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Milton Abbas Surgery

GP Surgery in Mid Dorset

31 March 2019
South West
Care, Health, Medical
Local Alliances:
Dorchester Dementia Action Alliance, Blandford 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?

We aim to provide help and support for both people with dementia and their carers. We have a monthly multi disciplinary team meeting which involves the community mental health team, the community rehab team, and social services, as well as our whole healthcare team which includes, GPs, nurses and health care assistants.  

The surgery is unique in that we have an intergrated nursing teams who are able to provide continuity of care both within the surgery and in the community. This helps to ensure that the patient s are seen by the same people whether they come to the surgery or need to be seen at home. 

We support a local community art project which aims to provide social, fun and creative sessions once a week for socially isolated people and their carers.

All the staff have received training in dementia and we have two Dementia champions, one of whom is also our Carers Lead.

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

As a rural practice, a number of our patients are socially isolated, which no access to public transport. There is a neighbour car scheme running locally which the surgery supports. This helps to get patients without their own transport to the surgery, hospital appointments and support groups.

The practice population is largely elderly, with many people living on their own with very traditional views of healthcare and not wanting to bother people. This makes it easy to miss potential diagnosis of dementia.

Member website


2. Actions

  • Make the surgery more dementia friendly

    Training staff in dementiaReview signage and make it easier for people with dementia to understand (use of pictures etc)Review layout of surgery to see if we can make it easier for people with dementia to navigate 

    Being implemented
  • Identify our patient with dementia and their carers

    Ensuring people with dementia are coded properly so they are easiy to identify.Identify carers of people with dementia and provide them with appropriate support.Alerts on patients notes to identify dementia diagnosis.

    Being implemented
  • Dementia Champions within the surgery

    We have identified two dementia champions, one of which is also the Carers lead.Dementia champions to attend regular training and update sessionsForm links with other dementia champions.