{"id":"https://openalex.org/W7212372648","doi":"https://doi.org/10.64898/2026.09.11.26362825","title":"A National Survey Exploring Dementia Diagnostics and Care Provisions in Primary Care in England","display_name":"A National Survey Exploring Dementia Diagnostics and Care Provisions in Primary Care in England","publication_year":2026,"publication_date":"2026-09-12","ids":{"openalex":"https://openalex.org/W7212372648","doi":"https://doi.org/10.64898/2026.09.11.26362825"},"language":"en","primary_location":{"id":"doi:10.64898/2026.09.11.26362825","doi":"https://doi.org/10.64898/2026.09.11.26362825","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.09.11.26362825","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/09/12/2026.09.11.26362825.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.medrxiv.org/content/medrxiv/early/2026/09/12/2026.09.11.26362825.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5151513033","display_name":"Ayoni Darby","orcid":"https://orcid.org/0009-0001-9467-8677","observed_orcids":["https://orcid.org/0009-0001-9467-8677"]},"institutions":[{"id":"https://openalex.org/I166337079","display_name":"Queen Mary University of London","ror":"https://ror.org/026zzn846","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I166337079"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Ayoni Darby","raw_affiliation_strings":["Queen Mary University of London;"],"raw_orcid":"https://orcid.org/0009-0001-9467-8677","affiliations":[{"raw_affiliation_string":"Queen Mary University of London;","institution_ids":["https://openalex.org/I166337079"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111357666","display_name":"Jasmine Shaw","orcid":"https://orcid.org/0009-0007-0320-4120","observed_orcids":["https://orcid.org/0009-0007-0320-4120"]},"institutions":[{"id":"https://openalex.org/I166337079","display_name":"Queen Mary University of London","ror":"https://ror.org/026zzn846","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I166337079"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Jasmine Shaw","raw_affiliation_strings":["Queen Mary University of London;"],"raw_orcid":"https://orcid.org/0009-0007-0320-4120","affiliations":[{"raw_affiliation_string":"Queen Mary University of London;","institution_ids":["https://openalex.org/I166337079"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002983308","display_name":"Claudia Cooper","orcid":"https://orcid.org/0000-0002-2777-7616","observed_orcids":["https://orcid.org/0000-0002-2777-7616","https://orcid.org/0000-0003-0864-5607"]},"institutions":[{"id":"https://openalex.org/I166337079","display_name":"Queen Mary University of London","ror":"https://ror.org/026zzn846","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I166337079"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Claudia Cooper","raw_affiliation_strings":["Queen Mary University of London;"],"raw_orcid":"https://orcid.org/0000-0002-2777-7616","affiliations":[{"raw_affiliation_string":"Queen Mary University of London;","institution_ids":["https://openalex.org/I166337079"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012976702","display_name":"Natalia Chemas","orcid":"https://orcid.org/0000-0002-6326-8376","observed_orcids":["https://orcid.org/0000-0002-6326-8376"]},"institutions":[{"id":"https://openalex.org/I166337079","display_name":"Queen Mary University of London","ror":"https://ror.org/026zzn846","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I166337079"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Natalia Chemas","raw_affiliation_strings":["Queen Mary University of London;"],"raw_orcid":"https://orcid.org/0000-0002-6326-8376","affiliations":[{"raw_affiliation_string":"Queen Mary University of London;","institution_ids":["https://openalex.org/I166337079"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081470647","display_name":"Charles R. Marshall","orcid":"https://orcid.org/0000-0002-8227-2354","observed_orcids":["https://orcid.org/0000-0002-8227-2354"]},"institutions":[{"id":"https://openalex.org/I166337079","display_name":"Queen Mary University of London","ror":"https://ror.org/026zzn846","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I166337079"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Charles R Marshall","raw_affiliation_strings":["Queen Mary University of London;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Queen Mary University of