{"id":167471,"date":"2025-06-08T11:34:14","date_gmt":"2025-06-08T11:34:14","guid":{"rendered":"https:\/\/www.europesays.com\/uk\/167471\/"},"modified":"2025-06-08T11:34:14","modified_gmt":"2025-06-08T11:34:14","slug":"dementia-care-is-broken-in-the-uk","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/uk\/167471\/","title":{"rendered":"Dementia care is broken in the UK"},"content":{"rendered":"<p>\n\t\t\t\t\tMPs across political divide told stories of constituents struggling to access the right help, and the terrible impact of the condition on families\t\t\t\t\t                <\/p>\n<p>Dementia care is at a crossroads with a <a class=\"post_in-line_link\" href=\"https:\/\/inews.co.uk\/news\/health\/overlooked-cause-dementia-doctors-prevent-3533343?ico=in-line_link\" target=\"_blank\" rel=\"noopener\">postcode lottery in diagnosis rates<\/a>, a lack of support or respite care for unpaid carers and more funding needed for care homes of high-need patients, the House of Commons heard this week.<\/p>\n<p>MPs across the political divide queued up to tell heartbreaking stories of constituents struggling to access the right help and advice, and the terrible impact it has on so many families, many of whom almost buckle under the strain of watching a loved one succumb to the cruellest of diseases.<\/p>\n<p>\u201cWe don\u2019t talk enough about dementia in the chamber,\u201d Caroline Voaden, the Lib Dem MP for South Devon who led the recent debate, told The i Paper.<\/p>\n<p>\u201cWe\u2019ve spoken about cancer five times more than dementia since the election. We talk a lot about social care and carers, but it\u2019s really important to talk speficially about dementia. People are carers for a myriad of reasons but dementia is particularly difficult.\u201d<\/p>\n<p><img fetchpriority=\"high\" loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"900\" src=\"https:\/\/www.europesays.com\/uk\/wp-content\/uploads\/2025\/06\/SEI_254538034.jpg\" alt=\"Caroline Voaden dementia\" class=\"wp-image-3735828\"  \/>Caroline Voaden, left, on a recent visit to a dementia support group in South Devon run by The Filo Project, an award winning not-for-profit organisation which provides small group care days for people with early to moderate dementia.   (Photo: The Filo Project)<\/p>\n<p>Voaden has seen the trauma of dementia firsthand, citing her \u201cbrilliant, funny cousin, always the life and soul of family parties who was diagnosed far too early with frontotemporal dementia\u201d, and her \u201cconfident, witty, generous father-in-law\u201d who is now \u201calmost unrecognisable as the man he used to be\u201d.<\/p>\n<p>Her elderly mother-in-law eventually had to make the \u201creally difficult decision\u201d to put her husband into a care home \u2013 and only that was thanks to the help of a group of local dementia carers who met up every week.<\/p>\n<p>\u201cThat was transformational in how she felt supported and had people she felt she could talk to, but not everyone has that. It just made me aware how much of a postcode lottery everything is,\u201d Voaden says.<\/p>\n<p>Postcode lottery for diagnosis rates<\/p>\n<p>Diagnosis rates vary wildly across the country: from 32.2 per cent in the City of London and 44.3 per cent on the Isles of Scilly, to Lincoln, which has the highest diagnosis rate at 93.9 per cent, <a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/primary-care-dementia-data\/april-2025\" target=\"_blank\" rel=\"noopener\">according to the latest data<\/a>. South Hams, much of which lies in Voaden\u2019s constituency of South Devon, has the third lowest rate nationally, at just 45.2 per cent.<\/p>\n<p>\u201cWhile dementia\u2019s scale is national, its impact is deeply local and personal, especially for the thousands of unpaid carers who, because of a postcode lottery, <a class=\"post_in-line_link\" href=\"https:\/\/inews.co.uk\/inews-lifestyle\/money\/how-manage-my-money-unpaid-carer-help-husband-2697526?srsltid=AfmBOooFs0vbRL34P2kaTThNkZH-Pp5A7XX_Gm_8q9eP_jeW7uI03dw6&amp;ico=in-line_link\" target=\"_blank\" rel=\"noopener\">are often left to fend for themselves without the support they need<\/a>,\u201d Voaden says.