With the world’s fastest ageing population where one in four are over 65 and there are 4.6m people (15% of the older population) living with dementia, Japan is struggling to find sustainable and affordable solutions. With the world’s highest level of debt – 230% of national GDP – these solutions to the challenge of dementia must be both innovative and cost-effective.

While political leaders take the stage in Tokyo to promote their “big” dementia policies, at ground level grassroots initiatives are helping to make communities dementia friendly. Central government is beginning to take notice, appreciate and even promote these volunteer-led examples of dementia care and support. This positive response reflects the overriding economic pressures and concerns – to defuse the “ticking time-bomb” of dementia.