Mesh : Aged Aged, 80 and over Alzheimer Disease / diagnosis therapy Ambulatory Care Facilities / standards Clinical Audit Dementia / diagnosis therapy England Female Guideline Adherence Humans Learning Male Middle Aged Nootropic Agents / therapeutic use Quality Assurance, Health Care / standards Referral and Consultation / standards Retrospective Studies

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Abstract:
BACKGROUND: The memory service based in the West Suffolk has received increased funding to deliver a high quality service against standards set by the Clinical Commissioning Group (CCG).
OBJECTIVE: This audit aims to examine if we are achieving the standards set by the local CCG and to identify areas to improve the quality of the service.We also aimed to assess information as to how many patients referred had dementia. If they had a dementia suitable for possible anti-dementia medication (such as dementia of Alzheimer\'s type, Alzheimer\'s mixed type or atypical or Lewy body/ Parkinson\'s dementia) to ascertain if they were being offered anti-dementia medication.
METHODS: Retrospective analysis of 60 patients from the memory service were analysed. The first 10 patients referred in alternative months were selected for inclusion. Standards were based on targets set by the CCG in terms of time needed to assess, diagnose, communicate diagnosis to the GP and give post diagnostic advice.
RESULTS: Patients in this memory service were being seen 37 days (on average) after referral. Most patients received a diagnosis at their initial assessment but some needed further investigation to establish the diagnosis or the specific type of diagnosis. The time for letters to be typed did not meet standards and letters were sent out on average 23 days after patients were being seen. Post diagnostic advice was delivered to most who received a diagnosis.
CONCLUSIONS: Our service is offering timely diagnosis to those referred to the memory service in line with national guidelines.
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