Cognitive Impairment / Dementia
Referral criteria
The person concerned is wishing for an assessment for potential dementia and demonstrates their capacity to do so .
Completion of a routine cognitive blood screen. Referrals are accepted while someone is awaiting routine cognitive blood screen. FBC , U+E's , LFT, TFT, B12 , folate , lipids , CRP , Calcium, and HBA1C. There is an order set on ICE.
Completion of a recognised cognitive test used in primary care such as the 6CIT , GP cog, MMSE.
That unmanaged risks arising from potential reduced cognition are considered and assessed as low.
That alcohol use is no more than the government guidelines for "safe " alcohol use of 14 units /week . If the person has been historically dependent upon alcohol /significant prolonged use of alcohol a period 6 months of alcohol use at "safe " levels prior to a cognitive assessment is asked for .
Under 55 years with cognitive decline/memory issues = refer neurology
Over 55 years with cognitive decline/memory issues = refer Memory Assessment service
If there is any uncertainty, atypical or additional features then please discuss with the relevant speciality via advice and guidance.
Cognitive Impairment/ Dementia contacts:
Alzheimer’s Society Helpline including a Telephone Befriending Service: Tel: 01872 277963
Age UK Helpline (providing information on memory cafes and other services and opportunities): 01872 266388
Cornwall Partnership NHS Foundation Trust’s Memory assessment Clinic. Ring Bodmin switchboard: 01208 251300
Review Date 14/01/2025
Next Review Date 14/01/2027
Author Dr Andrew Sharp
Contributor Dr Brendan McLean Consultant Neurology RCHT
Version No. 2.0