PERSPECTIVE article
Front. Dement.
Sec. Dementia Care
This article is part of the Research TopicInnovations in Dementia Policies and ServicesView all 4 articles
Transforming Dementia Care: Why shifting to a universal, comprehensive, proactive, local, and integrated model is imperative to stem the tide on Dementia
Provisionally accepted
- 1Imperial College, London, United Kingdom
- 2Imperial College London, London, United Kingdom
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Dementia care in the United Kingdom (UK) faces vast and complex systemic challenges, impacting not only individuals with dementia but also their families, communities, and the broader healthcare system. We outline these challenges and advocate for a transformative shift towards proactive and integrated community-anchored models of care. We highlight the UK-based Community Health and Wellbeing Workers (CHWW) model, which already delivers universal, holistic household-level support and is uniquely positioned within the communities to address dementia care gaps. Building on this foundation, we introduce ComPROACT, a CHWW-led outreach approach targeting cognitive decline and dementia across the care continuum. This initiative integrates both pre-and post-diagnostic dementia care support, particularly in underserved communities, not by creating new parallel services but by reimagining existing neighbourhood-based roles. Empowering CHWWs to be dementia-capable offers a sustainable pathway to better bridge the systemic gap between primary care, community, and dementia services.
Keywords: Dementia, Mild Cognitive Impairment, Primary Care, community-based care, Underserved communities, Health system transformation, Community Health and WellbeingWorkers (CHWWs), ComPROACT
Received: 06 Oct 2025; Accepted: 08 Dec 2025.
Copyright: © 2025 Nair, Junghans, Kay, Majeed, Harris and Hayhoe. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Pallavi Nair
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