Health Leaders and Campaigners Urge Government to Establish National Dementia Waiting-Time Target
Prime Minister Andy Burnham is facing intensifying demands from senior health figures and charity leaders to implement a formal national waiting-time target for dementia diagnosis
Prime Minister Andy Burnham is facing intensifying demands from senior health figures and charity leaders to implement a formal national waiting-time target for dementia diagnosis and care across England.
The calls follow the publication of a joint report by the Alzheimer's Society and The King's Trust, which warned that dementia services remain stuck in the 20th century. The organisations have urged ministers to spearhead a cancer-style revolution within the National Health Service to modernise care pathways and drastically cut delays for patients.
At the heart of the campaign is a recommendation to establish a strict 18-week referral-to-treatment standard for individuals presenting with suspected dementia. Currently, England does not enforce any mandatory waiting-time targets for dementia, leaving patients without the statutory timing protections afforded to those undergoing investigation for other severe illnesses.
The proposed 18-week standard has received significant backing from Professor Sir Mike Richards, the former national cancer director for England. Sir Mike oversaw the landmark rollout of cancer waiting-time targets across the NHS in 2000 and believes an equivalent system for dementia is entirely achievable.
Sir Mike acknowledged that introducing such a timetable would require robust political initiative and fresh investment from the Treasury. However, he stressed that the substantial funding required must be weighed against the immense human and financial toll the illness currently inflicts on individuals living with dementia and their loved ones.
Baroness Louise Casey, who is currently heading a major independent review into England's adult social care system, has also aligned herself with the proposals. In March, Baroness Casey wrote to former Health Secretary Wes Streeting, arguing that the government should explore ways to place dementia on an equal footing with other major health conditions by introducing national diagnostic benchmarks, including the 18-week referral-to-treatment target.
Expanding on her stance, Baroness Casey warned that the healthcare system and broader society have spent too long avoiding the reality of the crisis. She urged the government to abandon past complacency, embrace a focused national mission, and implement comprehensive measures for dementia support without further delay.
Baroness Casey is scheduled to publish her final recommendations regarding the wider reform of England's social care sector next summer. Her findings are anticipated to play a pivotal role in shaping how the government structures and funds care services going forward.
The government has already demonstrated receptive signals toward the campaign's central thesis. Addressing delegates at the Alzheimer's Society conference on Thursday, Social Care Minister Alison McGovern gave her explicit backing to the joint report, describing its comparative analysis between cancer pathways and dementia care as entirely spot on.
McGovern acknowledged that dementia has been overlooked by policymakers for far too long, leading to a deep structural rift between primary healthcare and social care services. The minister noted that this systemic divide is felt most acutely by dementia patients and their families, who are frequently abandoned to navigate a shattered care system during the most vulnerable periods of their lives.
To address these longstanding deficiencies, the government has committed to appointing a dedicated national dementia tsar equipped with high-level expertise to oversee future reforms. Ministers also plan to publish an updated modern service framework before the end of the year to accelerate access to support services.
The urgency of the proposed changes comes amid a steadily growing public health challenge. Approximately one million people are currently living with dementia across the United Kingdom, and demographic projections estimate that this figure will climb to 1.4 million by the year 2040.
Campaigners argue that replicating the structured timelines of NHS cancer care represents the most effective blueprint for meeting this expanding demand. While cancer patients benefit from clear diagnostic pathways and treatment targets, dementia patients frequently experience prolonged uncertainty before receiving a formal diagnosis and accessing post-diagnostic support.
The debate over the future of dementia support coincides with a period of personal loss for the Prime Minister. Burnham recently stepped back from public engagements following the death of his father, Roy, who had Alzheimer's disease, before returning to his official duties.
Speaking after his return from compassionate leave, Burnham reflected that his father would have expected him to resume work swiftly and deliver the systemic changes he had consistently encouraged him to pursue.
Burnham had previously disclosed in July that observing his father's battle with the condition directly shaped his political resolve to overhaul adult social care in England. The Prime Minister has confirmed that he will await the formal delivery of Baroness Casey's recommendations next summer before determining the ultimate shape and financing of the country's social care reforms.
Comments (0)