7. Recognise


Recognise – screen; assess; refer

Questions to consider

  • how can we improve recognition of memory problems?
  • how can we improve diagnosis of dementia?
  • how can we improve the management of our patients’ care?

DRIVER: Proactive, responsive primary care services

Actions Resources Examples
Introduce targeted screening for key groups, e.g.

  • frail elderly people, including older carers
  • people with long term conditions
  • patients in care homes
  • patients with cardiovascular disease
  • patients with Huntingdon’s Disease or Parkinson’s disease
  • older adults with depression
  • adults with learning disabilities
  • patients presenting with memory problems, or mild cognitive impairment

Initiate targeted screening via,

  • annual checks for over-65s
  • over-75 health checks
  • ‘flu clinics
  • reviews of clinic registers
Review annually patients who have presented with Mild Cognitive Impairment (Eu057).

Maintain a register of people with suspected dementia or mild cognitive impairment. Review regularly within primary care, or via referral for a specialist memory assessment.

  • Bristol dementia practice incentive scheme

    An NHS Bristol incentive scheme which has achieve over 50% sign up and from those practices, nearly 250 people were identified as having dementia and added to the registers. The biggest improvement was 37 people in one practice (2012-13). Read more »

Run a real time audit with Primary Health Care Team to check, and follow up on cases involving or patients presenting with

  • falls
  • possible carer strain
  • older patients failing to attend appointments
  • older patients failing to collect, or take dispensed medications
  • patients in community hospitals
  • patients in care homes presenting with confusion, depression, problems thinking, reasoning, struggling to follow up conversations, forgetfulness, other changes in mood and cognition
  • problems with self care
Consider the needs of patients from Black and minority ethnic groups, where cultural differences may affect the timeliness of presentation.

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>