The Cost of Care for Dementia: A Comprehensive Guide

James Bowdler

27 June, 2023

2 min read

The Cost of Care for Dementia patients ranges from £16 to £20 per hour, £108 and £240 per night and £125 to £165 per day, varying dependent on where find the carers, length of time and the level of need. People with early-onset and early-stage dementia should expect to pay towards the lower end of this scale. On the other hand, patients experiencing significant behavioural issues as a result of their form of dementia should expect to pay towards the top end.

Managing Dementia
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Understanding the cost of care for dementia

How the Cost of Dementia Care Is Impacted by the type of care and where find it:

Hourly Care for Dementia

You can hire a carer who can drop by and keep a watchful eye on your loved one. They could pitch in with some housework, and make certain that your family member is up and about, has had a meal, and is clean and attired. Their mission is to create a space where your loved one feels happy and at ease when it’s time to turn in for the night.

If you hire a carer from an agency, you’ll likely pay between £25 and £35 every hour. This could mean £350 to £490 a week if you need care for 2 hours each day. But, choosing a carer who works independently could be cheaper. They usually charge between £15 and £25 an hour, which could be around £210 to £350 a week, based on 2 hours of daily care. A middle ground could be a service like PrimeCarers. They ask for £16 to £25 an hour, so you might spend between £224 to £350 a week if you’re getting 2 hours of care daily.

If you need the carer there for a large chunk of the day or longer you will be able to discount all of this by about 10%-30%

Overnight and nighttime care for Dementia

Another popular form of care for dementia is overnight care. Not only do they help your loved ones get to bed, but they’re also there to make them feel comfy all night. If your loved ones wake up, the carer can help them back to bed. Plus, they’re around in the morning to help with waking up.

Typically, rates range from £12 to £20 per hour, primarily dependent on whether you need the carer to be awake or asleep. Given they usually work for about 9 to 12 hours, your total expenditure per night could be anywhere between £108 and £240. An average ‘sleeping night’ carer may set you back by approximately £130, while a ‘waking night’ carer could hover around the £160 mark.

You can expect to pay about 30% more when working with an agency and 10% less when working directly with a private carer found the classified ads.

Live-in and full-time care for Dementia

Live-in care usually costs around £140 a day, or about £980 a week. But this could change a bit, it might be anywhere from £125 to £165 a day, which is £875 to £1,155 a week. The price really depends on how much help is needed, how often care is needed, and where you’re finding your carers.

If the person needing care can do most things on their own but just needs a little help and someone around for company, it might cost somewhere between £125 and £150 a day, or £875 to £1,050 a week. But if they have health problems or act out a lot, it might be more like £150 to £250 a day, which is £1,150 to £1,750 a week.

Where you find your carers also changes the price. If you go through an agency, you might be paying around £180 a day, or £1,260 a week. If you find an independent carer, you could pay as little as £130 a day, which is £910 a week. But if you use a platform to find a carer who’s been checked out, insured, and supported, you’re probably looking at about £140 a day, or £980 a week.

Further Major Factors Impacting Dementia Live-in Care Costs

The cost of dementia live-in care is majorly impacted by the complexity of required care. Different elements add to this complexity:

Emotional Effort

Caring for those with mental health issues, degenerative diseases, or end-of-life care requires more emotional effort. Higher patience, empathy, and mental resilience are needed, making the carer’s role more challenging and costly.

Physical Demand

The extent of physical work needed is crucial in setting care costs. Those requiring help with most daily activities typically need more intensive care. Factors like the patient’s size can add to the physical strain on the carer, impacting the overall cost.

Locale

The geographic location can influence care costs. Carers in cities usually charge more than those in suburban and rural areas due to elevated living costs. However, rural carers might also need a higher fee due to increased travel costs and limited carer availability.

Experience and Expertise

Carers with higher qualifications and specific training often charge more. Their expertise lets them provide better care, especially for complex cases like dementia that need unique skills or techniques.

Other minor dementia-specific factors:

  1. Disease Stage: The stage of dementia can significantly affect the cost of care. Early-stage dementia might only require part-time care, whereas middle and late stages often necessitate full-time or live-in care. As the condition progresses, the level of assistance required increases, impacting costs.
  2. Behavioural Changes: People with dementia may experience changes in behaviour, such as agitation, aggression, or wandering. Managing these behaviours can be challenging and might require specialised training or increased hours of care, which can drive up costs.
  3. Memory Care Requirements: As memory issues intensify, the person with dementia might require specific memory care services. These services, often offered by trained professionals, may include cognitive therapies and activities, which can increase the cost of care.
  4. Communication Needs: As dementia progresses, communication can become challenging. Carers with specialised training in dementia communication strategies might be needed, and this expertise can influence the cost.
  5. Medical and Personal Care: Individuals with advanced dementia may have additional medical needs, like medication management or assistance with personal care tasks (eating, bathing, dressing). These added services require more time and expertise from the carer, thus increasing costs.
  6. Safety Modifications: The home may need to be adapted for safety, including removing tripping hazards, installing safety locks, and adding better lighting. These modifications can add to the overall cost of care.

Each of these factors can vary greatly from person to person, and thus it’s essential to conduct a comprehensive care needs assessment to determine the level of care required and associated costs.

The Cost of Care for Dementia: A Comprehensive Guide

To summarise

But where do you find a carer? You can go through an agency, find someone on your own, or use a platform like PrimeCarers. Each has its own pros and cons, which you can read about in these posts: Choosing your private carer, Managing private carers, and How to find the best carers.

And what about paying for all this? It can get expensive, but there might be some help available. Check out these posts on Paying for care at home and managing expenses and Local authority funding and paying for care in your own home.

Lastly, having a carer around can help keep your loved one safe and healthy, especially if they have dementia. For more on this, read these posts on Elderly Security: keeping your loved one safe and sound and Thinking Ahead: how to make your elderly parent’s home safer.

It’s a lot to think about, but these resources can help guide you through the process.

Live-In Care

Live-in care is a popular choice for dementia patients who need around-the-clock assistance but wish to stay in the familiar environment of their own homes. The costs of live-in care for dementia patients can vary greatly, depending on the level of care required. In some cases, live-in carers need specialised training to handle dementia-related issues, which may also factor into the cost.

Caring for Someone with Dementia

Live-in care also includes the additional cost of food and accommodation for the carer. However, these costs can be offset by the fact that the patient can continue to live at home, preserving their independence and comfort.

Cost of Live-In Care Guide

Hourly Care

Hourly care is another option where a carer visits the home for a few hours each day to assist with various tasks. This form of care can be particularly helpful in the early stages of dementia, when the individual may need help with daily tasks but doesn’t require full-time care.

Hourly care can be more cost-effective than live-in care for early-stage dementia patients, but it’s essential to consider the patient’s needs and safety above all.

Hourly Care Costs

Overnight Care

As dementia progresses, it often disrupts sleep patterns, leading to increased night-time activity. This is where overnight care can be invaluable. An overnight carer can provide reassurance during the night and help maintain a safe environment.

The cost of overnight care for dementia patients depends on the number of nights required and the intensity of the care provided. If the dementia patient experiences significant night-time confusion or wandering, a higher level of care might be required, increasing the cost.

Night-Time Carers Costs

Conclusion

The cost of dementia care can vary widely based on the patient’s needs and the type of care provided. Whether it’s live-in care, hourly care, or overnight care, the crucial aspect is

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James Bowdler

Author

I founded and manage PrimeCarers, a Platform that connects Private Clients with Private Carers near them.

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