Seamus Mcnulty

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Should Dementia be diagnosed in primary or secondary Care? Dr Seamus V McNulty Consultant Psychiatrist and Chair, Faculty of Old Age Psychiatry Royal College of Psychiatrists in Scotland

Transcript of Seamus Mcnulty

Should Dementia be diagnosed in primary or secondary Care?

Dr Seamus V McNultyConsultant Psychiatrist and

Chair, Faculty of Old Age PsychiatryRoyal College of Psychiatrists in Scotland

Secondary Care

Secondary Care

Secondary Care

Primary Care

Primary Care

Primary Care

New GP Contract

• We are arguing for a physican-led primary healthcare team – it doesn’t mean you’re the boss because you don’t employ the team but you should be leading how to achieve the outcomes, providing expert medical support to those team members – Allan McDevitt, Chair Scottish GP committee of BMA

• “Specialist Generalist :

Old Age Psychiatrists• Lead multidisciplinary teams in the

assessment, diagnosis, treatment and management of Dementia

Primary vs Secondary Care

• Argument should not be about primary versus secondary care but about a deliberate blurring of the distinction.

• Move more of secondary care services into the communities they serve!