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To MSNAP or not to MSNAP? Testing a small regional memory clinic against the UK Memory Service National Accreditation Program (MSNAP)

  • E. B. Sweeney (a1), J. E. Foley (a2), S. Fitzsimons (a2) and A. Denihan (a2)

To investigate whether a small regional memory clinic would benefit from engaging with a structured external audit process such as the Royal College of Psychiatrists’ Memory Service National Accreditation Program (MSNAP).


The Psychiatry of Old Age service in Navan operates a public cognitive clinic. Despite the publication of the 2014 National Dementia Strategy, there are currently no national standards for memory clinics in Ireland. It may be beneficial to link in with an external quality control system as part of routine clinical governance.


Published data from the MSNAP group was reviewed and a set of audit materials extrapolated to replicate the MSNAP self-review process. The audit cycle involved (1) retrospective case review, (2) institution of a range of interventions and (3) a prospective audit, which included service user feedback.


Overall the results demonstrated a high standard of service, especially in the areas of accessibility, assessment and communication of diagnosis. The clinic performed well against MSNAP key performance indicators. Patient and carer satisfaction with the service was very high. Clinic policies needed further development, particularly in the areas of referral, consent and data protection.


The process was useful, providing clear pointers for action. It highlighted the need to formalise organisational and practice policies, patient support and education, audit and outreach. Although accreditation is a laborious process requiring financial investment, it provides a strong scaffold to maintain and improve standards and is likely to be a valuable learning experience, where national guidelines are lacking.

Corresponding author
*Address for correspondence: Dr E. B. Sweeney, Department of Psychiatry, TCD c/o Medical Teaching Centre, St. Patrick’s University Hospital, Dublin 8, Ireland. (Email:
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Bourn, J (2007). Improving services and support for people with dementia ( Accessed 30 September 2017.
Cahill, S, Pierce, M, Moore, V (2014). A national survey of memory clinics in the Republic of Ireland. International Psychogeriatrics 26, 605613.
Cahill, S, Shea, EO, Pierce, M (2012). Creating Excellence in Dementia Care. Research Review for Ireland ’s National Dementia Strategy ( Accessed 29 September 2017.
Clary, L, Colwill A, Copland E, Hodge S (2015). MSNAP Fourth National Report ( Accessed 29 September 2017.
Department of Health (2014). The Irish National Dementia Strategy. Department of Health ( Accessed 29 September 2017.
Hodge S, Hailey E (2015). MSNAP Third National Report ( Accessed 18 April 2018.
Hodge, S, Hailey, E, Orrell, M (2014). Memory Services National Accreditation Programme (MSNAP): Standards for Memory Services. Royal College of Psychiatrists ( Accessed 29 September 2017.
Hodge, S, Hailey E, Colwill A, Walker L, Orrell M (2016). Memory Services National Accreditation Programme (MSNAP) Standards for Memory Services, 5th edn ( Accessed 8 February 2018.
Hopper, L, Hughes S, Burke T, Irving K (2008). A National Dementia Registry for Ireland ( Accessed 8 February 2018.
Pierce, M, Cahill, S (2014). Prevalence and Projections of Dementia in Ireland, 2011–2046 ( Accessed 30 September 2017.
Royal College of Psychiatrists (2015). Memory Services National Accreditation Programme (MSNAP) Accreditation Process ( Accreditation Process - August 2015.pdf). Accessed 29 September 2017.
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Irish Journal of Psychological Medicine
  • ISSN: 0790-9667
  • EISSN: 2051-6967
  • URL: /core/journals/irish-journal-of-psychological-medicine
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