1. Professor Graham Stokes
The future cannot be more of the same A digital mind-set for a digital age
Professor Graham Stokes
Global Director of Dementia Care, Bupa
Visiting Professor of Person-Centred Dementia Care, University of Bradford

2. 2015
Source: World Alzheimer Report 2015: The Global Impact of Dementia (Alzheimer’s Disease International, supported by Bupa)

3. 2030
Source: World Alzheimer Report 2015: The Global Impact of Dementia (Alzheimer’s Disease International, supported by Bupa)

4. 2050
Source: World Alzheimer Report 2015: The Global Impact of Dementia (Alzheimer’s Disease International, supported by Bupa)

5. Dementia – a growing global health concern
People with Dementia
2015
2050
World
46.8million
131.5 million
New Zealand
60,000
154,000
What might be the 21st century response to this dramatic increase in prevalence that will have profound human and health economic consequences?

6. The worldwide costs of dementia
A health economic crisis
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
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.
World Health Organization and Alzheimer’s Disease International, Dementia: a public health priority, Geneva April 2012,

7. The prospects for a pharmacological breakthrough are ...
... not encouraging
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.

8. A lifespan approach to dementia
5 years – early education
15 years – educational opportunities
25 years – life touched by dementia
35 years – risk awareness and lifestyle changes
45 years – responsibility for ageing parents
55 years – dementia becomes greatest health concern
65 years – a time of transition
75 years – dementia vulnerability becomes real
85 years – the time of greatest risk. Where can people with dementia be supported safely, avoid isolation and their families have peace of mind?

9. Care homes, hospitals and dementia care in the UK
426,000 people in care homes in the UK
In England, Alzheimer’s Society (2013) estimates 80% of people in care homes have dementia or significant memory problems
More than 300,000 people with dementia live in care homes
40% of all people with dementia in the UK
Dementia is a significant challenge for the NHS with an estimated 25% of acute beds occupied by people with dementia
Source: Low expectations, Alzheimer Society 2013,

10. Care at home
Home is so favoured over any other alternative that staying put has become an aim in itself, regarded as the highest good, and families turn themselves inside out to make it possible… When the Time Comes (2009) by Paula Span
1:4 family care-givers suffer from depression
Family care-givers have a higher mortality risk compared to the general population
In the USA 13% of family carers had to go from working full-time to part-time, 11% had to take a less demanding job, and 11% had to give up work entirely
Not only are numbers of people with dementia increasing, so are the numbers of those living by themselves. In the UK roughly one in three people older than 65 live alone
One-third of people with dementia live alone, most are aged women
The number of working-age people per older person is expected to drop globally by more than 50 per cent over the next 50 years

11. Digital health: A digital mind-set for the digital age

12. Innovate or die - Blockbuster
“Neither Redbox or Netflix are even on the radar screen in terms of competition” Jim Keyes, CEO, Blockbuster, 2008

13. We don’t know what we don’t know
Netflix revenue $6.8 billion

14. Avatars, apps and robotics - ‘to me where I want to be’
To be welcomed or a dehumanising approach to care and support?
Technological innovation to
provide bespoke information
access services
support independence
monitor health
promote safety
improve life quality and well-being

15. US$752b A way to go! US$8b Annual cost of aged healthcare in the USA
Digital health investment over past 2.5 years
US$208m
Dedicated to aged care solutions