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Re-evaluating Dementia Funding: The Imperative of a Sustainable Community-Based Approach

Writer's picture: rekhaboodoorekhaboodoo

Dementia, often considered a condition predominantly affecting the elderly, is frequently viewed through the lens of age-related health issues. This perception has significant implications for how dementia is funded and managed, particularly given the substantial reduction in funding for older adults over the past three decades. Addressing the need for sustainable funding for social care, including dementia support, necessitates a comprehensive strategy that involves collaboration across government, health and social care providers, and local communities. Let's examine the current state of dementia funding, explore the benefits of a community-based approach, and propose a framework for a sustainable funding model that encourages collective responsibility.


The funding landscape for dementia care and support has undergone significant changes in recent years, marked by a reduction in overall funding for older adults. This trend is particularly concerning given the growing prevalence of dementia and the increasing demands on healthcare systems to provide effective care for those affected. The lack of adequate funding has led to gaps in service provision, leaving many individuals and families struggling to access the support they need.


The current funding models for dementia care and support are largely based on a traditional, medical-centric approach that focuses on diagnosis and treatment. While this approach is essential for addressing the immediate medical needs of individuals with dementia, it fails to consider the broader social and community aspects of care. This narrow focus has led to a fragmented system that does not adequately address the complex needs of individuals with dementia and their families.


A community-based approach to dementia care and support offers a more holistic and sustainable model that can help address the challenges and gaps in current funding models.


Here are the additional elements to consider:


  • Government Support: Governments must play a critical role in providing stable and adequate funding for dementia care and support. This includes both direct funding for services and support for community-led initiatives and innovations.


  • Collaboration: Collaboration between government, health and social care providers, and local communities is essential for the success of a community-based approach. This collaboration can help ensure that services are integrated, coordinated, and responsive to the needs of individuals with dementia and their families.


  • Community Engagement: Engaging local communities in the planning, development, and delivery of dementia care and support services is essential for a sustainable funding model. This can help ensure that services are responsive to local needs and that community resources are effectively leveraged.


  • Innovation: Encouraging innovation in dementia care and support services is crucial for developing a sustainable funding model. This includes supporting research and development, as well as promoting the adoption of new technologies and approaches that can improve the quality and efficiency of care.


  • Marginalised communities consist of individuals who encounter social, economic, and political challenges stemming from their race, ethnicity, gender, sexual orientation, disability, or economic background. These individuals often face obstacles in accessing resources, opportunities, and equitable treatment. For the past two years, I have funded dementia services for these groups and set up a nurse-led clinic focusing on dementia and mental health. Recognising the existing gaps and difficulties is vital to developing support systems that are more equitable and inclusive. From both personal and public viewpoints, as well as feedback from various social sectors, the services are considered invaluable.


Addressing the challenges and gaps in current dementia funding models requires a shift towards a more sustainable, community-based approach that promotes collective responsibility. By engaging local communities, harnessing their resources effectively, and fostering collaboration between government, health and social care providers, and local community stakeholders, a sustainable funding model for dementia care and support can be developed. This model can help ensure that individuals with dementia and their families receive the care and support they need, while also promoting a more inclusive and supportive environment for all those affected by the condition. It is a win-win situation for everyone involved!


Note: It is essential to strike a balance between seeking additional funding and optimising the use of existing resources. While securing extra funding can enhance services and support, creative problem-solving and efficient utilisation of available resources are equally crucial. Sometimes, the most impactful solutions emerge from making the most of what we already possess 🤔

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