Impact on patient anxiety and quality of life of a training package for evaluation of dementia symptoms in primary care using test bundles - the Ensemble feasibility study
This study, called 'Ensemble', is exploring new ways to diagnose dementia faster and more comfortably for people aged 75 and over. Waiting for a dementia diagnosis can be worrying, and current pathways are sometimes slow. This research looks at whether local GP surgeries can play a bigger role in diagnosing dementia, potentially reducing long waits for specialist clinics. The study will train healthcare assistants (HCAs) to perform specific tests that help GPs make a diagnosis. If successful, this approach could mean diagnoses happen sooner, closer to home, and with less stress for patients and their families. It's for people with memory problems for at least six months who haven't previously been diagnosed with dementia.
At a glance
What is this study about?
This research study, called the 'Ensemble feasibility study', wants to make the process of getting a dementia diagnosis easier and quicker for older people. At the moment, many people with memory problems have to wait a long time to see specialists in memory clinics, which can be very stressful. This study aims to see if local GP surgeries can help speed things up.
The main idea is to train healthcare assistants (HCAs) – who are trusted members of your GP practice team – to carry out a set of special memory tests. These tests are designed to help your GP make a more accurate and timely diagnosis. The study hopes that by doing these assessments at your local surgery, it will be less daunting than visiting unfamiliar clinics, and you might get a diagnosis sooner.
Ultimately, the goal is to improve how dementia is diagnosed, ensuring people can access the right support, treatments, and care planning as early as possible. This study is a trial to see if this new approach works well and could be used more widely in the future across the UK.
Key takeaways
- New study aims to improve and speed up dementia diagnosis.
- Focuses on using trained Healthcare Assistants in local GP surgeries.
- For people aged 75+ with memory concerns, but no dementia diagnosis yet.
- Could make diagnosis less stressful and closer to home.
- No known risks; participation is voluntary and you can withdraw anytime.
- Study is run by the University of Bristol and funded by the National Institute for Health Research.
Who may be eligible?
This study is looking for volunteers aged 75 or older who have been experiencing memory or thinking problems for at least six months. It's important that you haven't already received a diagnosis of dementia.
To take part, you'll also need a trusted family member, friend, or carer who has known you for several years and is willing to help with some questionnaires about your memory and daily activities.
Unfortunately, you won't be able to join if you have certain other health conditions, like Parkinson's disease, a severe hearing or sight problem, or a learning disability. You also can't participate if you don't have someone who can act as your supporter for the study.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you 75 years old or older?
- Have you been having memory or thinking problems for at least 6 months?
- Have you NOT been diagnosed with dementia before?
- Do you have a trusted family member, friend, or carer who knows you well and would be willing to answer some questions?
- Do you NOT have a severe sight or hearing problem, a learning disability, or another neurological condition like Parkinson's disease?
What does participation involve?
If you decide to take part, the study involves your local GP practice. Healthcare assistants (HCAs) at the practice will receive special training to help assess people with memory concerns. Your GP will decide if you're a good fit for these assessments and will choose the right set of tests for you.
These tests, carried out by the HCA, will include looking at your memory and thinking skills, and asking your supporter questions about your daily life. The results from these tests will then help your GP in making a diagnosis. There are no medications involved in this study, and the exact number of appointments will depend on the tests chosen, but they will all take place at your GP surgery. The study plans to run from December 2025 to September 2026, and your involvement would be within this timeframe.
Potential risks and benefits
Locations (2)
- Pier Health PcnCity onlyWeston-super-mare, England
- Pioneer Medical GroupCity onlyBristol, England
Common questions
What is a 'Healthcare Assistant (HCA)'?
A Healthcare Assistant (HCA) is a member of the NHS practice team who supports doctors and nurses with patient care, often taking blood pressure or helping with appointments.
What does 'cognitive symptoms' mean?
'Cognitive symptoms' means you're noticing changes in your memory, thinking, or problem-solving abilities.
What are 'cognitive test bundles'?
These are a set of special memory or thinking tests designed to give a more complete picture of your cognitive abilities.
Why do I need a 'supporter'?
Having a supporter (like a family member or friend) helps the doctors get more information about your memory changes and how they affect your daily life, as they know you well.
Where exactly is the study taking place?
The study is being run from the University of Bristol, but your participation would be at your local GP practice, if they are involved in the study.
How to find out more
Sam Creavin
Always speak to your GP or specialist before deciding to take part in a study.
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