‘Doing things differently’—working towards distributed responsibility within memory assessment services

Page, Sean; Hope, Kevin; Maj, Chris; Mathew, Jose; Bee, Penny

doi:10.1002/gps.2716

Cited by 8 publications

(7 citation statements)

References 6 publications

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“…Another emerging care model in the UK utilises the services of ‘allied mental health professionals’ in making diagnoses and offering interventions with medical input not provided face to face for most patients. 5 , 37 , 38 It may be argued that some of the diagnostic quality provided by a ‘medical’ view on diagnosis may be compromised in such services and this needs further evaluation.…”

Section: Discussionmentioning

confidence: 99%

A memory clinic v. traditional community mental health team service: comparison of costs and quality

et al. 2015

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Aims and method To compare the cost and quality of a memory-clinic-based service (MCS) with a traditional community mental health team (CMHT) service. Using a retrospective case-note review, we studied two groups, each with 33 participants. Consecutive referrals for diagnostic ‘memory’ assessments over 4 months were evaluated. Participants were evaluated for up to 6 months.Results The MCS was less costly than the CMHT service but the difference was not statistically significant (mean cost for MCS was £742, mean cost for CMHT service was £807). The MCS offered more multidisciplinary and comprehensive care, including: pre- and post-diagnostic counselling, more systematic screening of blood for reversible causes of dementia, more use of structured assessment instruments in patients/carers, signposting to the third sector as well as more consistent copying of letters to patients/carers.Clinical implications An MCS service offered more comprehensive and multidisciplinary service at no extra cost to secondary care.

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Section: Discussionmentioning

confidence: 99%

A memory clinic v. traditional community mental health team service: comparison of costs and quality

et al. 2015

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“…In previous papers the possibility of clinical responsibility being more equitably distributed across the multidisciplinary team has been explored and we have demonstrated that higher levels of practice in respect of assessment and diagnosis making are achievable (Page et al . , ). However, these findings are based on two teams where either practitioners held higher than average postgraduate qualifications or had recently completed an intensive training programme.…”

Section: Introductionmentioning

confidence: 99%

Towards new ways of working in dementia: perceptions of specialist dementia care nurses about their own level of knowledge, competence and unmet educational needs

Page

Hope

2013

Psychiatric Ment Health Nurs

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It is expedient to consider new ways in which dementia care services may be configured to meet increasing demographic, societal and regulatory demands. Greater equity in the distribution of clinical responsibility across multidisciplinary teams has been suggested as one method that may offer a range of benefits to both the service user and the service itself. However, within the dementia workforce there are concerns about inconsistency and variability in both knowledge of dementia and competency in meeting the needs of those affected. Taking this into account it was felt important to explore perceived knowledge and competency of specialist dementia care nurses who would not only be expected to possess higher levels of knowledge and skill but are positioned as the obvious clinical group to engage with new ways of working. Consequently, this paper offers the results and subsequent discussion of a survey of senior nurses working in dementia care across the UK.

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“…They are more likely to rely on standardised protocols with inclusion/exclusion criteria designed to be risk-avoidant and limit workload rather than respond to patient need. 11 Lessons from the 10/66 studies and initiatives encourage the use of low-tech, clinically competent approaches with training and support to local healthcare agents. 12 , 13 …”

Section: Identifying Weakness In Existing Servicesmentioning

confidence: 99%

Heads in the sand may leave old age psychiatry looking foolish and vulnerable

Jolley

2015

BJPsych Bull

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Dementia has been recognised as a major challenge to health, social care and economies. Research by Rubinsztein and colleagues, in this issue, has compared the services provided by memory clinics with those of traditional community mental health team services. They conclude that memory clinics offer a more comprehensive and multidisciplinary service at no extra cost. Here I will question some of their findings and highlight the importance of better continuity of care between primary and secondary services.

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‘Doing things differently’—working towards distributed responsibility within memory assessment services

Cited by 8 publications

References 6 publications

A memory clinic v. traditional community mental health team service: comparison of costs and quality

A memory clinic v. traditional community mental health team service: comparison of costs and quality

Towards new ways of working in dementia: perceptions of specialist dementia care nurses about their own level of knowledge, competence and unmet educational needs

Heads in the sand may leave old age psychiatry looking foolish and vulnerable

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