London;","institution_ids":["https://openalex.org/I166337079"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086247322","display_name":"Naaheed Mukadam","orcid":"https://orcid.org/0000-0001-8635-9521","observed_orcids":["https://orcid.org/0000-0001-8635-9521"]},"institutions":[{"id":"https://openalex.org/I45129253","display_name":"University College London","ror":"https://ror.org/02jx3x895","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I45129253"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Naaheed Mukadam","raw_affiliation_strings":["University College London;"],"raw_orcid":"https://orcid.org/0000-0001-8635-9521","affiliations":[{"raw_affiliation_string":"University College London;","institution_ids":["https://openalex.org/I45129253"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5151496323","display_name":"Kate Smith","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I166337079","display_name":"Queen Mary University of London","ror":"https://ror.org/026zzn846","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I166337079"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Kate Smith","raw_affiliation_strings":["Queen Mary University of London PPI;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Queen Mary University of London PPI;","institution_ids":["https://openalex.org/I166337079"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5151492944","display_name":"Rozeena Khan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I166337079","display_name":"Queen Mary University of London","ror":"https://ror.org/026zzn846","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I166337079"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Rozeena Khan","raw_affiliation_strings":["Queen Mary University of London PPI;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Queen Mary University of London PPI;","institution_ids":["https://openalex.org/I166337079"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034164760","display_name":"Sube Banerjee","orcid":"https://orcid.org/0000-0002-8083-7649","observed_orcids":["https://orcid.org/0000-0002-8083-7649"]},"institutions":[{"id":"https://openalex.org/I142263535","display_name":"University of Nottingham","ror":"https://ror.org/01ee9ar58","country_code":"GB","type":"education","lineage":["https://openalex.org/I142263535"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Sube Banerjee","raw_affiliation_strings":["University of Nottingham"],"raw_orcid":"https://orcid.org/0000-0002-8083-7649","affiliations":[{"raw_affiliation_string":"University of Nottingham","institution_ids":["https://openalex.org/I142263535"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5082705608","display_name":"Greta Rait","orcid":"https://orcid.org/0000-0002-7216-7294","observed_orcids":["https://orcid.org/0000-0002-7216-7294"]},"institutions":[{"id":"https://openalex.org/I45129253","display_name":"University College London","ror":"https://ror.org/02jx3x895","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I45129253"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Greta Rait","raw_affiliation_strings":["University College London;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University College London;","institution_ids":["https://openalex.org/I45129253"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5151513033"],"corresponding_institution_ids":["https://openalex.org/I166337079"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10009","display_name":"Dementia and Cognitive Impairment Research","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10009","display_name":"Dementia and Cognitive Impairment Research","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/dementia-diagnosis","display_name":"dementia diagnosis","score":0.9869999885559082},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.8009999990463257},{"id":"https://openalex.org/keywords/general-practitioners","display_name":"general practitioners","score":0.9670000076293945},{"id":"https://openalex.org/keywords/disease-modifying-therapy","display_name":"disease-modifying therapy","score":0.8650000095367432},{"id":"https://openalex.org/keywords/cognitive-assessment","display_name":"cognitive assessment","score":0.8629999756813049},{"id":"https://openalex.org/keywords/brain-scans","display_name":"brain scans","score":0.7129999995231628},{"id":"https://openalex.org/keywords/dementia-care-planning","display_name":"dementia care