1. Dementia: Junior doctors championing change Dr Catherine Pye, Dr Laura Tucker, Dr Louise Mellor, Dr Chooi Lee

2. Dementia 800, 000 people live with dementia in the UK Access to social services and support Early diagnosis Specialised care

3. Kingston Hospital Previous audit showed poor cognitive assessment on admission to A&E (21%) Patients with cognitive impairment missed Missed opportunity for: – Specialist in-patient management – Appropriate follow up and referral to community support services

4. Allocation of junior doctor dementia champions for each ward Audit performed monthly for National Dementia CQUIN: – Screening question – AMTS within 72 hours – Appropriate investigations performed if AMT less than 8 – Appropriate community referral Wards bench-marked against each other and informed of monthly progress

5. Aims Identify Improve rates of diagnosis Improve rates of referral Empower junior doctors to make sustained improvements in care for patients with dementia on the wards F ind A ssess I nvestigate R efer

7. New QIP schemes ‘Forget-me-not’ ‘8 important things about me’ ‘carer passport’ and carer information leaflets

8. Continuing the good work February 2013 audit results showed: – 91% use of screening question – 100% AMTS usage on admission – 100% referral to specialist services on discharge. Continue monthly audit Encourage use of ‘forget-me-not’ scheme on the wards F1 crossover fortnight during August shadowing period

9. Thank you for listening