient. This is done in a timely fashion.
The practice has a GP who has been identified as a lead for dementia care as part of the Bury CCG primary care cognitive impairment pathway. The dementia lead has attended training on diagnosing and managing dementia in primary care, and disseminated this to clinicians at practice clinical meetings. The dementia lead will continue to attend relevant updates.
The practice aims to provide training in dementia awareness for all staff. Recently a dementia support worker came to the practice to deliver dementia awareness to both clinical and non clinical staff.
The practice aims to maintain an up to date register of patients with dementia and to ensure that all patients with a diagnosis of dementia have a care plan in place.
The care plan includes information about what the patient can expect from the practice, what the practice can expect from the patient, and what steps to take when faced with an emergency. The plan also records the patient’s wishes about future care.
Patients are able to chose which GP they see whenever possible to enhance continuity of care.
A 'flag' appears on the records of patients with dementia so that they can be offered longer appointment if needed. All patients are able to request longer patients if they need more time with their doctor.
Partnership with patients, carers and community
The practice aims to be a Dementia friendly practice. We will sign up to the Dementia Action Alliance and support the National Dementia Declaration.
We aim to Identify a member of staff to be a Dementia Champion.
The practice has a role in signposting people diagnosed with dementia and their carers to appropriate services and local support groups/dementia cafes.
We will identify the carers of patients with dementia and offer them a health check.
We will work with the local community to raise awareness of dementia in dementia awareness week, supporting local initiatives when we are able to.
Dementia friendly environment
When planning changes to the environment of the practice we will consider what would make the practice more dementia friendly (e.g. waiting room, toilets, signage, navigation etc)