Transcript Memory Clinic NORTH - Core Care Standards

Joanne Wombwell
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Joanne Wombwell (Independent Non-Medical
Prescriber)
Maxine Woodbine (Senior Memory Clinic
Nurse)
Jill Smith (Team Admin)
Amanda Clarke (Admin Assistant)
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Dr Whittingham: Clay Cross and Peak and
Dales
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Dr Sykes: Chesterfield
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Dr Saxena: North Eastern Derbyshire
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MAS (pre diagnosis assessment by nurse)
Treatment 3 month AcHI or Memantine Trial
(Independent Nurse Prescriber)
Routine follow ups
Referral to other agencies (Social Services,
Alzheimer’s society, Derbyshire Carers, Day
hospitals, CMHT OA)
Staveley Q and A events, held 4 x year
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Diagnosis explained
Treatment explained
Refer to external agencies if needed
Leaflets given
Contact number for memory clinic given
Rx given
Review in 8 week
Then 4 weeks later
Evaluate if continue or not.
Continue-6 or 12month f/u-GP prescribes
Stop-8wk post dis review in clinic or via
telephone-discharge or reinstate AcHI
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On AcHI or Memantine
As part of shared care agreement patients are
seen every 6 or 12 months for formal
memory testing and assessment.
Referred to other agencies if required
AcHI or Memantine stopped if of nil benefit
Patients and carers contact if any problems
and need to be seen sooner.
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Previously done by Doctor
Nurse undertakes MCIA, ACR-R, and other
tests if required
Refer to consultant for diagnosis
Request routine dementia screen and ECG
and CT scan if not done
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Service provided to review patients on a 6
monthly basis who do not have a diagnosis.
If decline then appt with Consultant for
diagnosis
Less patients seen now for EM since NICE
Guidelines changed and prescribing in mild
AD as well as moderate and severe
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Staveley clinic
A social worker and carer support worker
from Alzheimer’s society present in Bistro to
see patients following their appointments
Streamline service/one stop shop
Reduces patient waiting time to access other
services
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Started early 2012 in Chesterfield
Panel of Dr, Nurse, OT, Psychology, Social
Worker, HCA
Displays from charitable organisations
Open event
Opportunity for carers and patients and those
interested in dementia to ask professionals
questions
Runs 4 x year