Dementia and Primary Care Report, Wiltshire

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Summary of report content

During 2016/17 Healthwatch Wiltshire carried out an engagement project focussing on primary health care for people living with dementia. This was prioritised because in previous dementia engagement people said they would talk to their GP first if they were worried about their memory and reported very varied experiences of this. One workshop was held with focus group discussions, also targeted engagement visits to dementia café’s, dementia activity groups, day clubs, care homes and a specialist dementia hospital unit and some home visits were carried out. In total 195 items of feedback were gathered. The report was presented at Wilshire’s dementia delivery board and Wiltshire’s Health and Wellbeing Board. The outcomes cited in the report included those below: • Wiltshire Council and Clinical Commissioning Group (CCG) Commissioners have acknowledged that inconsistency is a challenge for them. They are now developing a good consistent pathway for dementia diagnosis and ongoing support to be used across all GP practices, taking into account what people have told us. • Closer working between GP practices and Dementia Advisers is being promoted. The provider, the dementia adviser service, has contacted all GP practices. They are developing more opportunities for dementia advisers to be working from GP surgeries, resulting in improved access to the service. • A project is underway developing a ‘dementia roadmap’ of the dementia support that is available in the county. This involves local charities, Healthwatch Wiltshire and Wiltshire Council working together. Is will include clear information for the public and professionals about the process of getting a dementia diagnosis and ongoing support. • Information about dementia services on the ‘Your care, Your Support Wiltshire’ website has been thoroughly reviewed and updated.

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General details

Report title 
Dementia and Primary Care Report, Wiltshire
Local Healthwatch 
Healthwatch Wiltshire
Date of publication 
Tuesday, 6 June, 2017
Date evidence capture began 
Friday, 1 January, 2016
Date evidence capture finished 
Thursday, 1 June, 2017
Type of report 
Local analysis
Patient experience
Key themes 
Diagnosis
Healthwatch reference number 
Rep-6514

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
N/A
Primary research method used 
Engagement event
Focus group
Survey
User stories
How was the information collected? 
Engagement Event
If an Enter and View methodology was applied, was the visit announced or unannounced? 
N/A

Details of health and care services included in the report

Primary care services 
GP practice
Secondary care services 
Dementia

Details about conditions and diseases

Types of disabilities 
Memory

Details of people who shared their views

Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Not known
Does the information include staff's views? 
Not known
Types of health and care professionals engaged 
N/A
Does the information include other people's views? 
Yes
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Yes
Is there evidence of impact external to the report? 
Yes
What type of impact was determined? 
Implied Impact

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.