<\/p>\n<p>\u201cNowhere is the inadequacy of our current services more evident than in diagnosis. Early diagnosis is not just about putting a name to a condition. It\u2019s the essential first step toward accessing care, future planning, and receiving treatment. Yet in South Hams the diagnosis rate is just 45 per cent, the lowest in the country. <\/p>\n<p>\u201cIn fact, Devon, as a whole, is falling worryingly behind, especially after the Alzheimer\u2019s Society Devon and Torbay Dementia Adviser service ceased at the end of 2023. At the same time, demand for services is increasing sharply, with referrals to the Devon Memory Service surging by 94 per cent over the past five years.\u201d<\/p>\n<p>In 2015, <a href=\"https:\/\/www.gov.uk\/government\/news\/pm-launches-next-phase-of-britains-fight-against-dementia\" target=\"_blank\" rel=\"noopener\">then-Prime Minister David Cameron\u2019s challenge on dementia 2020<\/a> set national goals for diagnosis rates, care quality and research impact, including a national target for dementia diagnosis rates of 66.7 per cent.<\/p>\n<p>The NHS long-term plan of  2019 committed to enhancing diagnosis. The same year witnessed <a href=\"https:\/\/www.alzheimers.org.uk\/news\/2020-02-12\/5-priorities-government-dementia-moonshot\" target=\"_blank\" rel=\"noopener\">the dementia moonshot pledge from Boris Johnson<\/a>, with an extra \u00a3160m. This was followed up in 2022 with the Dame Barbara Windsor dementia mission \u2013 a \u00a395m fund to accelerate research into treatment and early diagnosis.<\/p>\n<p>No dedicated dementia strategy<\/p>\n<p>So many MPs spoke in Tuesday\u2019s debate that the Deputy Speaker had to start reducing the amount of time each was allowed to talk for to fit everyone in.<\/p>\n<p>Dr Luke Evans, Tory MP for Hinckley and Bosworth, questioned whether dementia is a priority for the Labour Government and asked whether a dedicated dementia strategy is needed, given all the concerns raised. His colleague, Isle of Wight East MP Joe Robertson, said the decision by the Government and NHS England to remove diagnosis targets from their planning guidance was \u201ca cruel blow to people living with dementia and their families\u201d.<\/p>\n<p>Care minister Stephen Kinnock told the Commons the Government is \u201cabsolutely on the record\u201d with the 66.7 per cent target. The latest data from April shows that the diagnosis rate has improved slightly to 65.5 per cent, up 0.3 per cent since July 2024. \u201cIt is worth noting that the 66.7 per cent ambition has not been met since 2020,\u201d Kinnock said.<\/p>\n<p>There are currently estimated to be 982,000 people living with dementia in the UK <a href=\"https:\/\/www.alzheimers.org.uk\/blog\/how-many-people-have-dementia-uk\" target=\"_blank\" rel=\"noopener\">and this is projected to rise to 1.4 million in 2040<\/a>. The economic cost of dementia to the UK is enormous: including healthcare, social care and the wider costs to society, it is estimated to be over \u00a342bn a year \u2013 and <a class=\"post_in-line_link\" href=\"https:\/\/inews.co.uk\/news\/health\/uk-dementia-crisis-bills-families-3049964?srsltid=AfmBOorM5QX1CyLjuVHq3baTtARIAB_Pu2xz36OnV93a_JYy-EgrL_2j&amp;ico=in-line_link\" target=\"_blank\" rel=\"noopener\">\u00a326bn of that is borne by informal carers<\/a>. Charities say the scale and the need to prevent, diagnose, support, live and die well with dementia will only become greater.<\/p>\n<p>Kieran Winterburn, the Alzheimer\u2019s Society\u2019s head of national influencing, said: \u201cDementia is the biggest health and social care challenge of our time, but the current social care system is not set up to meet the needs of almost one million people living with dementia in the UK.