Costs of dementia in England and Wales in the 21st century

Background An important factor determining future health care expenditure i s the relationship between ageing, health status and development of age-rel ated disorders such as dementia. Aims To estimate the formal care costs associated with dementia in England and Wales between 1994 and 2031. Method Epidemiological cost model, applied to individuals aged 65 years or over with dementia, using estimates of life expectancy with dementia and de mentia-free life expectancy. Results Total costs per year were 0.95 billion (men) and pound5.35 billion (women) using 1994 population estimates. For 2031 costs were; pound2.34 bil lion and pound 11.20 billion, respectively. Reduced dementia prevalence rat es and improvements in mental and physical functioning resulted in lower es timates: pound1.01 billion (men) and pound5.77 billion (women), and; pound1 .65 billion (men) and pound7.87 billion (women), respectively. Conclusions Future increases in the population aged 65 years or over lead t o rising formal care costs. However, the magnitude of cost changes depends on assumptions over dementia prevalence and levels of mental and physical f unctioning. Declaration of interest None. Funding described in Acknowledgements.