planning","score":0.6990000009536743},{"id":"https://openalex.org/keywords/community-based-care","display_name":"community-based care","score":0.6000000238418579},{"id":"https://openalex.org/keywords/integrated-care","display_name":"integrated care","score":0.5139999985694885}],"concepts":[{"id":"https://openalex.org/C2779483572","wikidata":"https://www.wikidata.org/wiki/Q83030","display_name":"Dementia","level":3,"score":0.8769000172615051},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6363999843597412},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.5989999771118164},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.45719999074935913},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4260999858379364},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.39250001311302185},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.38920000195503235},{"id":"https://openalex.org/C2985357376","wikidata":"https://www.wikidata.org/wiki/Q437458","display_name":"Aged care","level":2,"score":0.34049999713897705},{"id":"https://openalex.org/C2984915365","wikidata":"https://www.wikidata.org/wiki/Q5141203","display_name":"Cognitive impairment","level":3,"score":0.3391999900341034},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3357999920845032},{"id":"https://openalex.org/C2781318095","wikidata":"https://www.wikidata.org/wiki/Q33127638","display_name":"General practice","level":2,"score":0.33250001072883606},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.3287000060081482},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3100000023841858},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.3070000112056732},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.29789999127388},{"id":"https://openalex.org/C2777082830","wikidata":"https://www.wikidata.org/wiki/Q1120613","display_name":"Care in the Community","level":3,"score":0.29109999537467957},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2896000146865845},{"id":"https://openalex.org/C2994130222","wikidata":"https://www.wikidata.org/wiki/Q205398","display_name":"Social care","level":2,"score":0.2671000063419342},{"id":"https://openalex.org/C54183767","wikidata":"https://www.wikidata.org/wiki/Q10384","display_name":"Geriatrics","level":2,"score":0.2635999917984009},{"id":"https://openalex.org/C2779541514","wikidata":"https://www.wikidata.org/wiki/Q1477478","display_name":"Integrated care","level":3,"score":0.26339998841285706},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2621999979019165},{"id":"https://openalex.org/C2776505523","wikidata":"https://www.wikidata.org/wiki/Q4785468","display_name":"Plan (archaeology)","level":2,"score":0.260699987411499},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.260699987411499},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.2574999928474426},{"id":"https://openalex.org/C2777267654","wikidata":"https://www.wikidata.org/wiki/Q3519023","display_name":"Test (biology)","level":2,"score":0.25519999861717224}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.64898/2026.09.11.26362825","doi":"https://doi.org/10.64898/2026.09.11.26362825","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.09.11.26362825","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/09/12/2026.09.11.26362825.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.64898/2026.09.11.26362825","doi":"https://doi.org/10.64898/2026.09.11.26362825","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.09.11.26362825","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/09/12/2026.09.11.26362825.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9922999739646912,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[{"id":"https://openalex.org/G240484799","display_name":null,"funder_award_id":"NIHR206110","funder_id":"https://openalex.org/F4320319990","funder_display_name":"National Institute for Health and Care Research"}],"funders":[{"id":"https://openalex.org/F4320311061","display_name":"Queen Mary University of London","ror":"https://ror.org/026zzn846"},{"id":"https://openalex.org/F4320319990","display_name":"National Institute for Health and Care Research","ror":"https://ror.org/0187kwz08"},{"id":"https://openalex.org/F4320319994","display_name":"Department of Health and Social