🧠 Simple Contract Dementia 2025/26

💷 How much is this worth to me?

This template supports achievement of the DEM004 QOF indicator:

• DEM004 – A face-to-face annual review of the dementia care plan

Accurate coding of the care plan review and valid exception reporting helps:

• Maximise QOF income

• Meet national dementia care standards

• Ensure carers and patients receive structured, person-centred support

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📊 High-level overview of the specification requirements

DEM004: Dementia Care Plan Review

Patients with dementia must have a face-to-face review of their care plan each year. The review must include:

• A comprehensive physical, mental health, and social care review

• Discussion of the patient’s future wishes

• Coordination with secondary care (if applicable)

• Carer identification and their support needs

If this is not completed, valid exception codes must be used (e.g. declined, not clinically appropriate).

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📌 What do you need to know?

This template includes all required elements to support QOF delivery:

📝 Care Plan Summary

• Free-text box to summarise the discussion and plan content

• Code the dementia care plan review completion

❌ Exception Reporting

Options to code:

• Patient unsuitable for review

• Patient declined dementia indicators

• Care plan declined

These will exclude the patient from DEM004 for the year.

📬 Patient Invitations

• Use the Invitation section to record two or more invites spaced at least 7 days apart

• This supports PCA coding for informed dissent if the review is not completed

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💡 Hints and Tips

• You must record both the review and the care plan code for DEM004 to count

• Where possible, align dementia reviews with other long-term condition reviews to streamline workload

• Don’t forget to consider and document carer needs and offer referrals if needed

• Exception codes should be used only when the review is not clinically appropriate or declined

• Invitations must be 2 or more, spaced 7+ days apart, to validate an exception for non-attendance