This consultation letter, from Richard Armstrong, Head of Primary Medical Care Commissioning Development Directorate, outlines proposed changes to general medical services. The changes proposed will involve GPs being rewarded for earlier diagnosis and better care of dementia patients, and for more focus on improving the lives of patients with long term conditions. The British Medical Association’s General Practitioners Committee and other primary care organisations may respond to these proposals before February 26th 2013.
The Department of Health proposes to direct the NHS Commissioning Board to develop a new Directed Enhanced Service. This will be offered to practices to improve care and services for their patients as follows:
- Improving diagnosis of at-risk patients for dementia.
- Care for frail older people or seriously ill patients (including mental ill-health).
- Enabling patients with on-line access to practice services. This will facilitate users in booking appointments, ordering and accessing repeat medicines, accessing test results and accessing their own medical records in future.
- Supporting people with long-term conditions, by monitoring their health remotely.
Dementia Case Finding Scheme
The purpose of the “Dementia Case Finding Scheme” is to develop a proactive approach to the assessment of patients who may be showing the early signs of dementia, and to support improvements in the early diagnosis and care of such patients.
Armstrong, R. (2012). General medical services: contractual changes 2013/2014. Letter to Dr Laurence Buckman (Chairman, General Practitioners Committee). Leeds: Department of Health, December 6th 2012.
[A brief reference to this item features in Dementia and Elderly Care: the Latest Evidence Newsletter (RWNHST), Volume 3 Issue 5, January 2013].