Open access The cost of care homes for people with dementia in England: a modelling approach

Renee Romeo, Martin Knapp, Suzanne Salverda, Martin Orrell, Jane Fossey, Clive Ballard (2016)

International Journal of Geriatric Psychiatry

10.1002/gps.4637

Available online: 2 December 2016

Abstract
Objectives. To examine the cost of care for people with dementia in institutional care settings, to understand the major cost drivers and to highlight opportunities for service development.

Methods. Data on 277 residents with dementia in 16 UK residential or nursing homes were collected. We estimated care and support costs and fitted models to the data. Sensitivity analyses were also conducted.

Results. Care home residents cost £792 weekly: 95% of the costs accounted for by direct fees. Hospital contacts contributed the largest proportion of the additional costs. Having an established diagnosis of dementia (b?=?0.070; p?Conclusion. The absence of an association between cost and needs emphasizes the importance of a more needs-based costing system which could result in clinical and economic advantages.