I have had a number of constituents contacting me about research into and treatment for dementia.
I would be interested in learning more about improving dementia diagnosis and preparing healthcare systems for breakthrough treatments.
Due to the impact of the pandemic, the estimated dementia diagnosis rate fell below the national target for the first time since 2016. While the rate has recovered slightly since the early part of the pandemic, there is more to do if we are to reach the national target for two thirds of people with dementia to be formally diagnosed. In 2021-22, £17 million was made available to Clinical Commissioning Groups to address dementia waiting lists and increase the number of diagnoses, which I hope will have an impact in our local area.
In December 2022, the recovery of the dementia diagnosis rate to the national ambition of 66.7 per cent was included in the NHS priorities and operational planning guidance as part of the refined mental health objectives for 2023/24. This reinforces dementia as a key priority for NHS England and provides a clear direction for integrated care boards to support delivery of timely diagnoses within systems. The estimated dementia diagnosis rate has been increasing throughout 2023 and in October reached 64.5 per cent.
Furthermore, the Office for Health Improvement and Disparities’ Dementia Intelligence Network has been commissioned by NHS England to develop a resource to support investigation of the underlying variation in dementia diagnosis rates. The aim of this work is to provide context for variation and enable targeted investigation and provision of support at a local level to enhance diagnosis rates. The tool has been released and is available via the NHS Futures Collaboration platform.
There are currently 900,000 people living with dementia in the UK and this is projected to rise to 1.6 million by 2040, so research is crucial to understanding the condition and improving outcomes for those affected. The Government is committed to supporting research into dementia and has committed to double funding for dementia research, to £160 million per year by 2024/25. I note concerns over the timeline and delivery plan for the Government’s Dame Barbara Windsor Dementia Mission. I am reassured that the Government remains strongly committed to supporting research into dementia, including its commitment to double funding for dementia research. A new taskforce – made up of industry, the NHS, academia and families affected by dementia – will lead this work to allocate dementia funding. You can register your interest to take part through the Join Dementia Research website here: https://www.joindementiaresearch.nihr.ac.uk/
The National Institute for Health and Care Research has also launched a number of new initiatives to support dementia research, such as investing nearly £11 million to develop new digital approaches for the early detection and diagnosis of dementia.
I am greatly encouraged by the clinical trial results for Lecanemab and Donanemab, the first drugs of their kind to demonstrate a reduction in the rate of decline in people’s memory and thinking in clinical trials. These findings will bring hope to the many thousands of people affected by dementia, and I look forward to receiving further updates about the development of these drugs. Research conducted and funded by medical research charities is critical to discovering new treatments and interventions for diseases like dementia, and I congratulate Alzheimer’s Research for the work that has led to these findings.
New medicines must receive authorisation from the Medicines and Healthcare products Regulatory Agency (MHRA) and a recommendation from the National Institute for Health and Care Excellence (NICE) to demonstrate clinical and cost effectiveness before they can be made routinely available to National Health Service patients in England. NICE’s appraisals of Lecanemab and Donanemab for treating early Alzheimer’s disease are currently underway and, subject to licensing, NICE expects to publish final guidance in summer 2024 as close to licence as possible.
NICE has begun work in readiness for the companies submitting their evidence. This includes work done by NICE’s Health Technology Assessment Innovation Laboratory (HTA Lab) to identify the key issues that might arise during planned and future evaluations, based on current knowledge, publicly available evidence and in-depth discussions with researchers, patient groups and National Health Service colleagues.
The NICE HTA Lab report found that NICE’s methods and processes for evaluating new treatments for use in the NHS are appropriate for the new class of Alzheimer’s drugs and identified key issues that need to be considered during evaluation.
