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Effectiveness increases with integration in primary care

Published online by Cambridge University Press:  02 January 2018

David Jolley ,
Susan M. Benbow  and
Ian Greaves
David Jolley
Affiliation:
University of Manchester, email: [email protected]
Susan M. Benbow
Affiliation:
University of Chester at Gnosall Medical Centre
Ian Greaves
Affiliation:
Gnosall Medical Centre, Staffordshire
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BJPsych Bulletin , Volume 39 , Issue 4 , August 2015 , pp. 205
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Creative Common License - CCCreative Common License - BY
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Copyright © Royal College of Psychiatrists, 2015

It is good to read of the work of Dr de Silva and his colleagues in South Tyneside. Reference De Silva1 They are seeing people at an impressive hit rate and providing a service which people like. As in Gnosall, the model being used takes advantage of primary care settings. I think the difference is that we provide expertise within primary care, with a view to a potential three tiers (primary, secondary, tertiary), Reference Jolley, Greaves, Greaves and Greening2 whereas de Silva is describing a secondary tier outreach. The advantage of Gnosall, which has been demonstrated now over nearly 9 years, is that continuity of support and integration of care are facilitated and sustained. Reference Greaves, Greaves, Walker, Greening, Benbow and Jolley3,Reference Clark, Moreland, Greaves, Greaves and Jolley4 Great stuff though: people are catching on!

References

1 De Silva, P. What about effectiveness? [eLetter] BJPsych Bull 2015; 11 February.Google Scholar
2 Jolley, D, Greaves, I, Greaves, N, Greening, L. Three tiers for a comprehensive regional memory service. J Dementia Care 2010; 18: 26–9.Google Scholar
3 Greaves, I, Greaves, N, Walker, E, Greening, L, Benbow, S, Jolley, D. Gnosall primary care memory clinic: eldercare facilitator role description and development. Dementia 2013; 12: doi: 10.1177/1471301213497737.Google Scholar
4 Clark, M, Moreland, N, Greaves, I, Greaves, N, Jolley, D. Putting personalisation and integration into practice in primary care. J Integrated Care 2013; 21: 105–20.CrossRefGoogle Scholar
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