MPs and peers call for the number of beds in NHS hospitals in the UK to be cut by 10% to improve dementia care.
The All Party Parliamentary Group on Dementia said, “This would free £1bn that would be better spent on improving community-based services.”
In the report, the committee says, “failure to act will result in an unqualified crisis.”
However, in contrast to the committee’s report, some experts warn that the savings will be difficult to achieve with health and social care budgets coming under extreme pressure.
Furthermore, NHS Trust across the UK are already coming under pressure to save money by reducing services, cutting back on doctor, GP and GP Locum jobs when staff leave. With financial cuts already affecting many hospitals across the UK, any additional savings would be harder to achieve.
The APPG report highlights that the annual cost of dementia in the UK has now reached £20bn, but says, “There is ample opportunity to spend money more effectively.”
The report also criticises the NHS for failing to place a priority on dementia services. It calls for “better co-ordination across the system, including carers, GPs, care homes, hospitals and social care.”
One of their key concerns is that people suffering dementia do not get the care and support they need until they have reached a crisis point. It says, “The care they then require is hugely expensive – much of it unnecessary and completely avoidable.”
To improve dementia care, the report recommends changes to reduce inappropriate hospital admissions of people with dementia and to shorten their stay.
Taking data and findings from the Alzheimer’s Society and the Department of Health, the APPG says, “Up to a quarter of hospital beds in England are estimated to be occupied by people with dementia aged over 65 years at any one time.”
“This means more than 26,000 people with dementia are in hospital at any one time, at an annual cost of more than £2bn.”
Furthermore, the APPG argues moving treatment could reduce this and care out of hospitals into community based services, and suggests that reducing acute and geriatric beds by at least 10% would release £1bn.
The group says, “The money would be better spent on specialist support for GP practices to help diagnose dementia.” It also recommends strengthening community support to avoid emergency admissions and providing day and night respite care.
The chair of the APPG on Dementia, Baroness Sally Greengross, said, “The plan could deliver immediate savings.”
“Money is consistently being thrown away on poor quality services and inappropriate care for people with dementia.”
“The Dilnot Commission last week put caring for older people firmly in the spotlight, but its recommendations are not yet a reality.”
“Our report shows there are many ways to save money and improve care now.”
Jeremy Hughes, chief executive of the Alzheimer’s Society, said, “We can’t keep using the chicken and egg excuse that it’s not possible to cut beds, and release funds, until community services are in place.”
“The reality is, money is not being spent in the best way and NHS bosses must find a way to change this.”
But Professor John Appleby, chief economist at health research group the King’s Fund, warned, “That this was easier said than done.”
“It can be difficult to free up resources in one part of the system to be spent in another. In theory, treating people in the community setting should reduce bed use in hospitals, with the savings being used on community services. In practice it can be very difficult to realise such savings.”
The chief executive of the NHS Confederation, Mike Farrar, said, “The report raised a difficult issue for politicians.”
“Shaping dementia services to suit the needs of local people will require some frank and honest discussions about the need to close some services and move others out of hospital if we are to provide the best care in the future.”
Care services minister for England, Paul Burstow, said, “Dementia was a priority for the government. Earlier diagnosis is key as it allows people to plan for their future, preventing the need for crisis intervention and premature admissions to acute hospital care.”
“This delivers better outcomes for people with dementia as well as significant cost-savings.”
With an ageing population, the number of people likely to suffer from dementia is set to increase. With more people suffering from dementia the government needs to look at how dementia care can be improved.
More money needs to be spent on providing the right care for patients. One way this could be achieved is by introducing more community based care by reducing the number of hospital beds by 10%, which would free up around £1bn.
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