Abbeywell Surgery, Romsey

We are a general practice with a population of 19,000 patients. Of those patients we currently have 190 patients with a recorded diagnosis of Dementia.

30 August 2016
Care, Health, Medical
Local Alliances:
Hampshire 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?

Abbeywell Surgery intends to:

  • Work with their identified dementia champions to raise dementia awareness within the Practice for both staff and patients with training and provision of guidance booklets for reference.
  • We will work jointly with our Patient Participation Group to audit both our Practices to identify any improvements/adjustments which can be made
  • Review our use of anti-psychotic and other dementia drugs by our Pharmacist and lead GP.
  • Carers will be identified, included in correspondence, offered a health check and referred on for support if required.

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

Abbeywell Surgery is one practice operating across 2 separate sites.  

Organising training meetings can often prove difficult due to the Surgery not closing over the lunchtime period so staff will need to be trained at several meetings.

Administrators will need to allocate specific time to review the dementia register and to ensure correct coding is being used.

Staff are not always aware that they are speaking with a patient with dementia and this can cause misunderstandings at times.


2. Actions

  • Patients to be identified to staff

    Patients records will have an alert added to make staff aware that they have a diagnosis of dementia and to help them accordingly.


    Being implemented
  • Staff training programme to be implemented

    Practice Manager and dementia champions to gather education materials and set training dates.


  • Use of anti-psychotic/dementia drugs to be reviewed

    Our pharmacist will work through our patient list to review current medication.


    Initial Scoping
  • Patient Participation Group to audit both sites

    he Practice Manager will provide the Group with the appropriate audit and discuss feedback received from them once completed.


    Initial Scoping
  • Spreadsheet in place identifying dementia patients, carers and date review care plans reviewed.

    Practice Manager to develop workable spreadsheet

    Being implemented