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"Dementia Diagnosis"

About: Lagan Valley Hospital / Mental Health Psychiatry Outpatients

(as a carer),

Two years ago, my wife was diagnosed with Mild Cognitive Impairment, and earlier this year, at her second review, she was given a new diagnosis of Dementia. This was something that I had not anticipated.

The psychiatrist indicated she would prescribe a drug to help delay the effects, but an ECG would be necessary before beginning the treatment. We, or rather, I (My wife is in denial about her condition), waited for the appointment letter for six weeks, and then I tried telephoning the unit without success. I called in and was reassured the ECG had been ordered as a routine request. Later upon checking the SET website, I discovered that the waiting time for a routine ECG is around 30 weeks. After some further telephone calls, I got an appointment a month later. The ECG was undertaken  three weeks ago, but the GP has still not received any notification to prescribe from the  hospital

It is now four months since diagnosis, and I am concerned about the delay in treatment.

If it had been explained that the ECG would take 30 weeks, I would have made arrangements with our GP or used private provision to get it done quickly.

After the diagnosis, we were not given a phone number to call for support, nor did we have a follow-up call from anyone. 

If I had not pursued the hospital, it may well have taken over a year for treatment to commence, currently, it is four months since diagnosis, and it still has not begun.

I had previously found the Dementia Navigator Service on the website and spoken with the person who filled that role who was helpful, but as my wife did not, at that stage, have a diagnosis, our contact was limited.

I suggest that the protocol which governs the above procedure be examined, that a pre-prescription requirement be treated as urgent, and that the possible delay/timescale is communicated to the patient and carer.

 I am unhappy with the communication of waiting time and any follow up with further information after a difficult diagnosis.

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Responses

Response from David Wasson, Clinical Nurse Governance Lead, Mental Health, South Eastern HSC Trust 2 months ago
David Wasson
Clinical Nurse Governance Lead, Mental Health,
South Eastern HSC Trust
Submitted on 23/05/2025 at 11:42
Published on Care Opinion at 12:07


Thank you Liamlis81 for taking the time to share your experience and for bringing this matter to my attention.

The South Eastern Trust welcomes feedback as a means of consistently learning and improving the service and care we provide. Your feedback will be logged and used as part of a continuous learning and improvement process.

I am sorry to hear about your wife's diagnosis and your experience of poor communication around waiting times and post diagnosis support from the Trust. I also empathise with your concerns around delays in commencing treatment. Please be assured that I will be sharing your feedback with the Medical Lead, Senior Manager and Service Improvement Leads responsible for this area of practice.

You can contact us via our Mental Healthcare Opinion email (MentalHealthCareOpinion@setrust.hscni.net) with some further details for you and your wife so that we can share with the responsible Team and ensure suitable actions have been taken.

Thank you again for taking the time to share your story.

Kind regards,

David

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Update posted by liamlis81 (a carer)

It is now a month since I posted on this platform regarding my concerns over communication from the hospital regarding my wife’s diagnosis and treatment. I received a courteous response indicating that my concerns would be taken on board and asking me to email an internal website, which I did immediately.

However since then I have heard nothing. No reply to my email, nor has my wife received any indication that her treatment has been progressed.

I am aware that my email, which contained my own email address, was received because there was a curt message stating that this email box was not regularly monitored but no acknowledgement from a member of staff.

I recognise that this is a procedural matter that I am raising, specifically a hospital protocol or diagnostic pathway, which I am requesting to be reviewed. I understand that will take time to be considered by the professional team.

However, I do think that communication with the patient, or in this case the patient’s advocate, should be at the heart of the consideration.

Response from David Wasson, Clinical Nurse Governance Lead, Mental Health, South Eastern HSC Trust last month
David Wasson
Clinical Nurse Governance Lead, Mental Health,
South Eastern HSC Trust
Submitted on 24/06/2025 at 15:55
Published on Care Opinion at 17:09


Good afternoon Liamlis81,

Apologies again for the delays.

We have since communicated via email and telephone and a review appointment for your wife has been arranged.

I have also sought feedback from the Medical Team in Outpatients around how your particular experiences and feedback will be used to improve the Service for others.

Kind regards,

David

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