Dementia

Although Dementia is a common condition in older people, managing it can be hard for both the sufferer and family and friends around them. Although it can affect people at a younger age it predominantly affects people aged over 65. Devon has an older than average population and is also showing stronger population growth in the older age groups. Dementia prevalence rates are higher in females.  This, coupled with longer life expectancy, means females with dementia outnumber males by more than two to one.  Prevalence rates for dementia increase rapidly with age, with one in 1400 affected under the age of 65, compared with more than one in five in those aged 85 and over.

Table 10.9 shows the projected number of people with dementia between 2016 and 2036 by Devon local authority district.  This highlights that around 14,200 people living in Devon are estimated to have dementia in 2016, representing 1.83% of the population, which is set to rise to around 24,200 by 2036, when it will affect around 2.79% of the population.  Districts with an older age profile such as East Devon have a higher percentage of the population living with dementia.  Figure 10.30 provides an age breakdown for the dementia projections for Devon, highlighting the impact by age group.  This shows that the biggest shifts over the next 20 years will be in the 90 and over age group.

Table 10.9, Projected number and percentage of population with dementia by Devon local authority district, 2016 to 2036

District 2016 2021 2026 2031 2036
East Devon 3,230 (2.34%) 3,565 (2.49%) 4,081 (2.74%) 4,719 (3.06%) 5,353 (3.38%)
Exeter 1,601 (1.26%) 1,731 (1.32%) 1,940 (1.43%) 2,218 (1.58%) 2,510 (1.75%)
Mid Devon 1,318 (1.65%) 1,512 (1.84%) 1,762 (2.08%) 2,052 (2.37%) 2,331 (2.64%)
North Devon 1,702 (1.80%) 1,905 (1.98%) 2,196 (2.24%) 2,532 (2.54%) 2,851 (2.81%)
South Hams 1,603 (1.90%) 1,820 (2.11%) 2,126 (2.41%) 2,471 (2.75%) 2,790 (3.06%)
Teignbridge 2,470 (1.92%) 2,756 (2.06%) 3,191 (2.30%) 3,729 (2.61%) 4,270 (2.91%)
Torridge 1,193 (1.79%) 1,374 (1.98%) 1,622 (2.25%) 1,903 (2.55%) 2,168 (2.83%)
West Devon 1,036 (1.89%) 1,202 (2.11%) 1,429 (2.43%) 1,691 (2.79%) 1,946 (3.13%)
Devon 14,153 (1.83%) 15,865 (1.99%) 18,348 (2.22%) 21,315 (2.51%) 24,218 (2.79%)

Source: ONS Sub-National Population Projections (2014-based) and Dementia UK Prevalence Estimates, 2014

Figure 10.30, Projected number with dementia by age group and year, Devon, 2016 to 2036

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Source: ONS Sub-National Population Projections (2014-based) and Dementia UK Prevalence Estimates, 2014

Table 10.10 displays the 10 Devon wards with the highest expected dementia prevalence in 2014. This reveals that the top five wards for dementia prevalence in Devon are in East Devon, with the highest rate seen in the Sidmouth Town ward (4.50%).

Table 10.10, Top 10 Devon Wards for Expected Prevalence of Dementia, 2014

Ward District Estimated number with dementia Population Estimated % with dementia
Sidmouth Town East Devon 234 5,216 4.50%
Seaton Ward East Devon 261 7,151 3.64%
Exmouth Littleham East Devon 268 7,393 3.62%
Budleigh Ward East Devon 209 5,944 3.52%
Sidmouth Rural East Devon 71 2,200 3.24%
Teignmouth East Teignbridge 152 4,954 3.07%
Bishopsteignton Teignbridge 80 2,624 3.03%
Kingsbridge East South Hams 61 2,034 2.99%
Dartmouth and Kingswear South Hams 119 4,099 2.90%
Sidmouth Sidford East Devon 192 6,822 2.82%

Source: ONS Small Area Mid-Year Population Estimates (2014-based) and Dementia UK Prevalence Estimates, 2014

In March 2015, 7,838 people registered with Devon GPs were on a GP register for dementia, compared with an expected prevalence of 13,864, a diagnosis rate of 56.5%.  This is in line with Devon’s local authority comparator group (56.5%) as illustrated in figure 10.31, and below the South West (58.3%) and England (60.8%) rates.  Figure 10.32 reveals that diagnosis rates have improved in recent years, increasing from 28.0% in 2006-07, narrowing the gap on the rates seen regionally and nationally.  At a town level, the highest rates in Devon are seen in Teignmouth (70.0%) and the lowest diagnosis rates are seen in Moretonhampstead (41.6%) and Tiverton (44.7%).  There are no significant differences in Devon based on area deprivation.

Figure 10.31, Dementia Diagnosis Rate (% of those expected to have dementia who are on the GP disease register), Devon Local Authority Comparator Group, March 2015

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Source: Dementia Prevalence Calculator, Primary Care Data Tool, 2015

Figure 10.32, Trend in the Dementia Diagnosis Rate (% of those expected to have dementia who are on the GP disease register), Devon, South West and England

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Source: Dementia Prevalence Calculator, Primary Care Data Tool, 2015