Dementia is a disorder that affects people of all backgrounds and does not impact them equally. Factors such as social, economic and environmental conditions have implications on health inequalities in dementia, particularly when considered within the context of risk, diagnosis, treatment and care required. Evidence suggests that people from disadvantaged backgrounds, as well as those affected by poverty and ethnicity, often face significant challenges in accessing dementia care and support. Furthermore, they often have limited knowledge and understanding regarding accessing and receiving a timely diagnosis, which would ensure that they receive the appropriate help and treatment. This chapter examines some of these challenges and the impact health inequalities have on people living with dementia, including the barriers they are likely to face as they attempt to navigate their way through complex health and social care systems. This will also include the strategies required to address and reduce these disparities, thus enabling people living with dementia to receive the right care at the right time and in the right place without unnecessary delays that ultimately have an impact on outcomes.