Please click the relevant flowchart box to be taken directly to textual information.
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.
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:
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.
Please see the Primary Care Guidance Sheet which includes contact information for;
(Does not cover rapid tranquillisation of acutely disturbed)
In the event of continuing problems, advice can be obtained from 2gether Mental Health Services. To access the referral form please follow this link the MH Referral form section of the site.
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;