Can Memory Assessment Services (MAS) in England be categorized? A national survey

Chrysanthaki, Theopisti; Fernandes, Blossom; Smith, Sarah C.; Black, Nick

doi:10.1093/pubmed/fdx018

Cited by 16 publications

(29 citation statements)

References 11 publications

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“…However, the distribution of these responsibilities across members of staff within a memory service is subject to considerable variation depending on the specific service (Chrysanthaki, Fernandes, Smith, & Black, ). Indeed, memory services have different delivery models across UK regions (Chrysanthaki et al, ; Lindesay, Marudkar, Diepen, & Wilcock, ), resulting in different NHS trust policies and job descriptions. Intuitively, mental health NPs have reported that formal restrictions set out by policies and job descriptions are key factors in the definition of their roles (Maddox et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…It might, therefore, be reasonable to assume that the roles of NPs in memory services are defined by the individual NHS organisations employing them. However, Chrysanthaki et al () found there were such great differences across memory services in England that it was impossible to group them by characteristics, even within the same organisation. Differences in staff numbers, operational performance and postdiagnostic support were particularly prominent (Chrysanthaki et al, ; Lindesay et al, ), suggesting NPs could have vastly different roles depending on which service they work in.…”

Section: Resultsmentioning

confidence: 99%

“…However, Chrysanthaki et al () found there were such great differences across memory services in England that it was impossible to group them by characteristics, even within the same organisation. Differences in staff numbers, operational performance and postdiagnostic support were particularly prominent (Chrysanthaki et al, ; Lindesay et al, ), suggesting NPs could have vastly different roles depending on which service they work in. However, literature exploring this further is limited, with only four published case studies of supplementary NPs across four different services (Barlow et al, ; Higgins, ; McInally, ; Smith & Hemingway, ).…”

Section: Resultsmentioning

confidence: 99%

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The role of nurse prescribers in memory services and their continuing professional development: A review of the literature

Emrich-Mills

Collier

West

2019

Journal of Clinical Nursing

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Background Nurse prescribers (NPs) in memory services have a potentially important role in alleviating the burden of dementia on health care, but they require continuing professional development (CPD) specific to their scope of practice. Aims To inform development of CPD workshops for mental health NPs working in memory services, a review of the literature was undertaken regarding role and CPD issues of this professional group. Design and Methods Healthcare databases were searched using defined search terms alongside lateral searches. Study characteristics were extracted systematically, with results grouped thematically in the style of a narrative review. Reporting followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses, adapted for current methods (see Supporting Information File S1). Results and Discussion Nine articles specifically addressing nurse prescribing in memory services were found. Studies from broader areas were drawn upon. Considerable variation was found for how the role of memory service NPs might be defined, due in part to variation in characteristics of memory services. NPs, other clinical staff and patients have provided positive feedback to the introduction of the role in memory services and elsewhere. However, concerns around prescribing cautiousness of NPs were apparent. Little clinical or economic outcome data were found to compare opinions and experiences to, with none for NPs in memory services. Literature addressing CPD issues for NPs in memory services was nonexistent. Studies from surrounding areas suggest a problem with availability of CPD opportunities for nurse prescribers. Conclusion This review highlights the paucity of literature for this area of inquiry, particularly for clinical, economic and other patient outcome data. Relevance to Clinical Practice Variation in the little existing evidence suggests development of CPD opportunities should spend time understanding issues at the local level. The gap in the literature in this area may impact policy decisions in the UK and elsewhere.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The role of nurse prescribers in memory services and their continuing professional development: A review of the literature

Emrich-Mills

Collier

West

2019

Journal of Clinical Nursing

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“…Further details on the sample are reported elsewhere (14). The sample reflected the wide diversity of services provided by MASs in terms of size, staffing, provision of post-diagnostic support and followup regimes (17).…”

Section: Methodsmentioning

confidence: 99%

Cost-effectiveness of Memory Assessment Services for the diagnosis and early support of patients with dementia in England

Gomes

Pennington

Wittenberg

et al. 2017

J Health Serv Res Policy

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BackgroundPolicy makers in England advocate referral of patients with suspected dementia to Memory Assessment Services (MAS) but it is unclear how any improvement in patients' health-related quality of life (HRQL) compares with the associated costs. AimsTo evaluate the cost-effectiveness of MAS for the diagnosis and follow-up care of patients with suspected dementia. MethodWe analysed observational data from 1318 patients referred to 69 MAS, and their lay carers (n=944), who completed resource use and HRQL questionnaires at baseline, three and six months. We reported mean differences in HRQL (disease-specific DEMQOL and generic EQ-5D-3L), quality-adjusted life years (QALYs) and costs between baseline and 6 months of referral to MAS. We also assessed cost-effectiveness of MAS across different patient subgroups and clinic characteristics. ResultsReferral to MAS was associated with gains in DEMQOL (mean gain 3.48, 95% confidence interval: 2.84 to 4.12), EQ-5D-3L (0.023, 0.008 to 0.038) and QALYs (0.006, 0.002 to 0.01).Mean total costs over six months, assuming a societal perspective, was £1,899 (£1277 to £2539). This yielded a negative incremental net monetary benefit, -£1724 (-£2388 to -£1085) assuming NICE's recommended willingness-to-pay threshold (£30,000 per QALY). These base case results were relatively robust to alternative assumptions about costs and HRQL.There was some evidence that patients aged 80 or older benefitted more from referral to MAS (p<0.01 from adjusted mean differences in net benefits) compared to younger patients. MAS with over 75 new patients a month or cost per patient less than £2500 were relatively more cost-effective (p < 0.01) than MAS with fewer new montly patients or higher cost per patient, respectively. ConclusionsDiagnosis, treatment and follow-up care provided by MAS to patients with suspected dementia appears to be effective, but not cost-effective over the first six months after diagnosis. Longer-term evidence is required before drawing conclusions about the costeffectiveness of MAS.

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“…Additionally, at baseline, all 71 MASs completed organisational questionnaires on their structural and process characteristics. 11…”

Section: Samplementioning

confidence: 99%

Memory assessment services and health‐related quality of life: 1‐year follow‐up

Park

Smith

Ritchie

et al. 2018

Int J Geriat Psychiatry

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Can Memory Assessment Services (MAS) in England be categorized? A national survey

Abstract: In the absence of any clear typology, evaluation of MASs will need to focus on the impact of individual structural and process characteristics on outcomes.

Cited by 16 publications

References 11 publications

The role of nurse prescribers in memory services and their continuing professional development: A review of the literature

The role of nurse prescribers in memory services and their continuing professional development: A review of the literature

Cost-effectiveness of Memory Assessment Services for the diagnosis and early support of patients with dementia in England

Memory assessment services and health‐related quality of life: 1‐year follow‐up

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