Private Memory Assessments in Wigan: What to Expect

In short: A memory assessment checks whether memory or thinking problems are part of normal ageing or a sign of something that needs attention, such as a vitamin deficiency, thyroid problem, depression, mild cognitive impairment or dementia. It usually involves a detailed history, a short cognitive test, a physical check and blood tests, with referral to a specialist if needed. Getting checked early helps rule out treatable causes and lets you plan with more certainty.

This guide, written by a Ready Health prescribing pharmacist and based on NHS and NICE guidance, explains what a private memory assessment involves in the UK, who might benefit and what happens next.

What is a memory assessment?

A memory assessment is a structured clinical review of memory, concentration, language and day-to-day thinking. It is not a single test. A clinician pieces together information from you (and ideally someone who knows you well), simple pen-and-paper or verbal tests, an examination and investigations.

The main aims are to:

• find and treat anything reversible that can affect memory
• decide whether changes are within the normal range for your age
• identify mild cognitive impairment (MCI) or possible dementia early
• arrange referral to a specialist memory service or consultant when a diagnosis needs confirming

When should you get your memory checked?

Occasional forgetfulness, such as misplacing keys, is common at any age. It is worth seeking advice if you or your family notice changes that are new, getting worse or affecting everyday life, for example:

• repeating questions or forgetting recent conversations
• getting lost in familiar places
• difficulty managing money, bills or medicines
• struggling to find words or follow conversations
• changes in mood, personality or confidence
• problems planning or making decisions

Sudden confusion that comes on over hours or days is different and needs urgent same-day medical help, as it can be caused by infection, medicines or other acute illness (delirium).

What happens during a memory assessment?

1. History and questions

The clinician asks about the symptoms, how long they have been present, your general health, mood, sleep, alcohol intake and family history. Bringing a relative or friend is very helpful, as they may notice changes you do not.

2. Medicines review

Some medicines can affect memory and concentration, including certain bladder, sleep, allergy and pain medicines, particularly when several are taken together. A review of everything you take, including over-the-counter products, is an important step.

3. A short cognitive test

NICE recommends using a validated brief cognitive test in a first assessment. These take around 5 to 15 minutes and check things such as recall, orientation and attention. A normal score does not rule out a problem on its own, and a low score does not by itself mean dementia; results are interpreted alongside everything else.

4. Physical examination and blood tests

Blood tests look for conditions that can cause or worsen memory problems. These commonly include:

• full blood count
• kidney and liver function
• calcium
• HbA1c (blood sugar)
• thyroid function
• vitamin B12 and folate

Hearing and eyesight are also worth checking, as problems with either can make memory difficulties appear worse.

5. Referral and next steps

If a reversible cause is not found and concerns remain, the next step is referral to a specialist memory service or consultant (for example a psychiatrist for older adults, neurologist or geriatrician). Specialists may arrange brain imaging and more detailed testing to confirm whether dementia is present and which type.

Private or NHS memory assessment: what is the difference?

On the NHS, the usual route is to see your GP, who carries out initial checks and refers to a local memory assessment service. Waiting times for memory services vary across the country.

A private assessment can offer a quicker initial appointment, longer consultation time and blood tests arranged at the same visit. It is a choice based on convenience rather than a different standard of care. A private appointment does not replace your GP, and it is sensible to share results with your GP so your records are complete. If a specialist diagnosis is needed, this can be done through an NHS referral or privately.

What if the assessment finds mild cognitive impairment or dementia?

MCI means memory or thinking has changed more than expected for age but daily life is largely unaffected. Not everyone with MCI goes on to develop dementia, so regular review is usually recommended.

If dementia is diagnosed, support can include medicines that may help symptoms for some people with Alzheimer's disease, cognitive stimulation activities, help with planning (including lasting power of attorney) and support for carers. Newer antibody treatments for early Alzheimer's disease have been licensed in the UK, but at the time of writing NICE has not recommended them for routine NHS use and its review was still ongoing. A specialist can explain what is and is not suitable for an individual.

How can you look after your memory?

There is no guaranteed way to prevent dementia, but the NHS advises steps that support brain and heart health:

• stay physically active and keep to a healthy weight
• stop smoking and keep alcohol within recommended limits
• keep blood pressure, cholesterol and diabetes under control
• stay socially and mentally active
• get hearing problems checked and use hearing aids if advised

Frequently asked questions

Can a private clinic diagnose dementia?

A clinic GP can carry out the first-stage checks, but a dementia diagnosis is normally made by a specialist after further assessment. A first appointment helps decide whether that referral is needed.

Do I need a referral for a private memory check?

No referral is needed for a private initial consultation. Specialist appointments may require a referral letter, which the clinician can provide.

How long does a memory assessment take?

A first appointment usually takes 30 to 60 minutes, plus time for blood test results. Specialist assessments can take longer and may be spread over more than one visit.

Should a family member come with me?

Yes, if possible. Someone who knows you well can describe changes over time, which helps the clinician build an accurate picture.

Key takeaways

• Memory problems that are new, worsening or affecting daily life should be checked.
• A first assessment includes a history, medicines review, brief cognitive test, examination and blood tests.
• Several causes of memory problems are treatable, so ruling them out matters.
• Dementia is diagnosed by a specialist; private and NHS routes both lead there.
• Sudden confusion needs urgent medical help, not a routine appointment.

Sources and further reading

• NHS: How to get a dementia diagnosis
• NHS: Alzheimer's disease diagnosis
• NICE NG97: Dementia assessment, management and support

Last reviewed: October 2026 by Shamir Patel, Independent Prescribing Pharmacist, Ready Health. This article is general information and does not replace advice from your own clinician.

If you are worried about your own or a relative's memory, you can book a private GP appointment at Ready Health in Standish, Wigan for an initial assessment and blood tests, with referral to a consultant neurologist or back to your NHS GP where appropriate.