1. Dementia Friendly GP Surgery Initiative Katherine Barbour Senior Project Manager
and
Dr Michele Legg
GP,IOW CCG Clinical lead for the Older Person and Dementia.
Wessex AHSN lead for Dementia
2015

2. Our vision
To bring discovery and innovation into the Wessex health system so that the population has better health and benefits from a thriving health innovation sector
We aim to:
Ensure that people across our region can expect the same, high quality of care regardless of location or provider through collaborative service improvement and innovation programmes.
Rapidly translate research into practice, promote adoption and spread of innovation – including timely implementation of NICE technology appraisals – through efficient knowledge exchange.

3. AHSNs: Geographical Spread

4. Our network

5. Partners 5 Universities 10 Commissioners 11 NHS providers
Academic slant to our work,
Evaluated projects

6. Dementia Friendly GP Initiative pilot
Funded by Wessex AHSN Accelerator funds
Rapid evaluation by Centre for Implementation Science
To make recommendations for roll out and spread by Wessex AHSN

7. Making Primary Care Surgeries Dementia Friendly
Identify
a Dementia Champion
In Tower house it our HCA who is wearing pink, has inspired senior nurses to attend DA training, and is piloting a memory app
Staff
who are skilled and have time to care
Regular all Island training for GPs and nurses
Staff training down at Tower house
Partnership
working with carers, family and friends
Identify and phone carers
(don’t ask them to attend surgery) they cant leave their loved ones .
Assessment
and early identification of Dementia
Offer people who are concerned a formal assessment,
take their concerns seriously
Care plans
which are person centered
This is me from Alzheimer's society ,Advanced care planning Island wide
Environment s
that are dementia friendly
Good lightening bright colours,
toilet doors painted a different colour. clear signage

8. How did Tower House Surgery become Dementia Friendly ?
Semi rural deprived area 10,500 patients
25% Island population over the age of 65
Higher percentage with dementia
Started with myself being CCG clinical lead for dementia
Offered opportunities to provide support for various projects
My HCA became an informal dementia champion
All staff under went dementia awareness training
Nursing staff attended Dr Gemma Jones dementia training

9. Tower House Dementia Friendly Actions
HCA dementia friendly uniform/receptionists to follow
tailored training according to role
Providing a dementia safe haven
Working with IOW Dementia Friendly steering group
Test and learn policy presently trialling CANTmobile app/tried other pilots
Symbol signage
Facilitating intergenerational awareness
Carer alerts
Signed up to the Dementia Action Alliance

10. First and foremost it helps your patients and their carers
Why become a dementia friendly surgery?
First and foremost it helps your patients and their carers
It’s a good team building exercise
Staff enjoy doing it/team building
It’s cheap and quick
It can assist in CQC inspection!

12. Case study sites – Oakley/ Overton surgery and Ryde surgery
Methods of Evaluation
Case study sites – Oakley/ Overton surgery and Ryde surgery
Interviews with GPs and staff – Normalisation Theory tool
Patient and carer experience collected
Routine data collected from surgeries, NHS primary care web tool and small survey data

13. Oakley/Overton Feedback from patients and carers
Staff have good understanding of dementia
We feel listened to
Carers feel included and valued
Patient – “feels more confident now and that has helped improve things”
Signage
Receptionist forgetting to tell carers about appointments
Anticipatory care
Long waiting times in reception is difficult for carer when accompanied by a person with dementia

14. Ryde Feedback from patients and carers
All staff have good understanding of dementia issues
Big improvements from 5 years ago when there were no dementia services after diagnosis
Excellent care from GP for both patients and carer
More leaflets in waiting room
Regular GP initiated check –ups
More availability with 1 named GP
More social support needed

15. When doing a refurbishment think “dementia”
Next steps
This initiative has already been spread to USA, NZ, Norfolk, Nottingham and is starting across Wessex – 10 surgeries in train
A bundle of actions is recommended, e.g. Identify a dementia champions, involve patients and carers and tailored training depending on role
When doing a refurbishment think “dementia”

16. Questions and comments