<\/p>\n<p>\u201cWe want to see action via the upcoming Spending Review on our calls for mandatory dementia training for the social care workforce, which currently only 29 per cent of the workforce has received. We also need to see dementia diagnosis prioritised, with new diagnosis rate targets set for the future. Right now, more than a third of people living with dementia in England do not have a diagnosis, putting them at greater risk of crisis without access to care, support and treatment. <\/p>\n<p>\u201cThere are <a class=\"post_in-line_link\" href=\"https:\/\/inews.co.uk\/news\/health\/dad-dementia-wont-know-fathers-day-3113977?srsltid=AfmBOoq5ON_xM7hOqrMVMUsIbpXEjUxOvXxEibZPdNfIsSwQqF15gYFH&amp;ico=in-line_link\" target=\"_blank\" rel=\"noopener\">a range of inequalities contributing to the disparities in dementia<\/a> diagnosis rates across the UK, which is why we must see long-term investment in the tools and workforce needed to get everyone the early and accurate diagnosis they deserve.\u201d<\/p>\n<p>Calls for a dementia adviser in every GP surgery<\/p>\n<p>Voaden also wants to see a dementia adviser or health professional embedded within every GP practice in the country, on hand to offer all the advice patients and their families need from the moment they are suspected of having memory loss \u2013 one of the main symptoms of dementia.<\/p>\n<p>\u201cThat could be advice on getting a formal diagnosis, being signposted to support groups, memory cafes, things like that. It needs to be more joined-up. Early diagnosis is key though.\u201d<\/p>\n<p>Kinnock admitted to MPs that the quality and availability of care services is variable, as they pointed out during the debate. He said the Government is \u201cempowering local leaders with the autonomy they need\u201d to improve services.<\/p>\n<p>\u201cAll those who have dementia deserve to receive high-quality care. We must have a workforce that is equipped with the skills that are needed,\u201d Kinnock said.<\/p>\n<p>\u201cOn the question of  care workforce\u2026 To support them, on 7 April the Government increased the carer\u2019s allowance weekly earnings limit from \u00a3151 a week to \u00a3196 a week, which is the equivalent of 16 hours at the national living wage \u2013 the largest increase in the earnings limit since the carer\u2019s allowance was introduced in 1976. We are very proud of that change.\u201d<\/p>\n<p>Paying tribute to the Alzheimer\u2019s Society, Dementia UK and Alzheimer\u2019s Research UK for all their vital work, Kinnock said: \u201cTogether, we will build a society where every person with dementia receives high-quality care from diagnosis through to the end of life.\u201d<\/p>\n<p>Dementia drugs pipeline<\/p>\n<p>A report published this week revealed there are <a href=\"https:\/\/datawrapper.dwcdn.net\/FCeJA\/1\/\" target=\"_blank\" rel=\"noopener\">more than 100 different drugs in clinical trials<\/a> for treating or preventing Alzheimer\u2019s disease, the most common form of dementia. However, even if they are eventually approved for use in the UK, the NHS is not prepared for their delivery due to the fact so many cases are diagnosed at a later stage.<\/p>\n<p>That is the case for the two new antibody treatments which have recently been approved \u2013 <a class=\"post_in-line_link\" href=\"https:\/\/inews.co.uk\/topic\/lecanemab?srsltid=AfmBOoohWVyB6TkPqZ-bhagq0okNVRNNJ7kFD6vbZJSO-xtZaJr8-qfo&amp;ico=in-line_link\" target=\"_blank\" rel=\"noopener\">lecanemab <\/a>and <a class=\"post_in-line_link\" href=\"https:\/\/inews.co.uk\/topic\/donanemab?srsltid=AfmBOopGfu6cGFoG0D7PWQmfEMIkosUVdNGL31mMokMF3VKECBjVyXgM&amp;ico=in-line_link\" target=\"_blank\" rel=\"noopener\">donanemab <\/a>\u2013 and are designed to rid the brain of a protein called amyloid, thought for a long time to be the root cause of the disease. Although both