RIWC_ Graham Stokes

DEMENTIA – A 21ST CENTURY

REFORMULATION. THINKING

DIFFERENTLY TO DO BETTER

Professor Graham Stokes

Global Director of Dementia Care, Bupa

Visiting Professor of Person-Centred Dementia Care, University of Bradford

Bupa Private and Confidential

The scale of the challenge and the opportunity 2015

[00 Month YYYY] 2

Source: World Alzheimer Report 2015: The Global Impact of Dementia (Alzheimer’s Disease International, supported by Bupa)


2030

[00 Month YYYY] 3



2050

[00 Month YYYY] 4



The worldwide costs of dementia

5

Standard & Poor’s has described global population ageing as the biggest threat to the sustainability of sovereign debt.

Among the chronic diseases, dementia makes by far the largest single contribution to disability and need for care among older people.

The current (2015) global societal economic cost of dementia is US$ 818billion.

Costs will escalate proportionately with numbers affected, and with increased demand for formal care services, particularly in low and middle income countries

(World Health Organization and Alzheimer’s Disease International, Dementia: a public health priority, Geneva April 2012, http://www.alz.co.uk/WHO-dementia-report )

A UK study has estimated that the health and social care costs for dementia almost match the combined costs of cancer, heart disease and stroke.

http://www.alz.co.uk/WHO-dementia-report


People with Dementia 2015 2050

World 46.8million 131.5 million

United Kingdom 850,000 2.0 million

Dementia – a growing global health concern

A single death is a tragedy; a million deaths is a statistic – Joseph Stalin


7

People


Person First, dementia second

9

How can a person with dementia live well;

how might they communicate and understand

their needs in the face of a progressively

worsening intellectual disability that takes away

insight and self-awareness?

Bupa Private and Confidential 10

2013 Bupa - Alzheimer's Disease International Global Dementia Charter

What we created• A joint 10 point Global Dementia Charter, called ‘I

can live well with dementia’, that sets out the rights of people with dementia and what they should be able to expect from society

Why we have done it• Sets out core fundamentals of high quality person-

centred dementia care and support for people living with the condition.

First Global Dementia Charter of its kind, focusing on the person, not the condition

Bupa Private and Confidential 11

How we brought the Charter to life

It was endorsed by people living with dementia from around the world

Ten people – four from Bupa’s care homes in the UK, Spain, Australia and New Zealand, and six via Alzheimer’s Disease International members – from around the world


The prospects for a pharmacological breakthrough are ..

• Dementia is one of the biggest global health challenges facing our generation.

• At this time, when the need is greatest to come up with a medical breakthrough a recent report by the World Innovation Summit for Health’s Dementia Forum revealed that pharmaceutical companies are retreating from the search for disease-modifying treatments after repeated and costly failures to develop a breakthrough drug.

.... not encouraging


Civic responsibility so that we all own dementia

16 April 2015 13

2016 - a recent change of tone, focus

and ambition

Personal responsibility

to be risk aware

Civic responsibility so we all own

dementia

Enabling people to live well with dementia

Potentially reducing the number of people living with dementia, or living with co-morbidities


Civic responsibility: We all own dementia

[00 Month YYYY] 14


Civic responsibility to deliver and support dementia-friendly and dementia-inclusive communities

16 April 2015 15

In the United Kingdom there are over 1 million Dementia Friends

An idea from Japan where there are 4 million Dementia Friends

Bupa Dementia Buddies make a Person First pledge


In March 2016, the Secretary of State for Health announced that the UK will be the most dementia-friendly country

[00 Month YYYY] 16


A Dementia Friendly Society

16 April 2015 17

Prime Minister’s challenge on dementia 2020

By 2020 UK Government wishes to see:

• Alzheimer’s Society delivering an additional 3 million Dementia Friends in England, with England leading the way in turning Dementia Friends in to a global movement including sharing its learning across the world and learning from others.

• Over half of people living in areas that have been recognised as Dementia Friendly Communities, according to the guidance developed by Alzheimer’s Society working with the British Standards Institute.

Civic responsibility: A health economic solution or the right thing to do?

RIWC_ Graham Stokes

Presentations & Public Speaking

Transcript of RIWC_ Graham Stokes