Care","ror":"https://ror.org/03sbpja79"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7212372648.pdf","grobid_xml":"https://content.openalex.org/works/W7212372648.grobid-xml"},"referenced_works_count":24,"referenced_works":["https://openalex.org/W1813451903","https://openalex.org/W1974542375","https://openalex.org/W2005808489","https://openalex.org/W2052226124","https://openalex.org/W2122268855","https://openalex.org/W2171150718","https://openalex.org/W2345267679","https://openalex.org/W2591074368","https://openalex.org/W3027664413","https://openalex.org/W3108106714","https://openalex.org/W4206955535","https://openalex.org/W4310461604","https://openalex.org/W4386120920","https://openalex.org/W4387067153","https://openalex.org/W4387114331","https://openalex.org/W4391169895","https://openalex.org/W4391545021","https://openalex.org/W4400609598","https://openalex.org/W4402286754","https://openalex.org/W4414491219","https://openalex.org/W4415388834","https://openalex.org/W4415617509","https://openalex.org/W4416573768","https://openalex.org/W7125702001"],"related_works":["https://openalex.org/W2289853372","https://openalex.org/W2526118021","https://openalex.org/W4386120920","https://openalex.org/W4390200614","https://openalex.org/W2169028521","https://openalex.org/W2200534145","https://openalex.org/W3119456658","https://openalex.org/W2560379336","https://openalex.org/W2155895249","https://openalex.org/W2155951368"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"The":[2],"10":[3],"Year":[4],"Health":[5],"Plan":[6],"for":[7,26,93,100,155,175,221],"England":[8],"indicates":[9],"governmental":[10],"intention":[11],"to":[12,17,132,140,246],"shift":[13],"care":[14,54,57,152,245],"from":[15,81],"hospital":[16],"community.":[18],"Disease":[19],"Modifying":[20],"Treatments":[21],"(DMTs)":[22],"and":[23,50,60,71,96,111,127,196,207,232,243],"biomarker":[24,194],"tests":[25,131,195],"dementia":[27,45,134,170,224],"will":[28],"likely":[29,187],"be":[30],"introduced,":[31],"with":[32,64,73,136,157],"potentially":[33],"significant":[34],"impacts":[35],"on":[36],"community":[37],"care,":[38],"particularly":[39],"general":[40,65],"practice.":[41],"Aim":[42],"To":[43],"explore":[44],"diagnosis,":[46,135],"post":[47],"diagnostic":[48,230],"support":[49,133],"expectations":[51],"around":[52],"future":[53],"in":[55,178,226],"primary":[56],"settings.":[58],"Design":[59],"Setting":[61],"Codesigned":[62],"survey":[63],"practitioners":[66],"(GPs),":[67],"policy":[68],"researchers,":[69],"carers":[70],"people":[72,156],"lived":[74],"experience.":[75],"One":[76],"GP":[77,248],"per":[78],"practice":[79],"invited":[80],"five":[82,181],"of":[83,219,237],"England\u2019s":[84],"Integrated":[85],"Care":[86],"Boards":[87],"(ICBs).":[88],"Methods":[89],"Inductive":[90],"content":[91],"analysis":[92],"qualitative":[94],"responses":[95],"non-weighted":[97],"means":[98],"calculated":[99],"quantitative":[101],"answers.":[102],"Findings":[103],"contextualised":[104],"using":[105],"national":[106],"data.":[107],"Results":[108],"Between":[109],"September":[110],"December":[112],"2025,":[113],"80/1094":[114],"(7.3%)":[115],"eligible":[116],"practices":[117],"participated":[118],"(80":[119],"GPs).":[120],"Most,":[121],"(79/80,":[122],"98.8%)":[123],"used":[124],"cognitive":[125],"assessments":[126],"100%":[128],"(80/80)":[129],"blood":[130,193],"27/70":[137],"(39.7%)":[138],"able":[139],"order":[141],"brain":[142],"scans":[143],"directly.":[144],"GPs":[145,183,214],"primarily":[146],"conducted":[147],"annual":[148],"physical,":[149],"mental":[150],"or":[151,171,201],"plan":[153],"reviews":[154],"known":[158],"dementia.":[159],"Respondents":[160],"considered":[161,184],"it":[162,185],"unlikely":[163],"(47/80,":[164],"58.8%)":[165],"they":[166,190],"would":[167],"formally":[168],"diagnose":[169],"assess":[172],"(50/80,":[173],"62.3%)":[174],"DMT":[176,199],"eligibility":[177],"the":[179,216,238],"next":[180],"years.":[182],"somewhat/most":[186],"(54/80,":[188],"67.5%)":[189],"could":[191],"offer":[192],"continue":[197],"established":[198],"prescribing":[200],"monitoring":[202],"(61/80,":[203],"76.3%).":[204],"Resource,":[205],"capacity":[206],"training":[208],"needs":[209],"were":[210],"perceived":[211],"barriers.":[212],"Conclusion":[213],"are":[215],"first":[217],"point":[218],"contact":[220],"accessing":[222],"a":[223,235],"diagnosis":[225],"England.":[227],"Accommodating":[228],"novel":[229],"tools":[231],"treatments":[233],"requires":[234],"reimagining":[236],"relationship":[239],"between":[240],"primary,":[241],"secondary":[242],"social":[244],"address":[247],"reported":[249],"constraints.":[250]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-09-13T00:00:00"}