have been given a licence in the UK, <a class=\"post_in-line_link\" href=\"https:\/\/inews.co.uk\/news\/health\/second-alzheimers-wonder-drug-blocked-nhs-high-costs-3339481?srsltid=AfmBOopkWBttdtRrgxy6Jm1GKdUX3HvW4f1cFbejmUEQfVy8Ggs-P_Xi&amp;ico=in-line_link\" target=\"_blank\" rel=\"noopener\">they have not been approved for use in the NHS <\/a>because while they slightly slowed progression of memory loss in trials, the difference was too small to be noticeable by patients or their families. <a class=\"post_in-line_link\" href=\"https:\/\/inews.co.uk\/news\/health\/experts-warn-alzheimers-drugs-hyperbole-more-dementia-3211405?srsltid=AfmBOora4cPQkfZ1KRUlp18MpK4rdrEhuLhEVA51djzLLmDMg28SD3CS&amp;ico=in-line_link\" target=\"_blank\" rel=\"noopener\">They also caused dangerous side effects such as strokes and brain swelling.<\/a><\/p>\n<p>\u201cThe truth is that the NHS cannot cope with the innovation we all want in dementia,\u201d Freddie van Mierlo, Lib Dem MP for Henley and Thame, said during the debate. \u201cMy message to the Government is simple: get ready.\u201d<\/p>\n<p>Some changes can be made sooner rather than later, Voaden argues. In 2003, her first husband Nick Doughty, a former diplomatic correspondent, died of cancer aged 42 just a year after being diagnosed.<\/p>\n<p>\u201cAs his diagnosis was terminal the couple were immediately introduced to a Macmillan nurse,\u201d she says. \u201cThat nurse was by our side all the way through. If we needed help with something she was there \u2013 and that\u2019s what we need with dementia, so people feel they are not alone. Currently, we are just relying on unpaid carers, family members, saving us billions and looking after everyone. They need our support.\u201d<\/p>\n<p>Growing challenge<\/p>\n<p>For now, dementia remains already the leading cause of death in the UK and as our population ages, the challenge will only grow. The public grows increasingly frustrated as national and local authorities continue to pass the buck and governments dither. The cost of inaction is too high.<\/p>\n<p>\u201cIt is really scary and distressing watching what happens to someone you love\u2026 probably more so than other conditions,\u201d Voaden says.<\/p>\n<p>\u201cYou\u2019re grieving twice. You lose the person you knew and loved, but they\u2019re still alive. My mother-in-law says she knows her husband isn\u2019t coming home and there\u2019s a wardrobe full of clothes he\u2019ll never put on again, but it feels wrong to get rid of them because he is still alive. It\u2019s kind of like living with a ghost. It\u2019s really tough.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"MPs across political divide told stories of constituents struggling to access the right help, and the terrible impact&hellip;\n","protected":false},"author":2,"featured_media":167472,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4316],"tags":[231,425,105,4348,17978,11518,13683,3593,16,15],"class_list":{"0":"post-167471","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-healthcare","8":"tag-alzheimers-disease","9":"tag-dementia","10":"tag-health","11":"tag-healthcare","12":"tag-iweekend","13":"tag-liberal-democrats","14":"tag-prescription-drugs","15":"tag-social-care","16":"tag-uk","17":"tag-united-kingdom"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@uk\/114647536556887356","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/posts\/167471","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/comments?post=167471"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/posts\/167471\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/media\/167472"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/media?parent=167471"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/categories?post=167471"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/uk\/wp-json\/wp\/v2\/tags?post=167471"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}