This is a follow on from my last blog and in many ways a summation of all my previous posts on the subject.
You can read them all by clicking on “dementia” in the Topics List.
Let’s start with some updated facts … there were estimated to be 850,000 people with dementia in the UK in 2010 when I started my blog. Now that figure has risen to almost 1,000,000. By 2040 that could rise to over 1,300,00, if no cure is found.
We spend ten times more on cancer research than we do on dementia. The focus of most charitable expenditure on dementia is on supporting sufferers and carers. Research seems mainly aimed at early diagnosis in spite of the fact that there is little treatment available on the NHS.
There are over 13,000 beds blocked in NHS hospitals by patients who are fit to be discharged, many of them elderly with no place to go. This is estimated to cost £2 billion a year.
If we used this money to move dementia patients into specialist residential homes in the community, or supported them living in their own homes, it could be a win/ win situation.
There is no point in staying in a hospital bed for “for free”, if there is no further treatment they can give you. The catch is that social care is not free so people don’t want to move.
The other unspoken barrier with residential care is that it has a bad reputation, sometimes justified by low and unqualified staffing levels. One third of social care providers are rated ‘inadequate’ or ‘requires improvement’ by the Care Quality Commission.
However an investment in improved residential care and home care would be cheaper than the NHS. It would also create space in hospitals to eliminate corridor care and reduce waiting lists.
So if it that obvious, why not do it ?
The cost of social care would have to be paid for by the individual but it could be paid for by putting a charge on peoples property. In theory Local Authorities can already do this but it would be a big drag on their cash flow, so it seldom happens I suspect.
It could be facilitated by being underwritten by Central Government in the same way student loans are covered.
It would take a bold political leader to step up and suggest this and talk honestly to older people about the reality of our aging population.
It’s probably a pipe dream and means most politicians and some older people prefer assisted dieing as a final solution.