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Dementia end of life care failing families in the UK, new report finds

Nearly half of families (46%) were not told what to expect, as Dementia UK calls for urgent reform to palliative and end of life care.

People living with dementia are routinely left without the support they need at the end of their life, according to new research from specialist nursing charity Dementia UK. The report highlights major gaps in dementia palliative care and end of life care across the UK.

Nearly half (46%) of families say they were not told what to expect as a loved one living with dementia approached the end of their life, while 71% of current and former carers say they did not receive enough support.

The findings are published in Dementia UK’s new report, A better death: fixing palliative and end of life care for dementia, which reveals that many people are not receiving timely, coordinated dementia end of life care despite dementia being the leading cause of death in the UK.

Dementia UK is calling on governments across the UK to recognise dementia as a life-limiting condition and ensure specialist dementia expertise is embedded within palliative and end of life care services.

Lack of support for families affected by dementia

The report draws on new quantitative and qualitative research, alongside insights from Dementia UK’s specialist Admiral Nurses and people with lived experience of dementia.

Despite the complexity of dementia, families report feeling unprepared and unsupported during the final stages of life.

“Living with dementia brings physical, emotional and practical challenges, and too many people are left to navigate this journey alone.

“This report reflects the clinical expertise of our Admiral Nurses and the honest experiences of people living with dementia in the UK today.

“With the Government developing new national frameworks for both dementia and palliative care, there is a real opportunity to ensure people with dementia receive the coordinated, compassionate care they need at the end of life.”

– Dr Hilda Hayo, Chief Admiral Nurse and CEO, Dementia UK

What the report recommends

Dementia UK is calling for urgent action across three key areas to improve dementia end of life care:

  • Earlier planning and support
    • Ensure people with dementia receive meaningful advance care planning from diagnosis
    • Provide clear guidance on future health and care decisions
  • Better care at the end of life
    • Improve workforce training so health and care professionals can better recognise and manage symptoms
    • Ensure families and carers can access education, respite and emotional support
  • Specialist support for every family
    • Expand access to specialist dementia nurses, such as Admiral Nurses, to provide continuity of care for families
    • Improve integrated health and social care records to ensure continuity of care throughout the system

Why dementia must be recognised as a life-limiting condition

Dementia UK warns that without reform, increasing pressure will be placed on health and social care services as the number of people living with dementia grows.

Palliative care aims to improve quality of life for people with life-limiting illness by managing pain and other symptoms, alongside psychological, social and spiritual support. End of life care forms part of this approach, focusing on the final stages – typically the last year of life. 

Recognising dementia as a life-limiting condition is essential to ensuring people receive appropriate and timely palliative care.

Real-life experience of dementia care at the end of life

Ruth Shafto, whose mum Linda lived with Alzheimer’s disease, described the challenges she faced:

“As Mum’s dementia progressed, every day was a challenge. I phoned Dementia UK’s Helpline in desperation and was referred to the amazing Admiral Nurse Kerry. It was the first time in four years that we didn’t feel alone. Kerry told me that mum was on an end of life path. I thought, ‘what on earth is that?’ I’d never heard it before.”

Key findings on dementia and end of life care

  • Planning and support
    • Only 28% were supported by a professional to plan future care
    • Only 26% had advance care planning explained to them
  • End of life care experience
    • 46% were not told what to expect at end of life
    • Only 12% accessed a specialist dementia nurse
    • 42% said access to specialist dementia nurses would be most beneficial
  • Legal and care planning
    • Only 14% had an advance care plan in place
    • 49% had a lasting power of attorney
    • Only 45% had a will in place

Data is based on two YouGov surveys conducted in 2025.

Wider statistics on dementia in the UK

  • Dementia is the leading cause of death in the UK
  • Around one million people are living with dementia
  • Up to one in four hospital beds are occupied by someone with dementia
  • Over 90,000 people die with dementia each year
  • The number requiring palliative care is projected to double by 2040

For more information contact Tom Davis, Head of Communications at Dementia UK on tom.davis@dementiauk.org  

Out of hours please call press office on 020 8036 5383 or email media@dementiauk.org  

Read the policy report

This report sets out clear, practical recommendations for governments and health and care leaders across the UK. With decisive action, we can transform palliative and end of life care for people with dementia, so that no one faces dementia alone.

A better death: fixing palliative and end of life care for dementia report