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CCG FOI 728 – Dementia
Responded to: 13th December 2016
1. How much did the CCG spend per dementia patient in the financial years a) 2015-16 b) 2014-15 and c) 2013-14?
It is not possible to give the exact spend per dementia patient over the requested three financial years. Dementia patients will apart from services specifically commissioned for people with dementia, also use services like district nursing, hospital care, dentist, podiatry, incontinence service and continuing health care funding. We don’t collect information on the percentage of dementia patients using these more generic health care services and are therefore not able to indicate all spend for patients related to their dementia condition.
However, with regards to specific dementia commissioned care services, the spending for NHS Stockport CCG was as follows:
| a) 2015-16 | b) 2014-15 | c) 2013-14 | |
| Memory service | £242,000 | £322,000 | £355,000 |
| CQUIN – dementia | £200,000 | ||
| Young Onset Dementia | £6,000 | £10,000 | |
| Saffron ward (50% dementia patients) | £598,000 | £598,000 | £299,000 |
| GP local enhanced service | £100,000 | £100,000 | £50,000 |
| Dementia end of life facilitator | £50,000 | £50,000 | |
| Alzheimer’s Society grant for vascular dementia | £35,000 | £35,000 | £18,000 |
| Total spend – dementia specific commissioned services | £1,231,000 | £1,115,000 | £722,000 |
| Dementia prevalence for Stockport | 3668 people | 3725 people | 3728 people |
| Spend per patient (based on prevalence) for specific commissioned dementia services | £336 | £299 | £194 |
In addition, Dementia UK – update (Alzheimer’s Society, 2014) gives an indication how costs are divided on a national basis: The overall economic impact of dementia in the UK is £26.3 billion. This works out at an average annual cost of £32,250 per person with dementia. This consists of:
£4.3 billion of healthcare costs
£10.3 billion of social care of which:
£4.5 billion spent on publically-funded social care
£5.8 billion spent on privately-funded social care
£11.6 billion of unpaid care
£111 million on other dementia costs
The £11.6 billion cost of the 1.34 billion hours of unpaid carer provided each year has been calculated on the basis of the replacement and opportunity costs of this care.
The total of £26.3 billion is 24% higher than the figure reported in the first edition of Dementia UK (Alzheimer’s Society, 2007). Most of the difference is driven by the increase in numbers of people with dementia.
2. What was the average waiting time for GP referrals to memory clinics in the financial years a) 2015-16 b) 2014-15 and c) 2013-14? Please give this figure in terms of the weeks, from referral to assessment at a memory clinic.
This information was not collected in the contract reports from our provider over these financial years. You may wish to contact Pennine Care NHS Mental Health Trust: foi.penninecare@nhs.net for this information
For the financial year 2015-2016 we have the following figures:
55.5% of all referrals had initial assessment within 6 weeks of referral (target is 80%)
95.6% of all referrals had a diagnosis within 12 weeks of referral (target is 80%).
3. What was the longest waiting time for a GP referral to a memory clinic in the financial years a) 2015-16 b) 2014-15 and c) 2013-14?
This information was not collected in the contract reports from our provider over these financial years. You may wish to contact Pennine Care NHS Mental Health Trust: foi.penninecare@nhs.net for this information
4. How many patients were referred to memory clinics in the financial years a) 2015-16 b)2014-15 and c) 2013-14?
| 2015-2016 | 614 |
| 2014-2015 | 568 |
| 2013-2014 | 524 |
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