The economic and healthcare burden of dementia in the UK

CF has developed novel contributions to the body of evidence that demonstrates the social and economic impact of dementia in the UK. Along with updating current estimates of the total cost and prevalence of dementia in the UK, we leveraged a linked, record-level healthcare dataset through Discover-NOW’s London Secure Data Environment (SDE)*, to develop a detailed understanding of the healthcare resource use of people with dementia. We estimate that the amount spent on diagnosis and treatment of people with dementia is only 1.4% of the total healthcare spend on dementia patients – this demonstrates the urgent need for improved policy and strategy around caring for people with dementia.

What was the challenge?

The projected rise in dementia prevalence poses a significant healthcare, social care and economic challenge, and highlights the urgent need to prioritise it as a health and care concern. Carnall Farrar (CF) was commissioned to develop a body of evidence that can illustrate the economic impact of dementia in the UK. CF identified an opportunity to use the linked record-level patient data provided by secure data environments (SDEs) to develop a new, more detailed understanding of the healthcare resource use of people with dementia.

What did we do?

  • Undertook a unique data-led, real-world evidence approach, leveraging linked record-level patient data across primary and secondary care, mental health, community and prescribing used to identify real per person healthcare costs.
  • This is one of the largest UK studies of healthcare resource utilisation by patients with dementia, using a study cohort of 26,097 dementia patients across North West London. This data identified people with mild, moderate and severe dementia using MMSE results recorded for 2,757 patients.
  • Considered the costs associated with dementia beyond just health and social care including quality of life (additional heating costs, legal costs, transport costs, police call-outs and scams) and loss of economic consumptions. The costs were separated by payer, to provide an understanding of costs burdens on individuals and their families.
  • This study included an estimation of the healthcare costs of undiagnosed patients compared to diagnosed patients, by analysing two years’ worth of healthcare costs pre-diagnosis.
  • The data leverages key national datasets for population forecasts and trends in real-term prices over time to project costs up to 2040, and health and social care statistics extrapolate the activity and cost projections to other regions of England, and Scotland, Northern Ireland and Wales.

What was the impact?

  • Forecast the cost of dementia in the UK: £42 billion in 2024, increasing to £90 billion by 2040
    • There are currently estimated to be 981,000 people living with dementia in the UK, rising to 1.4 million in 2040
    • The forecasted increase in dementia prevalence and cost is due to population growth, an aging population, and projected increases in the real-terms unit prices of care, especially social care
  • Highlighted that the largest cost associated with dementia is the cost of unpaid care, which accounts for 50% of the total in 2024
    • Unpaid carers are a critical part of supporting people with dementia, as current needs are not fully met by social care.
    • The cost and time commitment of this care is significant, with a third of unpaid dementia carers reporting that they spend more than 100 hours per week caring for a dementia patient
  • The second largest cost is social care, which is highly dependent on dementia severity; the average per person cost of social care is nearly three times higher for people with severe dementia than people with mild dementia
  • Through our analysis of healthcare data, we showed that diagnosis and treatment is currently a very small source of costs, with only 1.4% of all dementia healthcare costs spent on memory assessments and dementia-specific treatments
  • Analysis of people in the two years prior to their diagnosis being recorded showed that pre-diagnosis, the average per person costs for A&E attendances and prescriptions are higher than the costs for people diagnosed with mild dementia
  • We also highlighted the high percentage of costs of dementia that are borne by patients and their families, estimated to be 63% of total costs

References:

*Discover-NOW London SDE dataset. (Accessed 2024). https://discover-now.co.uk

To speak to one of our life sciences and data specialists about the opportunities for improving patient outcomes, contact us today.