Y&H Resource to Support Prevalence, Case Finding, Diagnosis & Care Planning in Dementia Colin Sloane - Quality Improvement Lead Yorkshire and the Humber Dementia and Older Peoples Mental Health Clinical Network "High Quality Care for All, Now and for Future Generations"

Yorks & Humber Clinical Networks –Dementia Technical Solution 17-18 DQT toolkit ‘At Risk of Dementia ‘Toolkit -for targeted screening assessments DiADeM Suite of Clinical templates to support GP Care Planning & aspects of care of patients living with Dementia These resources can be used by individual practices or by CCGs to look at the needs of the CCG population.

Alternatively, users can send an email to emma. blamire@anhst. nhs Alternatively, users can send an email to emma.blamire@anhst.nhs.uk or ring 01535 294837 and request membership. Units will then receive an unassigned task titled ‘Organisation Group Membership’. System Administrators can easily action this task via a right click on the appropriate task.  

Dementia Quality Toolkit (DQT) Updated DQT Access them HERE Automated system search which is easily uploaded by the practice Looks for codes that suggests the patient has dementia but there has been a missed opportunity to code it Available across Yorks & Humber for GP practices using SystmOne and EMIS Web Technical guidance Frequently Asked Questions

How to use the reports The **WORK TO DO** reports will contain a list of patients who may have a missed dementia diagnosis. If GPs wish to review patients then you can use the read code ‘Ongoing Review (Xalpj)’ and this will remove the patients from the **WORK TO DO** reports. These patients marked with an ongoing review (awaiting/confirming diagnosis) will remain on the **MASTER LIST** until they have dementia diagnosis added to their record.

NEW ‘At Risk Toolkit ‘ to support case finding’ At-risk’ patients are: Aged >60 with CVD, stroke, peripheral vascular disease or DM Aged> 40 with Down’s syndrome; Aged >50 with learning disabilities; long-term neurological conditions which have a known neurodegenerative element, for example, Parkinson’s disease. Living in a care home Previous Delirium Female > 90 yrs old MCI diagnosed > 12months ago

Diagnosing Advanced Dementia Mandate in a Care Home setting DiADeM -App -Paper -Templates

What is DiADeM? DiADeM is a tool for diagnosing of advanced dementia in people who live in care homes. 70-80% of care home residents will have dementia Supports primary care clinicians to make a diagnosis Reduces the need to attend formal clinics Increases the likelihood of receiving good post diagnosis care

DiADeM Diagnosing Advanced Dementia Mandate  (for care home settings) Link to website Brief Introduction then move on

DiADeM App Diagnosing Advanced Dementia Mandate  (for care home settings) Link to website DEMONSTRATION Brief Introduction then move on

DiADeM Reports

How to Access DiADeM

DeAR-GP Link to website DeAR–GP, developed by the Health Innovation Network and supported by Alzheimer’s Society, is a simple paper based case-finding tool which has been designed for use by care workers to identify people who are showing signs of dementia. DeAR–GP acts as a communication between care workers and health professionals

Updated Resources Gateway

Making a Diagnosis of Dementia Using all the codes used to monitor primary care referrals

Updated QOF Templates Using a joint code set across frailty & dementia national templates

New Resources from the CN

Pt & Professional Outputs

Care Planning Outputs To share with Professionals

Care Planning Outputs For People Living with Dementia and their Carers

Next Steps In association with the Regional Team a Quality assurance product for CCG along the line of the Diabetes 9 Care Processes An Easy IT to bench mark practices and drive up standards

Team Contacts Colin Sloane, Quality Improvement Lead colinsloane@nhs.net Sara Humphrey, GP advisor sara.humphrey@bradford.nhs.uk Emma Blamire, IT Support at Airedale NHS Trust emma.blamire@anhst.nhs.uk