1. Introduction Anticipatory care plans were introduced in October 2011 as part of the enhanced service contract for general practice, with the aim of reducing emergency admissions and out of hours contacts. The target group was initially over 75s. Patients with dementia can be particularly difficult to assess out of hours, when seen without the benefit of medical records, and in some situations there may be little history available. For this group, an anticipatory care plan providing basic medical information and details of next of kin or carers can be particularly helpful and may help prevent an emergency admission. Anticipatory Care Plans in Dementia - Survey of use in Elmbank Group Practice Dr Elizabeth Phull, Elmbank Group Practice 2013 Results A total of 118 patients were identified from a practice population of 10389. This figure is 86% of the expected number according to prevalence statistics from Grampian Health Board, adjusted for the age of the practice population, but not for deprivation. A total of 24 anticipatory care plans were in place and had been either initially completed or updated within the last 12 months. One patient had a palliative care plan in place, but no ACP and was therefore not counted although information would have been available to the OOH service. Overall approximately 20% of patients diagnosed with dementia had an anticipatory care plan in place. The number of patients who had an ACP varied according to their accommodation. The greatest number were in place for care home residents and the lowest for nursing home residents. Patients had been diagnosed with dementia for a mean of 4.0 years (range 0 – 19 years). They had a mean number of 2.6 other QOF diagnoses (range 0 – 8 ) and were on a mean of 5.3 regular medications ( range 0 – 16 ). Aim This survey looked at the use of anticipatory care plans in patients with a diagnosis of dementia. Methods Records of all patients with a diagnosis of dementia were reviewed. Time since diagnosis was recorded in years. Place of residence was noted according to whether the patient lived in their own home, in a residential home or in a nursing home. If they lived in their own home, then a review of recent surgery consultations, home visits, or letters from old age psychiatry were used to determine whether or not the patient lived alone. The number of QOF diagnoses on the problem list, and the number of repeat medications excluding topical preparations, laxatives and simple analgesics were also recorded as an indicator of comorbidity. It was noted whether an anticipatory care plan had been issued within the last 12 months. Conclusions Fewer than the expected number of patients have been diagnosed with dementia. Those living alone are a vulnerable group who could benefit from having an anticipatory care plan, and at present only 17.9% do so. These patients could be the next cohort for anticipatory care planning. A third of all dementia patients are living with someone else, and in many cases that person will have taken on the role of carer. This study provides a starting point for identifying the carers of those with dementia. In most cases, those living with a person who has dementia will be registered with the same practice and we have the potential to reduce emergency admissions by supporting carers, recognising and managing causes of stress and using facilities such as respite care to help carers continue in their role. A breakdown of ACPs by place of residence is given in the table below. Dementia Scholarship Learning Points Learning objectives comprehensively covered. The scholarship has provided a good understanding of the post diagnostic support available. Personally better equipped to assess capacity and advise on power of attorney and guardianship. Knowledge of third sector services available to dementia patients and their families.