The cost of caring for people with intellectual disability currently
makes up a large proportion of healthcare spending in western Europe, and
may rise in line with the increasing numbers of people with intellectual
disability now living to old age.
To report service use and costs of older people with intellectual
disability and explore the influence of sociodemographic and
We collected data on receipt and costs of accommodation, health and
personal care, physical as well as mental illness, dementia, sensory
impairment and disability in a representative sample of adults with
intellectual disability aged 60 years and older (n =
The average weekly cost in GBP per older person was £790 (£41 080 per
year). Accommodation accounted for 74%. Overall costs were highest for
those living in congregate settings. Gender, intellectual disability
severity, hearing impairment, physical disorder and mental illness had
significant independent relationships with costs. Mental illness was
associated with an additional weekly cost of £202.
Older adults with intellectual disability comprise about 0.15–0.25% of
the population of England but consume up to 5% of the total personal care
budget. Interventions that meet needs and might prove to be
cost-effective should be sought.