Dementia and Frailty Services at Foundry

Supporting all those affected by Dementia and Frailty

At Foundry, we support people living with dementia and frailty. Our team works together to help patients, families, and carers with kindness and care.

We are here to offer guidance from the first signs of concern through to long-term support.

What is Dementia?

Dementia is a condition that affects memory, thinking, and behaviour. It can make daily tasks harder and cause confusion.

At Foundry, we help people from the moment they notice memory problems. We support them through diagnosis and ongoing care, helping them and their families along the way.

What is Frailty?

Frailty happens when a person’s body and mind become weaker as they get older. This can make them more likely to get sick or injured. We help people stay as healthy, active, and independent as possible.

What to do if you have Symptoms?

If you are worried about dementia or frailty, it is important to get help as soon as you can.

Early support can make a big difference. Don’t wait—get in touch today!

Common signs of dementia:

• Forgetting recent events or conversations
• Struggling to find the right words
• Feeling confused in familiar places
• Finding it harder to manage daily tasks
• Changes in mood or behaviour

Common signs of frailty:

• Feeling weaker or more tired than usual
• Losing weight without trying
• Finding it harder to walk or move around
• Falling or losing balance more often
• Feeling unsteady or dizzy

If you, or your loved one, have these symptoms, contact us!

Submit a request via Anima, call 01273 480888, or speak to a member of our Reception Team.

Your Journey with Us:

Managing Dementia and Frailty Together

Support for People Living with Dementia

We help people from the moment they have concerns about memory loss.

If they are diagnosed with dementia, they become part of our Golden Ticket Programme, which provides long-term care and support.

Each patient is offered a review after diagnosis, then a yearly dementia review to check their health and update their care plan.

Patients can bring a family member or carer to their review.

Dementia Reviews

During a dementia review, the practice nurse will:

• Ask about changes in memory, behaviour, or health.
• Talk about ways to stay active and independent.
• Offer support and advice.
• Refer patients to physiotherapy or other services if needed.
• Discuss medicines that may help.

We also share information on local and national organisations that can help.

Support for Frailty Patients

We offer a health check to understand each person’s needs.

We create a personal care plan, which may include:

• Medical care
• Help at home
• Links to community support

Support for Carers

Caring for someone with frailty or dementia can be challenging and lonely.

We support carers by:

• Giving practical advice
• Connecting them to carer support services
• Being a point of contact for questions and concerns

We understand the challenges carers face. We are here to listen and help.

Meet our Frailty and Dementia Team

Our team includes:

Specialist GP – A doctor who understands frailty and dementia. They help patients get the care they need.
Practice Nurse – Provides medical care, advice, and support for managing frailty or dementia.
Care Coordinators – A contact point for patients, families, and carers. They help with planning care and making sure services are working together.
Social Prescriber – They help to connect patients and carers with support services. Such as community activities and social groups.
Frailty Paramedic – They provide urgent care and support for frail patients.
Community Frailty Nurse – Assesses and supports frail patients. They work closely with the wider team to manage care.
Admiral Nurse – A specialist dementia nurse, Dementia UK. They provide expert advice, emotional support, and practical help for families and carers.

Help and Support for People with Dementia and Frailty

We work with local groups to support people with dementia and frailty, as well as their families and carers.

Lewes Dementia Peer Support Group

A friendly group where people with dementia can meet others, share experiences, and get support.

Group details:

When: Every 2nd  Tuesday of each Month / 10:30am to 12:30pm
Where: Church End, 1 Cockshut Road, Lewes (beside Southover Church)

Facilitated by Foundry and Lewes District Dementia Action Alliance.

Lewes Carers Support Group

A safe space for carers to talk, share advice, and find support.

Group details:

When: Every Last Friday of each Month / 10:30am to 12:30pm
Where: The Phoenix Centre, Malling Street, Lewes, BN7 2RD

Facilitated by Foundry and Lewes District Dementia Action Alliance.

Admiral Nurse Clinic

Book an appointment with a specialist nurse from Dementia UK. They offer advice and support to families and carers of people with dementia.

Clinic details:

When: Every 4th Wednesday of each Month / Various times
Where: Foundry: School Hill, 33 High Street, Lewes, East Sussex, BN7 2LU

Learn more here: Foundry Healthcare Lewes Admiral Nurse Clinic.

Lewes Wellbeing Portal

Lewes Wellbeing Portal* (coming soon) is a new website created by Foundry. Once finalised this will be a hub that lists an array of local activities, groups, and support services for people in Lewes and nearby areas.

Our Social Prescribing team will keep the site fresh and up-to-date, making it easier than ever to find the support you need!

*Note: The Lewes Wellbeing Portal will list services from other organisations, not run by Foundry. We are simply bringing them together in one place to help you find the right support. Foundry does not endorse these services and does not receive payment or gifts from the organisations listed.

Crisis Support for Patients and Carers

If you or someone you care for is in urgent need of support, help is available.

During Normal Working Hours

(8.30 am – 4.30 pm, Monday to Friday)

Health and Social Care Connect (HSCC) – Call 0345 60 80 191 to speak to a team who can arrange urgent care. Patients, families, and carers can call directly or we can refer on your behalf.
Adult Social Care (ASC) Duty Team – Call 01273 482777 to speak to social workers. If the patient already has a social worker, this is the best number to use.
ASC Mental Health Team – Call 01273 337220 or 01273 337090. These lines may not always be answered, and messages cannot be left.

A social worker will try to assess urgent cases on the same day, but this can take at least 24 hours. In the meantime, family or friends may need to provide extra support.

Out of Hours

(4.30 pm – 8 am, Weekends & Bank Holidays)

Emergency Duty Service (EDS) – Call 0300 330 9475 for urgent social care support.

• From 4.30 pm – 8 pm, this number goes through to the HSCC team before switching to the overnight duty social worker.

This service may be able to act more quickly as they don’t need to complete paperwork first.

Emergency Care for Self-Funding Patients

If a patient pays for their own care and needs urgent respite or care at home, the following services can help:

Careseekers Charity
T.  01483 203636
E. customerservices@careseekers.co.uk
W. www.careseekers.co.uk

Social Services Care Directory – Available at our surgery for guidance on care options.

Carers – Be Prepared with a CRESS Card

All carers are encouraged to complete a CRESS (Carer’s Respite Emergency Support Scheme) report.

This plan explains who will care for your loved one if you become unwell or unable to provide care.

CRESS reports are completed by Care for the Carers.

• Speak to our team for more information.

Hearing and Brain Health

Hearing health plays a key role in brain function and dementia prevention. A simple hearing check can help you take early action. Try the RNID’s Free, Online Test today.

For non-urgent support, contact our Frailty and Dementia Care Team

call: 07429 345490, or email: sxicb-esx.foundrydementiafrailty@nhs.net

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