Attached you’ll find the latest data from our CCG Primary Care Information Team, which shows the number of patients at practice level who are on anti-dementia drugs (such as donepezil), but do not have a diagnosis of dementia on their clinical record. The total number across the patch in this category is 177. The only reason for someone to be on an anti-dementia drug is if they have dementia. Therefore, if ALL of these people were coded correctly, our dementia diagnosis rates as a CCG would improve considerably. Can I please ask you to review your practice level data? There is a search that the CCG have provided which your practice may already have undertaken. It identifies the patients on these drugs, and checking through their records to ascertain that dementia has been coded accurately shouldn't take too long. As a reminder, this will help you in your QOF returns, and in fulfilling the criteria relating to improving dementia diagnosis rates in order to receive 18/19 QEF incentive payment.
Of course, dementia is just not about diagnosis. Managing the patients and their carers is equally as fundamental. To this end, the Alzheimer's Society are instrumental and extremely helpful. Locally, they can provide a dementia support worker to come to your practice once a month to review patients and help their carers. Many practices already have this arrangement in place. If you would like your practice to benefit from this free service, then please contact Wendy Dunn via e-mail: firstname.lastname@example.org
Finally, dementia research is a key objective of the Dementia 2020 Challenge. Enclosed below is some useful information for signposting patients to “Join Dementia Research” which is funded by the Department of Health and Social Care and delivered in partnership with the National Institute for Health Research, Alzheimer Scotland, Alzheimer’s Research UK, and Alzheimer’s Society:
Once again, thank you very much indeed for your time and continued efforts.
Dr Malav Bhimpuria
MB BS BSc (HONS) FRCGP DCH DRCOG PCMedEd
Clinical Lead, Older People's Mental Health, Cambridgeshire and Peterborough Clinical Commissioning Group