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Dementia diagnosis

Family doctors in England are to be paid £55 every time they diagnose a case of dementia, NHS England has said.


NHS chiefs said the aim was to increase the number of sufferers who receive treatment for the condition. But the Patients Association called it “a step too far” that would mean a “bounty on the head” of some patients.


What are your views?


Created By on 29/10/2014

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suffolknan
24th Mar 2015 12:45:28
0
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It seems to me that they have moved away from the approach built around doing something because it is right. I think the right thing to do is to provide good health care services and this includes accurate and meaningful diagnosis.
First comes the needs of the patient; that is what medicine is fundamentally there for! The diagnosing of someone's dementia should mean that they and their family can get the vital help and support which they will need. Secondly, the diagnosis of dementia should be reported so that the true numbers of folk affected are known by the organisational side of the NHS and can be accurately and correctly planned for. Ditto the government needs the figures for macro planning purposes. ( This of course applies to most medical conditions. ) Luckily we now have computers to help make these processes more effectual. If this works well then the GP would have well planned and delivered services to offer.
Do GPs need cash incentives to formally diagnose? One hopes not. It is surely what they are there for.
Is the cash ring-fenced to provide dementia services? Sounds like it should be.
I don't mean to propose another level of management when everyone seems to be trying to save man-power in order to save money, but perhaps we should have someone who oversees decisions by comparing them to the actual aim of the move. Shame the people in charge of the money apparently don't do this.
I know everyone ridicules social workers but.... head above the parapet - I was a residential social worker for the elderly . I was trained by a bunch of (mostly) great workers in the 1980-90s and each case was reviewed with the manager who said "What are the problems? How can we alleviate them?" We looked for answers proactively and did a lot of good work. As the years went on services were closed down and the questions became money -orientated as budgets were cut. There are still good people doing good work; but they will do even better given good resources.
I hope that GPs are using their £55 per dementia sufferer to set up services in their area. Gotta be hopeful.
OldBird1
24th Mar 2015 12:04:56 (Last activity: 17th Aug 2015 21:47:16)
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It is completely immoral to incentivise diagnosis, Diagnosis decisions should be made based on the individuals presentation, and their needs and readiness to deal with this, not the state of the Dr's holiday fund. Surely the issue should be about timely diagnosis, when the person is ready to face this, and there is support available to assist the individual come to terms with this and make decisions, rather than early diagnosis and abandoned. In Scotland we use our money much more wisely, as a result we have a guarantee of one year post diagnostic support to assist people come to terms with their diagnosis, make plans for the future and get linked into the appropriate services.
Response from ftball made on 17th Aug 2015 21:47:16
I agree while there is a profit motive GPs should not be paid to diagnose illnesses or they will throw caution to the wind and just be money focused.
ftball
17th Aug 2015 21:46:01
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I think it needs to be very carefully regulated. A problem is the government treats the NHS like a company that should make profits. It is'nt like that BUT I do think it needs to be run more efficiently and people are motivated by money
bharatverma
1st Jul 2015 13:47:43
0
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Dementia may cause the person to lose the ability to recognise previously familiar things because the brain does not accurately interpret the information that it has received. Examples of this include failure to recognise a partner or the house in which the person lives. Common symptoms include:
Confusion
Personality change
Loss of ability to do everyday tasks.
Treatment : Try to get this person on a vitamin program or at least a good one a day. This is to try to keep him as healthy as possible.

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