‘iSPACE’ 6 Steps to becoming a dementia Friendly GP: A Service Evaluation. Authors: Sydney Anstee 1 , Brad Keogh 1 , Katherine Barbour 2 1. Centre for Implementation Science (CIS), Health Sciences , Building 67, University of Southampton , SO17 1BJ
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A Service Evaluation
Background: The Dementia Friendly primary care initiative, ‘iSPACE’ (see picture above), was put into practice in April 2014 by Dr Decker, Oakley & Overton Practice , with funds awarded by the Wessex AHSN. The evidence underpinning this initiative is the RCN Dementia survey of 2,184 professionals, patients and carers in 2011, from which the SPACE initiative was developed for use in hospital care . It was adapted by for use in primary care and called ‘iSPACE’.
The Centre for Implementation Science (CIS) has been commissioned to conduct a Service Evaluation of the ‘iSPACE’ initiative for the Wessex AHSN, in order to consider its potential for roll-out across Wessex.
iSPACE will be evaluated against the improvements it set outto achieve in the following areas:
Prescribing anti-psychotics and medication reviews
Referrals to memory assessment clinics
Teamwork GP and staff interviews
Care planning ‘This is me’  document, residential status, power of attorney, resuscitation status
carer experience interviews; numbers calling out of hours help and presenting in A&E
From the Primary Care Web Tool: Adjusted National Dementia Prevalence Rate (ANDPR) and estimated % undiagnosed ‘Dementia Gap’ (per clinic)
From Dementia Challenge: Checking for Dementia; waiting to be tested; waiting for results; prescribing anti-psychotic drugs (per CCG area)
Early impressions suggest the bundle of actions in the ‘iSPACE’ initiative provide a user-friendly format for implementing current guidance and national campaigns such as NICE and Kings Fund.
We expect to report in full by the end of December 2014
References: http://www.oakleyandovertonsurgery.co.uk/  http://www.rcn.org.uk/development/practice/dementia http://alzheimers.org.uk/thisisme
Institute for Life Sciences - www.southampton.ac.uk/ifls
Providing research and analysis for health and social care improvement programmes to increase their impact and spread of evidence into practice for the benefit of people in Wessex.