I'm sorry to hear that your husband is in hospital...
If he has Dementia and now lacks capacity, then the Court of Protection is the route to take for LPA Property & Financial Affairs & LPA Health & Welfare. If ‘capacity’ remains, then you may file yourself or via a Solicitor in England or Wales, (should you reside in those parts of the U.K.).
International Wills looks at assets / residual estates on death. There are provisions for Inheritance Tax etc under the U.K & U.S Estate agreement, (a complex area). However, the FL Will that you have from 2010 I feel would be unproven under English jurisdiction in the case you now face.
So called ‘International Wills’ are fraught with problems, (so I understand) and the very best option would be to have both an FL and English Will. Critically, ensuring that one does not override the other.
I’d without hesitation get an English Will drawn up ASAP, address all local assets and the LPA etc. Be sure to avoid any ‘Foreign Trusts’ though as these will require 3520 and 3520-A IRS filing, certainly not forms for the faint hearted.
I hope this helps…