With thanks to Dr Helen Webb of St Clements Surgery Winchester for sharing
this template from her surgery
Dementia Diagnosis Checklist for GP’s
Hand out the Dementia information/numbers A4 Sheet.
Hand them ‘This is me’ document and encourage patient/carer to ensure we have a
photocopy and for the patient to take it with them if they ever have to go into hospital.
Complete a care plan and read code as per the Dementia QOF template.
Identify any carer and read code the patient as ‘Has a Carer’ and read code the Carer as ‘Is a
Ensure any Carer is aware they have access to yearly flu vaccine and health check.
Get permission from patient that you can copy in the Carer to any medical correspondence
to help patient e.g. attend appointments.
Get permission from patient to put an alert in notes that all medical issues can be discussed
with Carer or NOK.
Ensure you read code that the patient has Dementia and change from previous ‘Cognitive
Impairment’ if necessary.
Put alert on patients blue alert screen that the patient has dementia and to offer double
appointment if possible.
Put alert on the Carers blue alert screen that they are a Carer.
Consider booking Carer into the Carer Support Clinic with the Carer Support Worker from
Princess Royal Trust for Carers who have a clinic first Wednesday of each month at St
Clements. Give the name and number to Wendy Crookes who can book them an
Gain permission to discuss the patient at the next Whiteboard meeting so the extended
team of district nurses/GPs are aware the patient has dementia.