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The Grange Surgery is a general practice situated in Petersfield, Hampshire. The practice has a patient list of over 7,500 patients.

6 May 2017
South East
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?

The Grange Surgery is keen to ensure that our patients with dementia and associated conditions are given the best care most suited to their needs.  Not only does the surgery play an important role in the initial diagnosis of dementia, the practice also supports patients living with dementia and their carers by signposting them to third party agencies where they can obtain the additional, ongoing assistance they need.    

Patients with dementia can find simple things very confusing.  In order to help patients when they visit the surgery we have erected clear, easy to read signs at regular intervals throughout the surgery to help them find their way around the building.      

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

One of the key challenges presented to the practice is identifying patients that suffer from dementia so that they can receive the support they need.  Once identified it is vital that the patient and/or their carer receive the information they need to be able to live as comfortably as possible with the condition.  Another challenge that faces the practice is ensuring that staff are adequately trained to be able to help patients living with dementia.  On occasions staff will be prestented with staff in a distressed state, ongoing training plays a vital role in equipping them to handle these encounters.   

2. Actions

  • Create a Dementia Register

    An up to date list must be kept of all patients with a diagnosis of dementia. 

  • Readcoding

    In order to keep the list accurate clinicians should code the patient at the time of referral; or the admin team should code if the letter back from the memory clinic determines the diagnosis.

    Once diagnosed anyone liaising with the patient needs to identify the caring needs and resource for the patient, and code accordingly.  This is 918F.  Carers should be included and invited at all stages of the patient’s journey.

  • "This is Me" - Alzheimer's Society support document

    Issue newly diagnosed dementia patients with the “This is Me” document so as to help health and social care professionals better understand the patient’s background. 

    Being implemented
  • Informing staff of a patient's dementia diagnosis

    Once coded we add a “major alert” to patient notes so that all staff are aware of the patient's diagnosis.  

    Being implemented