Centre for Policy on Ageing
 

 

Long-term care and dementia services
 — an impending crisis
Author(s)Alastair Macdonald, Brian Cooper
Journal titleAge and Ageing, vol 36, no 1, January 2007
Pagespp 16-22
Sourcehttp://www.ageing.oupjournals.org
KeywordsDementia ; Care homes ; Nursing homes ; Early ; Costs [care] ; Consumer demand.
AnnotationSince the transfer of long-stay care to the independent sector, provision of places in care homes in the UK has varied in response to market trends, and has shown a constant fall in the past 10 years. People with dementia constitute the largest diagnostic group affected by these changes, and are also likely to be the group that will determine future need. The authors set out to estimate, from institutional and prevalence survey data, what proportion of people with dementia in the UK are in long-stay care. Despite a falling trend in the number of places available in care homes, just over half of all such cases are to be found in care homes. Taking the proportion of 50% as standard, they estimated future need for places in care homes on the basis of the rising figures for dementia and three different projection scenarios from 2005 to 2023. The present trend indicates an increase of around 50%, a policy shift of 10% in favour of community care could reduce this to around 35%, and combining the community care with increased specialisation in the homes for dementia care further reduces it to 20%. They suggest the latter 20% limited increase could prove sufficient, but only if better regulation, staff training and support in dementia care for homes are provided. (RH).
Accession NumberCPA-070503201 A
ClassmarkEA: KW: LHB: 4J: QDC: WYD

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