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A survey of memory clinic practice in Scotland

  • Jane Foy (a1)
Abstract
Aims and Method

A questionnaire survey of all memory clinics in Scotland to obtain information about clinic characteristics, assessment techniques and prescribing practice.

Results

Memory clinics are a common component of old age psychiatry services within Scotland. There is variability in clinic characteristics, assessment techniques and treatment approaches. Most clinicians appear to rely on their own clinical judgement rather than national guidelines when making decisions about investigations and the prescription of anti-dementia medications.

Clinical Implications

There is considerable variation in memory clinic practice across the country. Would standardisation of practice ensure equity in service provision/patient care? However, would such standardisation be at the cost of clinical autonomy?

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Lindesay, J., Marudkar, M., Van Diepen, E., et al (2002) The second Leicester survey of memory clinics in the British Isles. International Journal of Geriatric Psychiatry, 17, 4147.
Lindesay, J. & Wright, N. (1995) A Survey of memory clinics in the British Isles. International Journal of Geriatric Psychiatry, 10, 379385.
Pelosi, A. J., McNulty, S.V., Jackson, G. A., et al (2006) Role of cholinesterase inhibitors in dementia care needs rethinking. BMJ, 333, 491493.
Philpot, M. P. & Levy, R. (1987) A memory clinic for the early diagnosis of dementia. International Journal of Geriatric Psychiatry, 2, 195200.
Royal College of Psychiatrists (1995) Consensus Statement on the Assessment of an Elderly Person with Suspected Cognitive Impairment by Specialist Old Age Psychiatry Service (Council Report CR49). Royal College of Psychiatrists.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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A survey of memory clinic practice in Scotland

  • Jane Foy (a1)
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eLetters

The first memory clinic in the UK

Michael P. Philpot, Consultant in Old Age Psychiatry
10 February 2009



One of us was recently congratulated by their local PCT Commissioner on having set up the first memory clinic in the UK. This was incorrect but was the possible impression given in the first sentence of Dr Foy's interesting survey. The paper that she cites (Philpot & Levy, 1987) described the Maudsley Memory Clinic which we think was the second in the UK but the first based within a psychiatric service. We ought to have cited the excellent paper by van der Cammen et al (1987) that actually describes the first clinic at St Pancras' Hospital but which had not been published at the time.

Now that there is to be 'a Memory Clinic in every Town' (http://news.bbc.co.uk/1/hi/health/7865494.stm) we thought we had better set the record straight.

Declaration of Interest: None

References:

PHILPOT, M. & LEVY, R. (1987) A memory clinic for the early diagnosis of dementia. International Journal of Geriatric Psychiatry, 2, 195-200.

VAN DER CAMMEN, T.J.M., SIMPSON, J.M., FRASER, R.M., PARKER, A.S. & EXTON-SMITH, A.N. (1987) The memory clinic: a new approach to the detection of dementia. British Journal of Psychiatry, 52, 693-700
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Conflict of interest: None Declared

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