The (excellent) specialist dementia doc has just told us that my OH's Alzheimer's is now at severe - after only 18 months at moderate (and diagnosis in 2013). More of a shock though was that from now on there will be no annual review with the dementia doc or the nurse because basically nothing can be done; contact will now be with our local GP surgery who seem to know very little about the problem or how to help. Is this everywhere or just my area?