Cooper, C. et al. Age Ageing (2015).
Background: UK National Dementia Strategies prioritise fair access to dementia treatments for the whole population. We investigated for the first time inequalities in NHS national dementia prescribing and how they have varied between UK countries and over time.
Method: we investigated the association between Townsend deprivation score and anti-dementia drug prescribing in 77,045 dementia patients from UK primary care records from 2002 to 2013.
Results: we included 77,045 patients with recorded dementia diagnosis or anti-dementia drug prescription. Least deprived patients were 25% more likely to be initiated on anti-dementia drugs than the most deprived (adjusted incidence rate ratio 1.25, 95% confidence interval 1.19–1.31). This was driven by data from English practices where prescribing rates were consistently lower in more deprived patients compared with Scotland, Northern Ireland and Wales, where prescribing was not related to deprivation quintile. Compared with English practices, anti-dementia medication was prescribed more often in Northern Irish (1.81, 1.41–2.34) and less in Welsh practices (0.68, 0.55–0.82), with a trend towards more prescribing in Scottish practices (1.14, 0.98–1.32). Drug initiation rates were also higher in younger people and men.
Conclusion: four years after the English National Dementia Strategy, there is no evidence that the Strategy’s key objective of reducing treatment inequalities is being achieved. Higher overall anti-dementia drug prescribing in Scottish and Northern Irish practices, and differing clinical guidelines in Scotland from other UK countries might explain greater equality in prescribing in these countries. Strategies to offer treatment to more deprived people with dementia in England are needed.
The UK’s first dementia research institute is set to receive up to £150m to tackle the disease.
Led by the Medical Research Council, the institute will bring together world-leading experts, universities and organisations to drive forward research and innovation in fighting dementia. The disease affects an estimated 850,000 in Britain, a figure that’s expected to double in the next 20 years.
The institute will have a central UK hub, with links to universities across the country and will build on the centres of excellence in dementia already operating across the UK.
Posted by Raluca Lucacel for the Mental Elf
We do not know much about the direct causes of dementia, but the evidence for possible causal associations includes (Prince et al., World Alzheimer Report 2015):
- Low education
Knowing the risk factors and acting upon the modifiable ones can lower the incidence of the disease. Our level of education is one of the most accepted risk factors in epidemiological studies for dementia. This factor is a modifiable one, so knowing more about how it influences the disease and acting upon it can lead to lower incidence levels and improved quality of life.
An explorative meta-analysis was conducted in order to find out whether a dose-response relation exists between education and dementia risk (Xu et al, 2015).
This paper presents important modifiable factors for reducing the risk of dementia. Many people consider that everyone gets dementia if they live long enough, but this is not true. Dementia is not a normal part of the ageing process and the more we know about the risk factors of the disease, the more we can do to help prevent it from occurring. – See more at: http://www.nationalelfservice.net/mental-health/dementia/can-higher-educational-attainment-help-lower-dementia-risk/#sthash.o1uC2cDQ.dpuf
via Can higher educational attainment help lower dementia risk?.
The new National Dementia Core Skills Education and Training Framework is a new resource to support health professionals and educators working with people living with dementia.
The framework sets out the essential skills and knowledge necessary for all staff involved in dementia care.
A new report serves as a call to action to help people with dementia live well at home for longer. ‘Dementia and homecare: driving quality and innovation’, part of the Prime Minister’s Challenge on Dementia, presents a series of innovative practice examples from across the country. It also identifies ways to make these examples the norm.