Please find below updates to this pathway -
(a) GPs encouraged to diagnose and treat dementia in primary care with support from the Community Mental Health Team, and
(b) When ordering a scan be sure to specify “Coronal CT-scan of the head” (Please see the CT page for available services and referral information)
Please click the relevant flowchart box to be taken directly to textual information.
Please see the Urgent Care: general section to SWAST's guidance on Requesting Ambulance Transport (999 or Urgent).
Suspect dementia if you become aware from the patient or from their family or carer(s) of any of the following:
Excluding physical problems should precede excluding psychological followed by progression to a cognitive state assessment, leading to neuro-imaging and final diagnosis.
Please follow resource link below to 'Dementia diagnosis: choice of diagnostic pathways: 3 Tiers.'
GPs are encouraged to make the final diagnosis of dementia, with multiprofessional support if needed, but this is often not required.
Any decisions made should always be based on the best interests of the patient and GPs should ask the patient whether they think it is Dementia?
Who to Refer for Diagnosis and Initial Management
After initial workup, please refer the following to the Memory Assessment Service: ( For referral form see services and referrals section)
Please ensure that any referral includes a detailed history, together with all relevant investigation and neuroimaging results. In the case of neuroimaging, please also indicate where the scan was performed.
A multi- professional group within Gloucestershire (2015) considered that for patients with severe memory loss, a referral to the Memory Assessment Service offers no added value to the patient and may actually cause additional distress. However, a decision to diagnose and manage within primary care should be based on the best interests of the patient, and discussed with the patient and carers.
(Does not cover rapid tranquillisation of acutely disturbed)
Please follow the resource link below to local dementia guidelines developed with 2gether Foundation Trust around managing agitation in dementia. This includes information on the following;
Please follow the resource link below to the Services and Referrals section for further information, links and referral forms.