Best practice in Memory Services: Learning from across England

This report summarises the findings from a series of visits carried out by NHS England’s National Clinical Director for Dementia

pieces-of-the-puzzle-1925425_960_720.jpg

The visits were to a number of memory services which were experiencing longer waiting times from referral to assessment. The audit found that there had been significant successes in a number of clinics in improving access times over the past year, often in challenging circumstances.

Common features of the services which were reducing waiting times were:

  • Reviewing the assessment pathway and reconfiguring workforce to match demand. Some achieved this through upskilling existing staff, using vacancy funding creatively or investing in new staff.
  • Developing joint clinical protocols for referral and diagnosis, follow-up care, access to and reporting of scans and care home management
  • Supporting memory services in primary care 3,4.

Based on the findings the top ten tips to service improvement are:

  1. Involve service users and carers at every step
  2. Understand current and future demand and map against available capacity
  3. Review referral protocols
  4. Review brain scan (CT/MRI) protocols
  5. Examine DNA rates
  6. Ensure correspondence clearly states diagnosis and accompanying ‘Read Codes’
  7. Identify education and training opportunities
  8. Consider protocol for diagnosis in primary care including care homes
  9. Review with commissioners the role of specialist nurses
  10. Become MSNAP accredited and share best practice examples

Read the full report here

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s