Graham Stokes

1. 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

2. Bupa Private and Confidential
The scale of the challenge and the opportunity
2015
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Source: World Alzheimer Report 2015: The Global Impact of Dementia (Alzheimer’s Disease International, supported by Bupa)

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2030
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Source: World Alzheimer Report 2015: The Global Impact of Dementia (Alzheimer’s Disease International, supported by Bupa)

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2050
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Source: World Alzheimer Report 2015: The Global Impact of Dementia (Alzheimer’s Disease International, supported by Bupa)

5. Bupa Private and Confidential
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.

6. Bupa Private and Confidential
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. Bupa Private and Confidential
People

8. Bupa Private and Confidential
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?

10. Bupa Private and Confidential
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

11. Bupa Private and Confidential
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

12. Bupa Private and Confidential
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

13. Bupa Private and Confidential
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

14. Bupa Private and Confidential
Civic responsibility: We all own dementia
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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

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