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Baroness Greengross

Chief Executive ILC-UK

UK House of Lords

October 2010

Dementia

Dementia in the UK (1)

• 700,000 people in UK with dementia - Will double in 30

years

• One person in 5 over 80 is affected by Dementia and

every patient costs the UK economy over £27,000 per

year – or £23 Billion overall.

• It affects individuals: depression, psychosis, aggression

and wandering: 1/3 live in care homes - 2/3rds don’t!

• It affects their relatives: 0.5 million carers provide £6

billion-worth of care

• Last year, a review ordered by the Department of Health

found that as many as 144,000 patients were being

given anti-psychotic drugs unnecessarily.Source:

Age Concern & Alzheimer’s Society Reports Nov 2009, ‘Counting the Cost: caring for people with dementia on hospital

wards’ and February 2010 ‘Dementia 2010’

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Prevalence of dementia by age and sex (%)

(MRC Cognitive Function and Ageing Study)

Age-group Men (%) Women (%)

65-69 1.4 1.5

70-74 3.1 2.2

75-79 5.6 7.1

80-84 10.2 14.1

85+ 19.6 27.5

No evidence of a change in incidence over timeSource; John Gladman Professor of Medicine of Older People University of Nottingham 2007

Dementia in the UK (2)

44Source: Help the Aged (2009) Future Communities - Re-shaping our society for older people

Dementia in the UK (3)

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Source: Alzheimer’s Disease International

Dementia in the UK (4)

Research has revealed that the average length of a hospital stay is about a week but more than half (57%) of dementia patients with a broken or fractured hip stayed two weeks or more.

In the UK for every £10 spent on research into Health & Social Care, 5p is spent on Dementia.

Sources:

Age Concern & Alzheimer’s Society Reports Nov 2009, ‘Counting the Cost: caring for people with dementia on

hospital wards ‘ and February 2010 Dementia 2010

John Gladman Professor of Medicine of ‘Older People University of Nottingham’

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Age/Health Discrimination

Dementia Diagnosis Gap

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Prescription of anti–Dementia drugs in England

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Source BBC (NHS Information Centre) Mark Easton 14 January 2009

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Dementia spending - Post Code Lottery

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Source BBC (NHS Information Centre) Mark Easton 14 January 2009

Defining Dementia Care – Health or Social?

•.

•Dementia can demand both a medical and social

model of care - not seen as a health issue

•Importance of a joined-up approach between health

and social care - Pooled budgets?

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•Dementia strategy-

•The importance of the housing sector in permitting dementia

patients to remain in their own home & community as long as

possible in terms of better outcomes and good cost efficiency.

•Early diagnosis and intervention means better choice and control

in the support and care available - including staying at home

longer.

•Impact of recently proposed NHS GP commissioning changes

•The recent change of heart by NICE in terms of allowing drugs

like Aricept to be available on the NHS for people in the early and

moderate stages of Alzheimer’s disease.

The Future