The future economic health and social care costs of dementia
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The Future Economic, Health and Social Care Costs of Dementia. 1 March 2011. Ian Sissons. Munich Health. Baroness Sally Greengross. Chief Executive ILC-UK. Ramon Luengo-Fernandez . Health Economics Research Centre Department of Public Health University of Oxford .

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Ian sissons

Ian Sissons Dementia

Munich Health


Baroness sally greengross

Baroness Sally Greengross Dementia

Chief Executive

ILC-UK


Ramon luengo fernandez

Ramon Luengo-Fernandez Dementia

Health Economics Research Centre

Department of Public Health

University of Oxford


The economic cost and research funding of dementia compared with other diseases

The economic cost and research funding of dementia compared with other diseases

Staple Inn Hall - London, 1st March 2011

Ramón Luengo-Fernández

José Leal

Alastair Gray


Cost of illness studies
Cost of illness studies with other diseases

  • Provide estimates of the economic burden of health problems

  • Can be used to inform research priorities:

    • More research on diseases with the greatest burden

  • But methods for doing these studies vary

  • Here, we have used a common approach across several diseases

    • Up to date estimates

    • Informs policy makers


Objectives
Objectives with other diseases

  • Estimate the economic burden of dementia, cancer, coronary heart disease and stroke in the UK in 2008:

    • health care costs (hospital, drugs, visits to doctor, etc...)

    • social care costs (nursing homes, hospices, etc...)

    • unpaid care from friends and family, and

    • losses due to premature death or absence from work.

  • Quantify governmental and charity research funding on each of these four diseases for the financial year 2007/08.


Methods cost of illness study
Methods – Cost of Illness study with other diseases

  • Sources searched:

    Office of National Statistics, the Department of Health, the Health and Social Care Information Centre, the Department for Work and Pensions (DWP), Hospital Episode Statistics (HES), the Labour Force Survey (LFS), the Annual Survey of Hours and Earnings (ASHE), the HM Revenue and Customs Statistical Office, and the DoH Quality and Outcomes Framework

  • Also made use of UK published studies following cohorts of dementia patients


Methods research funding
Methods – Research funding with other diseases

  • UK government agencies providing health research funding:

    • Research councils (e.g. Medical Research Council);

    • Research agencies from the Departments of Health in E&W, Scotland and NI (e.g. National Institute for Health Research).

  • UK registered charities funding health research:

    • Members of the Association for Medical Research Charities

    • Top 200 charities, in terms of income, listed in the Charity Commission for E&W (about 75% of total income)


Results economic cost of dementia
Results – Economic cost of dementia with other diseases

In terms of health, social and informal care, and productivity losses, the cost of dementia was £23 billion in 2008

Productivity losses £49m

<1%

Health care costs £1.2bn

5%

Social care costs £9bn

40%

Unpaid carers £12.4bn

55%


Results comparisons across diseases
Results – Comparisons across diseases with other diseases

Annual costs of dementia (£23bn) are more than cancer (£12bn), heart disease (£8bn) and stroke (£5bn)


Results health and social care costs
Results – Health and social care costs with other diseases

When only including costs to health and social care services, dementia also had the highest cost


Results research funding
Results – Research funding with other diseases



Cost comparisons across europe
Cost comparisons across Europe with other diseases



Conclusions
Conclusions with other diseases

  • The estimated economic burden of dementia (£23bn) is far greater than cancer, CHD and stroke

  • Research spending on dementia and stroke is severely underfunded in comparison with cancer and CHD

  • Good evidence showing that returns on investing in research are high

    • More research on dementia could improve the lives of patients and their carers


Professor alistair burns

Professor Alistair Burns with other diseases

National Clinical Director for Dementia, Department of Health

Professor of Old Age Psychiatry at the University of Manchester


Jeremy hughes

Jeremy Hughes with other diseases

Chief Executive

Alzheimer's Society


Emily holzhausen

Emily Holzhausen with other diseases

Director of Policy and Public Affairs Carers UK