Its not quite as simple as that Mike! NHS England want GP practices to offer more GP appointments specifically for identifying Dementia, the patient is routinely asked at a practice nurse appointment some simple questions, if there is a concern at this point the patient is then made a double GP appointment where the GP has to work through a complex template answering lots of questions, the results are analysed and a decision is then made on whether or not the patient has or maybe has initial signs of Dementia. There is also a lot of admin background work done ie computerised reporting back to NHS England, to do this practices have to invest in staff and resources to make this happen, this costs a lot of money and to be honest £55 will not cover it and it certainly isnt extra money going into a GPs pocket! Locum GPs charge about £100 per hour so work out the cost of 2 GP appointments (20 minutes) = £33 plus a 15 minute practice nurse appointment = £8 plus admin time and recources??? Thi