Diagnosing Well

Click on the links below to access a range of tools and resources that could be used to improve dememtia diagnosis rates in your area:

*NEW* Memory Service Assessments - A New Way Of Working

This short paper results from a virtual meeting between Prof Alistair Burns - National Clinical Director, Dementia and Older People's Mental Health and a multidisciplinary group of memory assessment specialists and GPs.  Although our focus is on best practice during the COVID-19 pandemic, we hope that the legacy will include improved access to memory services and support in years to come. More here.........

Primary care resources

Dementia Quality ToolKit (DQT) 

Yorkshire and Humber Strategic Clinical Network, in conjunction with Airedale NHS Foundation Trust, have been working together to provide a set of primary care resources to support clinicians who are identifying, diagnosing and providing ongoing care to patients diagnosed with dementia.  This work package has been created with clinical input and is designed to support the review process to achieve the various national targets for Dementia.

The Dementia Quaity ToolKit is one of the key elements and is available for practices who use SystmOne or EMIS Web systems.

Follow the links below for instructions on how to access the DQT:

SystmOne (Technical guidance)

EMIS Web (Technical Guidance)

EMIS Web XML documents for download

Please see the EMIS Web technical guidance for how to import these files to your GP practice system

Care Plan templates

Dementia quality toolkit

A Helpful Frequently Asked Questions document can be found  HERE

Primary Care resources User Guide

We have now introduced this PDF User Guide which has links embedded within it to all of the resources described above. Feel free to download the PDF HERE and share across your organisational networks and contacts.

Dementia diagnosis rates

The estimated diagnosis rate for people with dementia in North East and Yorkshire was 66.1% at the end of August 2020, higher than the national average of 63.1% both have now fallen below the ambition of 66.7%.

Monthly rates at CCG level, STP level and numbers on GP practice dementia registers are now made available at the link below, you can also find recorded Dementia Diagnoses: Prescribing of Anti-psychotic Medication




Dementia Diagnosis Report January 2020

Dementia Diagnosis Report December 2019

Dementia Diagnosis Report November 2019

Dementia Diagnosis Report October 2019

Dementia Diagnosis Report September 2019

Dementia Diagnosis Report August 2019

Dementia Diagnosis Report July 2019

Dementia Diagnosis Report June 2019

Dementia Diagnosis Report May 2019

Dementia Diagnosis Report April 2019

Dementia Diagnosis Report March 2019

Dementia Diagnosis Report February 2019

Dementia Diagnosis Report January 2019

Dementia Diagnosis Report December 2018

Dementia Diagnosis Report - October 2018

Dementia Diagnosis Report November 2018


Why is a diagnosis of dementia important?

Does dementia matter?

Dr Sara Humphrey, GP Clinical Advisor for the Clinical explains why a dianosis of dementia is important. Click on the webinar and slides below for more information:

Understanding the benefits of a dementia diagnosis

Tackling the challenges of dementia. A new fact sheet developed by East Riding of Yorkshire CCG and Alzheimer's Society details the benefits of an early dementia diagnosis. 

Financial case for primary care

An important feature of QOF is the establishment and maintenance of disease registers. There are 5 QOF points available for establishing and maintaining a dementia register. It is the responsibility of the practice to demonstrate the systems that are in place to maintain a high quality register. Running the dementia quality toolkit every 6 months will give demonstrable help. The worked example here demonstrates the financial benefit of ensuring that anyone with adementia diagnosis is added to the register and that patients who present with symptoms are investigated and referred on as appropriate.


DeAR GP tool

The tool is used by care workers in care homes to identify residents who may be showing signs of dementia. Care workers are asked to identify signs such as confusion or memory problems which have lasted over 3 months, and if they have concerns to report these to the GP or another clinician by completing the DeAR-GP tool. 

rnTo read the briefing report click here.
rnYou can download the tool here.


DiADeM Tool – Diagnosing Advanced Dementia Mandate (for care home settings)

This protocol aims to support GPs to diagnose dementia for people living with advanced dementia in a care home setting. DiADeM is designed to be used only with those patients living with advanced dementia within a care home setting for whom a trip to memory services is unlikely to be feasible and/or make a difference to ongoing management.


1) DiADeM with 6CIT

2) DiADeM with GP COG

3) DiADeM with Mini-Cog

Click on the relevant link to download the PDF

  © Yorkshire and Humber Strategic Clinical Network and Code4HealthAll content is licensed under the Open Government Licence v3.0 except where otherwise stated

Widening the use of DiADeM

View the National Webinar here 

Download the DRAFT DiADeM Guidance Paper Here


Dementia coding

The Clinical Network has been collaborating with GPs to improve dementia diagnosis rates. This guidance document is prepared for use across the North region to provide a consistent way of coding dementia in GP practices and can be downloaded here. An example diagnosis letter template can be downloaded here.


Dementia quality toolkit

The Dementia Quality toolkit is a set of system searches (and supporting documentation) for general practice to help practices identify patients who have Read/CTv3 codes in their notes that may suggest dementia but who have NO corresponding dementia diagnosis. This webinar, relevant to GP practices within Yorkshire & Humber, explains how the toolkit works and answers some frequently asked questions.


ECG Guidance: The Assessment of Cardiac Status Before Prescribing Acetyl Cholinesterase Inhibitors for Dementia

The Yorkshire and Humber Dementia Clinical Network launced the final guidance in April 2016. You can access it here

A Summary Sheet is also available HERE

You can also view our webinar relating to how the guidance was developed below.

Once you have viewed the webinar a CPD certificate can be downloaded here


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