Unfortunately, there was some slippage in October (to 66%), which is to be expected, but taken both months' figures together, it shows that the diagnosis rate is achievable, that we will be able to reach it once more and to maintain it.
As explained in my presentation at the CCG Member Practices Meeting last month, we only need two or three more diagnoses per practice to hit the target consistently - we are almost there!
I'm grateful for all practices signing up to the QEF, which asks practices to increase their levels of dementia diagnosis. You will be aware of the poster which was devised in order to help you with tips on this.
Additionally, I have been having discussions with CPFT regarding Mild Cognitive Impairment (MCI). As you’re aware, many of these patients who have already been assessed by the Memory Clinics, will over time progress to develop dementia. As a practice, you may want to look at these patients, ie: have you coded these patients as MCI? Have they deteriorated since their last diagnosis? Do you think they could now have dementia?
It would be useful to focus on this cohort of patients as part of increasing dementia diagnosis under QEF. If you require help from the CCG on this, then please do get in touch.
As mentioned in earlier bulletins, Alzheimer's Society staff are willing to come out to your surgery for a regular session each month, to offer support to people with dementia and their carers. My own practice started this last month, and the feedback from both patients and carers has been overwhelmingly positive. Should you need more information on this, then please contact Wendy Dunn at email@example.com
You’ll also find attached a useful overview of services on offer within local libraries. Several of these are appropriate for those individuals newly, post and dementia diagnosed, and might be of interest - definitely worthwhile highlighting to patients at every opportunity.
Finally, you may have noticed recently that your prevalence figures for dementia under QOF have been boosted by the inclusion of the code "post-concussion syndrome". I've obtained confirmation from the Department of Health that this was included incorrectly, and when the next version of the QOF business rules are published in the new year, that the code will be removed.
Once again, many thanks for all your efforts, and wishing you a Merry Christmas!
Dr Malav Bhimpuria
MB BS BSc (HONS) FRCGP DCH DRCOG PCMedEd.
Clinical Lead, Older People's Mental Health, Cambridgeshire and Peterborough Clinical Commissioning Group.