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. 2023 Jul;38(7):e5976.
doi: 10.1002/gps.5976.

Has COVID-19 affected dementia diagnosis rates in England?

Affiliations

Has COVID-19 affected dementia diagnosis rates in England?

Jemma Hazan et al. Int J Geriatr Psychiatry. 2023 Jul.

Abstract

Background: The COVID-19 pandemic impacted on the provision of care and routine activity of all National Health Service (NHS) services. While General Practitioner referrals to memory services in England have returned to pre-pandemic levels, the estimated dementia diagnosis rate (DDR) fell by 5.4% between March 2020 and February 2023.

Methods: In this paper we explore whether this reduction is accurate or is an artefact of the way the NHS collects data.

Results: We explore the processes that may have affected national dementia diagnosis rates during and following the COVID-19 pandemic.

Conclusions: We discuss what action could be taken to improve the DDR in the future.

Keywords: COVID-19; assessment; dementia; diagnosis; memory service.

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Conflict of interest statement

AB is the National Clinical Director for Dementia at NHS England (he is a co‐author in his academic capacity). JDI is Clinical Director of NHS England (London) dementia clinical network. He has received conference expenses and consultancy fees (paid to his institution) from Roche, a speaker's fee (paid to his institution) from Biogen and payment (to his institution) from Nestle Health Science for membership of a clinical trial steering committee. The other authors have no conflicts of interest to declare.

Figures

FIGURE 1
FIGURE 1
Dementia diagnosis rate (DDR) (%) in people over the age of 65 years between February 2019 and February 2023 in England.
FIGURE 2
FIGURE 2
General practitioner referrals to memory services in England between October 2018 and September 2022, by year. Referral data from April ‐ October 2022 is awaiting publication, therefore annual referral cycles October to October are shown.
FIGURE 3
FIGURE 3
Number of memory clinic referrals, dementia diagnoses and mild cognitive impairment (MCI) diagnoses made between 2019 and 2023 to the South Staffordshire memory service, by year from April‐March. The 2022/23 data is from April‐December.

References

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    1. Department of Health . The NHS Outcomes Framework 2012/13; 2011. https://assets.publishing.service.gov.uk/government/uploads/system/uploa...
    1. NHS England . Dementia; 2021. Published . Accessed 14 February 2023. https://www.england.nhs.uk/mental‐health/dementia/
    1. NHS England . 2023/24 Priorities and Operational Planning Guidance. NHS England; 2023. Accessed 21 March 2023. https://www.england.nhs.uk/wp‐content/uploads/2022/12/PRN00021‐23‐24‐pri...

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