Cash for dementia

Today a friend of mine sent me a copy of this article by Dr Gavin Francis:LRB - cash for diagnoses - Gavin Francis

Professor June Andrews of the Dementia Development Centre gave this published reply:LRB - cash for diagnoses - June Andrews June Andrews

Dr Francis replied in turn: LRB - cash for diagnoses - reply to June Andrews

More than two years ago I shared my concerns with Professor June Andrews about the potential harms associated with the early diagnosis of dementia:June Andrews (7)

Professor June Andrews has remained consistent over the years in advocating the early diagnosis of dementia. I have long advocated a timely approach to the diagnosis of dementia. The debate between timely and early diagnosis is summarised here. A timely approach was recently enshrined in the Glasgow Declaration which has now been signed by 38 organisations across Europe.

dementia-services copy

Professor Andrews states that a failure to diagnose as early as possible should result in legal action. I am extremely disappointed that such an influential individual appears to fail to grasp the complexity of this area and advocates the practice of defensive medicine.

It is to Dr Francis’ credit that he has replied with such restraint.

ethics1 (1)

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