Our performance

The Memory Assessment Service is a high performing, integrated NHS service grounded in the patient’s perspective.

Illustration of a person speaking

The CQC rates us ‘Outstanding’

The Care Quality Commission gave us an ‘Outstanding’ rating in 2019. The commission commended the Memory Assessment Service for putting patients at the heart of what we do, noting that the way we consult with patients, their carers and our frontline staff gives us the capability to organise the service to respond in the best way to people’s needs.

We are MSNAP accredited

MSNAP stands for Memory Service National Accreditation Programme. It is a national quality improvement network delivered by the Royal College of Psychiatrists and is CQC approved.

We have been accredited with MSNAP since 2013 and at our most recent Peer Review in 2019, achieved compliance at Level 3 (the highest quality standard possible) and received a Letter of Commendation from the MSNAP Board for compliance of 90% or above on the MSNAP standards. In addition to these achievements we also received MSNAP’s Sustainability Award for our proactive work with patients, carers and the wider system.

What makes this service different?

A video introduction from Jason Wilcox, our Head of Service.

(Video transcript.)

High performance against Local Quality Requirement (LQR) metrics

The Dementia Diagnosis Rate (DDR) and patient journey times are important key performance indicators for our service.

We are held accountable by our commissioners for the number of people with dementia to whom we offer support and the speed in which we are able to help people get a diagnosis of their memory problems.

Dementia Diagnosis Rate


In Brighton and Hove only around 30% of the population expected to have dementia, had a formal diagnosis compared to the national target of 66.7%


Our Dementia Diagnosis Rate was at the target of 66% or slightly higher.


Pre-pandemic, our Dementia Diagnosis Rate was more than 70.9% and climbing, going against a national trend of falling rates.


Service delivered significant strides in DDR Restoration work post Covid, with DDR compliance of 65.7%, a 3.3% in year increase compared to the national average increase of 0.3%


March 2023 – Restoration of DDR compliance to national target achieved with DDR reported at 66.8%

Patient journey times


Patient journey times from referral to diagnosis were between 1 and 2 years in 2013 against a national target of 10 weeks.


Patient journey time in 2017 was 10 weeks.


Referral to diagnosis patient journey average was recorded as 6.73 weeks.


March 2022 – Referral to Diagnosis recorded at 19 weeks.


March 2023 – Referral to Diagnosis recorded at 20 weeks. We still have work to do to get back to pre Covid norms.

Supporting quality of life

We also hold ourselves accountable to our service commitment to support people with memory problems in Brighton and Hove so they can lead an active and fulfilling life.

We measure our performance with a Local Quality Requirement metric that looks at people’s quality of life. We use the QOL-AD framework for this (which we call our How Are You? questionnaire). We are proud that 75% of people who use our service tell us that they are maintaining or even improving their quality of life after being referred to us.


Our difference

The way we deliver our service is different to many other NHS memory services. We redesigned our service in 2017, with a ‘systems thinking’ approach. This put patients and their loved ones at the heart of our view and drew on the knowledge of people working in the service and commissioners to establish what matters most about the difference we can make.

We believe this approach underpins the outstanding level of care that the CQC recognises in its rating of our service, our consistently high levels of delivery against LQR performance indicators, and, most importantly, the way people who use our service tell us that we’re helping them maintain or improve their quality of life.

How the multidisciplinary team works

Our clinical leaders,  Dr. Rachel Duncan, Kristina Antonova and Victoria Lukats explain the way the multidisciplinary team works to deliver personalised, oustanding care and support.

(Video transcript.)

A good service redesigned to be outstanding

Brighton and Hove Memory Assessment Service has always offered good standards of care and support for people with memory problems in the city. The service began in 2013 by offering a service that helped people to understand whether or not their memory problems were dementia through assessment and then to offer support after diagnosis in a community setting.

In 2017 we undertook a “systems thinking” approach to redesign our memory assessment service. This put patients and their loved ones at the heart of our view and also drew on the knowledge of people working in the service and commissioners to ask what was important.


Lifelong support from referral regardless of diagnosis

We offer people support from the moment they first come into contact with us – whether they have a diagnosis or not. If you are a person with memory problems and you are referred to our service, you can expect:

  • Support from an individual Memory Support Worker who travels with you through your journey
  • Clear guidance to understand what the service has to offer you
  • Clinical help and practical support
  • Care planning support and help to understand what happens next on your journey
  • Support to navigate and access the wider network of help and resources available to you
  • Lifelong support from the service for as long as you need it

Meet the team

Find out more about our multidisciplinary team providing clinical care and practical support.

Our team