[A version of this item appears in: Dementia: the Latest Evidence Newsletter (RWHT), Volume 2 Issue 9, April 2012].
The Health Foundation’s “Spotlight on Dementia Care” report, written by Matrix Evidence, assembles a huge volume of statistical evidence, good practice guidance, case studies, research evidence, recommendations from important policy documents and data on service delivery. This document should help health service providers provide better quality care. The report is structured around a number of calls for action:
- Action on support in the community.
- Action for hospital care.
- Action to reduce inappropriate prescribing.
- Action on research.
Section headings comprise:
- National guidance and quality standards.
- Costs of dementia care.
- Services for people with dementia.
- Improving quality of care.
- Bridging the quality gap: a summary of the evidence.
- Commissioning cost-effective and high-quality services.
The costs of care could triple within 20 years without action to provide better care at lower cost. It is suggested that the levels and the styles of care provision available currently do not meet people’s needs fully; and often result in costs which are higher than necessary. Recommendations from various policy documents have been combined into an integrated “road map” for the components of quality care.
Ample statistical evidence is supplied:
- Figure 1: The number of people with dementia is predicted to increase over time.
- Figure 2: The proportion of people aged 65+ with dementia remains similar across regions and over time.
- Figure 3: Proportion of people aged 65+ with dementia by PCT in England, 2007-2021.
- Figure 4: Number of people with dementia by PCT in England, 2007-2021.
- Figure 5: Proportion of people aged over 65 with and without dementia who experience behavioural or psychological problems.
- Figure 6: Alzheimer Europe’s strategies to prevent dementia.
- Figure 7: Total cost to UK economy, 2008.
- Figure 8: Annual costs per patient compared with median UK salary, 2008.
- Figure 9: Costs of care for people with dementia, UK, 2008.
- Figure 10: Type of care for the elderly given by local authority staff, 2009.
- Figure 11: Annual cost of personal social services for people aged 65 and over, 2008-09.
- Figure 12: Annual costs of care for dementia in the community compared with residential care.
- Figure 13: Burden of costs of care for people with dementia.
- Figure 14: Variability in information provision for patients and carers.
- Figure 15: Attitudes of GPs to caring for patients with dementia, 2006.
- Figure 16: Type of social care services received, 2008-09.
- Figure 17: Proportion of people with dementia who are receiving dementia services, England 2008-09.
- Figure 18: Typical dementia care pathway.
- Figure 19: Proportion of people who are estimated to have dementia who are actually on their GP’s dementia register (broken down by PCT area).
- Figure 20: Balancing the costs of a memory clinic service in London: two scenarios.
- Figure 21: Recommended composition of community mental health team.
- Figure 22: Proportion of community care services available for CMHTs, 2006.
- Figure 23: Opinion of CMHTs on coordination of services in their area: Percentage of respondents agreeing with the statement.
- Figure 24: Response of carers to the question: ‘Do you think that being in hospital had a negative effect on the person’s dementia and symptoms of dementia?’.
- Figure 25: Dementia services available in hospitals, England, 2009.
- Figure 26: Proportion of people with dementia on antipsychotics according to length of stay.
- Figure 27: Proportion of older people still at home 91 days after hospital discharge.
- Figure 28: Proportion of total health and social care costs and research funding spent on dementia, cancer, stroke and heart disease.
Matrix Evidence (2011). Spotlight on dementia care: A Health Foundation improvement report. London: The Health Foundation, 2011. October 2011 (amended December 2011). Executive Summary.