Category Archives: Health

Meeting the challenges of an ageing population

Each year, Age UK stands back and takes an overview of how society is meeting the needs of people in later life and sets out our agenda for public policy in the year ahead. In our Agenda for Later Life 2013 report we track changes in a range of key areas including money matters, work and learning and health and social care.

A couple smile at each other in the garden.

Public attitudes, policies and the economy all impact on people’s experiences of ageing.  This year, as the economy bumps along the bottom, it would be all too easy to concentrate on the challenges we face. However, we strongly believe in the need to focus on the opportunities as well.

The publication of a White Paper setting out plans for a new single tier State Pension brings hope of better provision in future for those with low incomes and interrupted working lives. Continue reading

Guest blog – Mad as hell: Older people must demand a better care experience

This blog was contributed by Dr Nick Goodwin a speaker at Age UK’s annual For Later Life conference. Nick is CEO of the International Foundation for Integrated Care and a Senior Fellow at The King’s Fund, London where he leads their programme of research and analysis for improving and integrating care for older people and those with long-term conditions.

When my elderly father was in hospital recently his experience of an uncoordinated, chaotic and impersonal service was both dispiriting and disturbing to both him and his family. Whilst clinical decision-making was good, and as a result his physical health returned through the miracles of blood transfusions and intravenous antibiotics, the experience undoubtedly took a large piece out of his mental wellbeing and future self-confidence.

The underlying problem was a lack of care co-ordination. The lack of information sharing on diagnosis, procedures, results and next steps led to worried waits about the seriousness of his condition and what, as a family, we needed to put in place for home care support. Different and conflicting advice and feedback from doctors and nurses was unhelpful. The lack of 440x210-woman-in-hospital-bedcommunication between wards, and between nurses on the wards, meant that his medication regime for Parkinson’s was often ignored despite constant reminders. No help was given to support discharge, and no plan put in place. Continue reading

Ready for ageing?

Reablement photo by Philippe Leroyer

All too often, our ageing population is represented as an unmitigated disaster for the nation and the words ‘ticking timebomb’ appear with monotonous regularity.

A new report from the House of Lords Select Committee on Public Service and Demographic Change offers a refreshing change of perspective. It recognises that ‘longer lives represent progress, and the changes do not mean a great economic or general fiscal crisis’. But it also sets out a number of challenges facing us – and some thoughtful solutions for change.

The Committee, chaired by Lord Filkin, called the nation ‘woefully unprepared’ for the changes ahead and recommended a number of actions for all of us. The Government is challenged to set out its vision for public services in an ageing society in a White Paper.

In particular, the report rightly recognises the increased strain on health and social care and calls for greater integration and much more focus on prevention, early diagnosis and managing long-term conditions, with patients fully engaged in decision-making. Age UK agrees. Continue reading

Government responds to the Francis Inquiry

The first inquiry into Mid Staffordshire NHS Foundation Trust  catalogued extensive examples of neglectful care and appalling patient experiences. Stories of people being ignored, dehydrated, abused were visible signs of an organisation that had forgotten basic principles of care and at worst, wilfully put organisational considerations ahead of patients. Many, if not most, of the patients involved were older people.

The second inquiry reported in February and included 290 recommendations
that could help to avoid the same situation arising again, not just in Staffordshire, but throughout the NHS. You can see what we said about it in our blog. 440x210_care_home

The government yesterday gave its response to the report in a paper titled Patients first and foremost, and there’s much to be positive about in what it says.

The paper outlines changes to how services are regulated, reflecting an on-going review by the health and care regulator the Care Quality Commission (CQC). It describes much wider use of expert inspectors in hospitals including members of the public that bring expertise derived from their experience of care. Continue reading