Ah thanks everyone. I know that my Dad was referred by the GP and it was a nurse from Elderly Psychiatry who came out and did the memory assessment, but I'm not sure what the assessment comprised.
I recently spoke to a GP (the on call GP-no idea who her named GP is) and gave her a lot of information regarding tasks that Mum was struggling with, examples of short term memory loss and other changes , mostly over the last few months (although she's had some short term memory problems for 5 yrs or more. I also mentioned that she seems very tired and lacking in energy and expressed concerns about the possibility of an infection. They're aware that about 6 months ago she agreed with me to have an assessment, but then told GP she didn't need them.
A different GP visited on Friday. Told her that family had concerns about her memory, at which my Mum turned to me and said "Oh, we're back to this then are we Susan?", but then went on to admit that she felt she'd been forgetting more things recently and that she'd had trouble writing a simple message in Christmas cards etc.
He only administered a 7 point memory test which I wasn't familiar with but discovered it's called 6CIT.
She stumbled a few times in the middle some of the questions and couldn't remember 3 parts of the name and address, so her score was normal and she won't be referred.
I'm not sure if Elderly Psychiatry say the test has to be abnormal before they'll accept a referral, but the NICE Clinical guidelines stress the importance of information provided by the person and family members and in addition clearly states
- Do not rule out dementia solely because the person has a normal score on a cognitive instrument.
- Suspect dementia if any of the following are reported by the person and/or their family/carer:
- Cognitive impairment, including:
- Memory loss — the person may defer to family when answering questions, have difficulty learning new information or remembering recent events or people's names, be vague with dates, and/or miss appointments.
- Problems with reasoning and communication.
- Difficulty in making decisions.
- Dysphasia.
- Difficulty in carrying out coordinated movements, such as dressing.
- Disorientation and unawareness of the time and place.
- Impairment of executive function, such as difficulties with planning, judgement, loss of initiative, and problem-solving.
I can't believe that they've discounted all the information which is pertinent to how she's coping at home with ADL's and shopping, cooking , doing laundry and interacting with other people, but not sure if I should go back to the GP or try and speak to one of the nurses in Elderly Psychiatry to find out what their threshold for referral is first.