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The London memory service audit and quality improvement programme.
Laura D Cook1, Katie E Nichol1, Jeremy D Isaacs1,2
1Dementia Clinical Network NHS England (London Region).
Bjpsych Bulletin
|March 23, 2019
Summary
London memory services show significant variation in care practices and patient support. This audit highlights areas for improvement, including streamlined pathways and enhanced post-diagnostic care for dementia patients.
Area of Science:
- Gerontology
- Neurology
- Healthcare Management
Background:
- Memory services in the UK have expanded, yet performance data remains limited.
- Understanding variations in service delivery is crucial for quality improvement.
- The National Institute for Health and Care Excellence (NICE) provides guidelines for dementia care.
Purpose of the Study:
- To identify variations in London-based memory services.
- To initiate service improvement projects based on audit findings.
- To address inconsistencies in dementia care pathways and support.
Main Methods:
- An audit of memory services across London was conducted in 2016.
- Case notes of at least 50 consecutively seen patients were reviewed per service.
- Ten services participated, reviewing a total of 590 patient cases.
Main Results:
- Significant variations were observed in neuroimaging practices and neuropsychology referrals.
- Differences were noted in diagnosis subtypes, inclusion of non-dementia diagnoses, and waiting times.
- Post-diagnostic support varied considerably among the audited memory services.
Conclusions:
- Memory services should optimize patient pathways to reduce waiting times.
- Development of clear pathways for patients without dementia is recommended.
- Monitoring neuroimaging appropriateness and ensuring consistent post-diagnostic support aligned with NICE guidelines are essential.
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