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St Augustine’s Medical Practice

GP surgery in Keynsham, we have the about 10,000 patients with the oldest patient population in the BANES CCG. We are also GPs for a number of local nursing homes.

27 November 2018
South West
Local Alliances:
Bath & North East Somerset, Keynsham & Saltford 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?

Facilitate access to good health (and health education) care for patients living with dementia  and their carers at the surgery, and provide practical and psychological support for them- directly or through signposting.

We work through community providers such as District nurses and social services to assist with any care needs and to enable people to remain in their own homes for as long as possible.

We aim to provide informed choice regarding any health/social care decisions.

We work closely with the RICE institute in Bath and we support research into dementia.

Some of our staff have personal experience of caring for family members with dementia and this is invaluable in recognizing the condition early amongst our patient population and helping them overcome any barriers to health care that may occur. 

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

1. We don’t feel we have a coordinated response to reviewing all our dementia patients (who are not in a nursing homes) on an annual basis-and with limited resources we would like to find a way of making contact with patients living with dementia and their relatives at least on an annual basis for a review of their medical/social/emotional needs. Nursing home patients are already reviewed annually as part of our nursing home regular patient reviews.

2. We don’t follow up patients that DNA who may be living with dementia - we need a system for this or have a prompt system to remind carers/patients of appointments. 

3. The practice could be a more dementia friendly environment.


2. Actions

  • Annual review of those living with dementia in their own homes, and their carers

    1. Re-appraise the current situation with the MDT (community matron/District nurses and surgery staff/carers/patients)

    2. Instigate a birthday month review of those living with dementia with their carers- and work out how best to do this (home visit/telephone/in the surgery). And so identify ongoing needs for both-signposting/carer support/address social care and health needs.

  • Become a Dementia Friendly practice


    1. Undertake dementia awareness  for as many practice staff as possible (date planned 15/5/18).

    2. Review our website page for Dementia, and improve its functionality for carers/patients in terms of useful information and signposting.

    3. Remind  patients with a dementia diagnosis, or their carer/ partner, of their appointment via a pre appointment telephone call if required and/or follow up the DNAs.

    4. Dementia friendly signs around your building.

    5. Display a dementia friendly clock in the waiting room


    2018 - Fourth Quarter Update

    We have had 2 training sessions for the staff and have joined the Keynsham Dementia Action Alliance, who conducted one of the sessions.

     We have a digital day/time clock in the main waiting room in the Keynsham surgery and have had a walk through both the main and branch with KDAA to look at other measures we can take to make the surgery a dementia friendly environment.

    We have appointed a receptionist to be our lead staff member for KDAA.

  • Join the local Dementia Action Alliance group

    Complete the application to join our local DAA to assist and encourage the wider objective of making B&NES a dementia friendly community.