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Dementia (Richmond)

Richmond Community Dementia Clinical Specialist Service

Our Richmond community dementia clinical specialist service helps to promote independence at home and improve the service and quality of care for patients living with dementia and their carers.

The Richmond community dementia clinical specialist service aims to improve communication and coordination of care by liaising with other services such as GPs, social services and other voluntary and statutory services.


Who is the service aimed at?

  • Patients registered with a Richmond GP

  • Carers of patients registered with a Richmond GP

  • Those receiving care from other HRCH services

What we offer?

  • Home visits to assess and discuss your needs

  • Dementia screening and referral to GP or memory clinic

  • Recommendation and referral to local support services within the statutory and voluntary sectors

  • Attendance at meetings with other professionals as your patient / carer advocate to ensure your views are respected

  • Liaisons with other staff to ensure you receive care for your dementia as well as your physical needs

  • Advice on developing a support plan to prevent hospital admission or a crisis emerging, developing our workforce by providing awareness and more in-depth training to our health care professionals and our support staff and promoting positive dementia care

  • Help and support for patients and carers to make future plans


The clinical dementia specialists are for Richmond GP registered patients only. We will be adding information about the care pathway for Hounslow soon.

Contact Richmond community clinical dementia specialist service

Please ask for:

Nina Jalota and Teresa Keegal

Community dementia clinical specialists
Teddington Health and Social Care Centre
18 Queens Road, Teddington TW11 0LR

Tel: 020 8614 5429/5430
Fax: 020 8630 3639

Dementia - positive dementia care logo

Meet the team

Teresa Keegal - Richmond Clinical Community Dementia Specialist

Teresa has worked within community health services for over 30 years. This has included working in a rehabilitation team supporting early discharge home from hospital and as a District Nurse Team Leader within the Hounslow area of Hounslow & Richmond Community Healthcare NHS Trust. During this time she led several innovations including setting up leg ulcer clinics with protocols for care and introducing electronic record keeping and standardised careplans to enable consistency of care across the Trust. This work often bought Teresa in to contact with patients living with dementia as well as personal family experience of the disease.

Having spent the last 5 years managing the District Nursing teams Teresa has now returned to a clinical role to set up this innovative new service. The service aims to support the general health teams within the community caring for patients and their carers ensuring that they receive care for their dementia alongside any co-morbidities.

Nina Jalota - Richmond Clinical Community Dementia Specialist

Nina is an experienced Occupational Therapist who has worked in both physical and mental health NHS services.  Nina has extensive skills in complex caseload management ranging across acute A & E, rehabilitation and community, alongside specialised training and teaching in dementia care. She is a passionate practitioner dedicated to improving patient care and quality of life. Like Teresa, Nina works holistically, taking into account each individual’s needs and working with and alongside unpaid or family carers as well as other health and care professionals. She is committed to teaching others about dementia and creating effective, as well as compassionate care and support for people living with dementia.

Nina and Teresa work as a team, benefiting from each other’s skills and experience so that the best possible solutions are offered to people living with dementia, their carers and the other professionals involved in each person’s dementia care. They are also core members of the HRCH Dementia Training Team which has been offering dementia training and education to staff and partners since 2012.

Gail Goddard - Dementia Trainer

As well as being one of our founding Dementia Trainers with a special interest in dementia, Gail has been District Nursing Team Leader in Whitton for about 20 years. Gail is also a Specialist Practice Teacher and has trained many of our District Nurses and Team Leaders. Gail’s is also a Queens Nursing Institute Carers Champion.

Tom Penman - Urgent Care & Rehabilitation Divisional Manager and Operational Lead for Dementia

Tom has 30 years' experience of working in the NHS and voluntary sector as a clinician, trainer and manager. He currently oversees the delivery of urgent care & rehab services in Richmond, and is the HRCH lead for dementia developments across the Trust.

Siobhan Gregory - Director of Quality, Clinical Excellence and Operations and Director Lead for Dementia

With over 23 years NHS experience, 15 of which have been in the community, Siobhan was previously director of governance and clinical practice with Ealing and Harrow community services. As a registered nurse specialising in haematology, infectious diseases and HIV/AIDS, Siobhan has extensive experience in change management, leadership initiatives, clinical governance and service redesign. As a member of the clinical leadership group with Healthcare for London and now as a member of the clinical senate for NHS London, Siobhan continues to support the development of moving care closer to home.  In May 2012, Siobhan was appointed Visiting Professor at Buckinghamshire New University.

Siobhan is passionate about dementia care and has visited and presented at a number of national and international conferences on our behalf, both talking about our approach and plans and learning those of others.


All of our team volunteer with Alzheimer's as dementia champions.

Richmond Community Dementia Clinical Specialist Service referral information:

Referrals can be made via your GP surgery.

Click here for dementia service referral criteria (opens pdf).


Opening times:

Dementia service operates Monday – Friday 8am – 6pm, excluding bank holidays


Referral information for people living with dementia

Supporting Carers of People with Living Dementia

  • It is now widely recognised and acknowledged that Carers are experts and possess an in-depth knowledge about the person they care for.

  • Families and other unpaid carers in fact, provide the majority of support provided to people with dementia.

  • We therefore, consider Carers as ‘essential’ and ‘key’ partners in the provision and delivery of health and social care services.

  • If you are working with someone who’s carer appears to be in need of support, we encourage you to make contact with the local borough leads for Carers listed below.
  • It can be extremely challenging for all of us to navigate the local care and support systems, which often feel complicated.  However, the Carers Centre in Richmond and Hounslow Community Partnership are a good first port of call.
  • They will arrange to meet with you at their offices or in your home at whatever stage you are at in your caring journey to find support services to meet your needs.
  • If the person you are concerned about requires a formal carers assessment the best place to start is the local social care team.


Local Support for Carers

Richmond Carers Centre
Richmond Carers Centre is a local charity that provides support to carers and young carers. They offer free and confidential advice, information and support to unpaid carers living or caring for someone living in the London Borough of Richmond upon Thames.

Tel: 020 8867 2380


Hounslow Community Partnership
Hounslow Community Partnership is a collaboration of charities led by INS. We support people living in Hounslow Borough, we offer information, advice, support and training to adults who are either an unpaid carer or have a long-term health condition.
Working together to help you and your carer maintain an independent lifestyle in your own home

Tel: 020 3693 4003

Useful links 



London Borough of Richmond

Richmond Council's website dementia page provides information on local services and resources: https://www.richmond.gov.uk/dementia

The Richmond Community Independent Living Services (CILS) offers a wide range of services designed to maximise independence: https://www.richmond.gov.uk/cils

Richmond Alzheimer’s Society offers services to people living with any form of dementia and their carers.  Dementia Advisers offer home visits, one to one support and carers support groups and cafes, social events, activities and training.

Contact for their programme of activities on 020 8877 0033 or swlondon@alzheimers.org.uk




London Borough of Hounslow

Hounslow Council provides some advice about who to contact if you are concerned about dementia: http://www.hounslow.gov.uk/index/health_and_social_care/adultsocialcare/older_people/dementia.htm 

Hounslow and Ealing Alzheimer’s Society offers services to people living with any form of dementia and their carers.  Dementia Advisers offer home visits, one to one support and carers support groups.  They also offer short respite breaks. Contact for their programme of activities, including singing for the brain, on: 020 8580 1057 or hounslow@alzheimers.org.uk



We would like to invite you to like our Facebook page and join the group so you can help provide a network of support and share your stories with those with similar experiences:


We also have a useful leaflet and map that you can print out and fold: