‘iSPACE’ 6 Steps to becoming a dementia Friendly GP:
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‘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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‘iSPACE’ 6 Steps to becoming a dementia Friendly GP:

A Service Evaluation

  • Authors: Sydney Anstee1, Brad Keogh1, Katherine Barbour2

  • 1. Centre for Implementation Science (CIS), Health Sciences, Building 67, University of Southampton, SO17 1BJ

  • 2. Wessex Academic Health Science Network (WAHSN), 2 Venture Road, Chilworth, SO16 7NP

Background: The Dementia Friendly primary care initiative, ‘iSPACE’ (see picture above), was put into practice in April 2014 by Dr Decker, Oakley & Overton Practice [1], 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 [2]. 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.

Evaluation measurements

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’ [3] document, residential status, power of attorney, resuscitation status

Patient and

carer experience interviews; numbers calling out of hours help and presenting in A&E

Additional data

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)

  • Methods

  • The rapid evaluation will use the Logic Framework and provide both quantitative and qualitative data to describe experiences from April 2014 and 6 months later. It will use the following methods:

  • Twocase study practices: Oakley as the index surgery and Ryde, where other dementia initiatives are in place

  • A survey of a sample of primary care practices to gauge dementia care services already in place

  • Interviews of GPs/staff using the Normalisation Process Theory tool developed by Professor Carl May

  • Patient experience and carer interviews

  • Routine data collected from surgeries and online platforms


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:[1] http://www.oakleyandovertonsurgery.co.uk/ [2] http://www.rcn.org.uk/development/practice/dementia[3] 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.