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Diagnosing Well: Enfield Memory Service

NHS England

  • Summary

    Enfield Memory Service is the largest Memory Assessment Service across Barnet, Enfield and Haringey Mental Health NHS Trust and serves a population of more than 39,000 over 65s. The service grew exponentially from 2013 to 2014 and now attracts up to 1000 referrals per year. At one point in its evolution the clinic was opened over a few weekends to manage wait times but this was not sustainable. In 2015 demand outstripped capacity and resulted in a growing waiting list with a time from assessment to diagnosis of up to 17 weeks (8 weeks referral to assessment, 9 weeks assessment to diagnosis).
    From March 2016 a new service model was implemented following £65,000 additional investment from Enfield Clinical Commissioning Group. We revised and adapted the team skill mix to enable us to increase Old Age Consultant time to the service. The aim was to streamline the care pathway, boost capacity and embed patient centred care. The memory service now has the ability to function as a consultant-led “one stop” shop. We reached the 6 week target to diagnosis by May 2016, the waiting list has reduced by 70% and Did Not Attend rates dropped from 30% to 13%. Patient and carer satisfaction questionnaires showed marked improvements and research uptake has increased. We have been commended by both patients and carers:
    “Memory test, blood test, assessment and diagnosis were done in 1 visit. It was impressive.”

    • pdf
    Diagnosing well_ Enfield2.pdf

Contact Name

Claire Fry

Job Title

Business Manager

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