Author Archives: matthewjnorton

Tackling dementia: the next big issue of the 21st century?

Age UK has recently launched the most comprehensive synthesis of evidence into the Health outcomes of older people, which looks at trends between 2005 and 2012. What it shows is that dementia is one of the next big challenges of the 21st century. Like cancer 20 years ago, we need to get to grips with this disease and begin to tackle it head on.

The numbers have been widely reported, but they are stark – we have roughly 800 000 people with dementia and this predicted to increase to just under 2 million by 2050. The chance of having dementia goes from 1 in 20 at 65 to 1 in 3 by the time you reach 90. This rise in numbers is going to have a huge impact on our society.

If we’re going to support the numbers of people with dementia in the future and ultimately find a way of treating the disease, what is required is a ‘step change’ in our collective mind set. One of the reasons we’ve made such good progress in fighting cancer is because of the very successful campaigns and initiatives that have fostered collective action across all parts of society to unite and do something about it – be that fundraising, research, improved treatment in hospital, better care for people suffering for the disease. We need this level of awareness and action to create change in the treatment and support of dementia. Continue reading

Protecting the future: We all have to pay, but negative framing of the challenge in the context of ageing is unhelpful

In mid-July the Office for Budgetary Responsibility (OBR), the independent forecaster of the economy and public finances, published its annual Fiscal Sustainability report. The purpose is to identify whether and when changes in government policy may be necessary to move the public finances from an unsustainable to a sustainable path. The report paints a bleak picture for the UK’s economic recovery without further Government intervention and highlights spending related to population ageing as the key driver of this bleak economic future.

According to the OBR, in order to compensate for the demographic pressures and keep the national debt in 2060-61 at its pre-crisis level of 40% of GDP, another £17bn of savings will have to be found in 2017/18. This assumes that it is imperative to return to pre-crisis levels of debt to GDP. While this long-term aspiration is desirable there is much dispute within economic circles about whether this needs to happen quite so quickly.

It also suggests that maintaining benefits to which people are currently entitled will create a £65bn hole in the budget deficit between 2016/17 and 2061/62 and that health spending will need to increase from 6.8 per cent of GDP in 2016-17 to 9.1 per cent of GDP in 2061-62.

At first glance the figures look worrying and clearly difficult decisions lie ahead. Highlighting the need for these decisions is important – focusing the blame on ageing is unhelpful.

When you look at the detail in the report the impact of ageing is not as doomsday as the OBR make out.

Continue reading

Technology in the care of older people

I recently gave the opening address to a conference jointly hosted by the Royal Academy of Engineering and Age UK. The title of the conference was ‘Designing cost-effective care for older people: how technology can make a difference’ and I was asked to give ‘An on-the-ground perspective on the role of technology in the care of older people’.

Keeping people out of hospitals and supporting them so that they can live safely and comfortably at home are challenges that the government are trying to address, and technology and engineering can provide some of the solutions.

There are two main forms of assistive-living technology: telecare and telehealth. Teleheath services are aimed at helping people manage their long term health conditions in their own home. (Conditions include – diabetes, heart failure and/ or chronic obstructive pulmonary disease). Teleceare services are aimed at vulnerable people who need the support of Social Care or Health Services to keep living on their own. For example those with physical disabilities, the frail and elderly or those suffering from dementia or epilepsy.

Unfortunately, to date take up has been rather slow; there are only around 5,000 telehealth users and only 1.5m pieces of telecare in use today.

My talk focused on how we can increase the use of technology in a way that enhances people’s lives. This drew in part from a project we are involved in funded by the Technology and Strategy Board titled: COBALT: Challenging Obstacles and Barriers to Assisted Living Technologies. We are about half-way through this project and have spoken to many older people. What we have seen so far is that, contrary to the common assumption that technology has passed older people by and that they fear it or are dubious about the value in terms of improving their lives, older people do embrace technology on their own terms: television ownership, for example, is virtually 100%.

The problem is that assistive-living technology tends to be presented and provided differently to other forms of technology, like a microwave or a TV. Instead they need to be focused on the person and designed to fit into everyday life, rather than symbolise frailty or decline.

If uptake is to change designers, developers, engineers and purchasers (both private and public) need to rethink how the technology is created and presented. The creation of personal budgets in social care and the development of these in health mean purchasing of assisted-living technology will be more consumer driven in the future. Designers of this type of technology will have to place greater emphasis on what the consumer wants.

The conference suggested that those responsible for developing these technologies are responding to these considerations and technology that actually improves and enhances people’s lives, as well as being desirable is likely to dramatically increase in the near future.

Find out more about Age UK’s Engage Business network, which helps businesses better serve the needs of older people

Find out more about our public policy work on consumer issues

Missed opportunity to address social care funding

The Institute of Fiscal Studies has delivered a fairly scathing analysis of the Budget and have cast doubts on the sums. There was an unexpected shock for pensioners who will see a freeze of the cash value of their tax allowance until it aligns with the personal allowance for the working age population – the so called ‘granny tax’.

Rather than being announced in the Budget speech, this was presented as an aside and a note from HMRC that detailed the implications for pensioners. The note says that in 2013-14, 4.41 million people will be worse off in real terms with an average loss of £83. Within the total, 360,000 individuals aged 65 will lose an average of £285, reflecting the changes in entitlement to age related allowances. It also means 230,000 people will be brought into income tax.

It is an unpalatable but imperative reality that we all have to pay more in the coming years, and those older people who can afford it must also be prepared to contribute.

However, it seems extraordinary that this budget offered a tax break of at least £10 000 to the very wealthy while penalising many pensioners on fairly modest incomes, who are already being squeezed by perpetually low interest rates and inflation that has been running well above the Government’s 2% target. Continue reading