A review of a pilot project providing a memory screening service to GP practices in Milton Keynes

Abstract

Purpose:To describe findings from a primary care memory screening pilot project in Milton Keynes.Background:The Milton Keynes Specialist Memory Service provided a pilot memory screening service to nine GP practices, for individuals identified as ‘at risk’ of dementia. The Paired Associate Learning task on the CANTAB mobile was used. Participants who showed memory difficulties were referred for a full assessment at SMS, resulting in various outcomes, including possible diagnoses of dementia or mild cognitive impairment (MCI).Methods:Data were collated in relation to participant numbers, outcomes and demographics. Questionnaire and focus group data were also collected, to gather patient experience information. Thematic analysis was used to analyse focus group data.Conclusions:871 participants attended and completed memory screening appointments. 254 participants were offered further assessments, and 144 people attended and completed further assessments. 61.8 per cent of these individuals either received a diagnosis (of dementia or MCI), or continued to have involvement with the service for further investigations or monitoring. Questionnaire and focus group responses and themes were generally positive. Main themes related to early identification/support and increased awareness/education. Negative responses and themes related predominantly to anxiety. Overall, the screening project was acceptable to a large number of people. It identified a number of individuals who were found to have diagnoses of dementia or MCI, however there were also false positives. Questionnaires and focus groups indicated generally positive views and experiences. The pilot has resulted in discussions regarding a permanent memory screening service.