Category Archives: Research

Wising up to what works

We are faced with unprecedented ageing.  Those over 85 will reach 2.8 million by 2030, a doubling of present numbers.  Such numbers are enough to raise panic in the Treasury, if the prevailing scenarios of cost are to be believed.

Conversely, I have always thought that we should celebrate our increased longevity as an enormous success story for society. I have been encouraged in my belief by the increasing evidence of the contribution that older people make and the progress that is being made, albeit slowly, in reducing the years we spend in ill health.

440x210_dr_blood-pressureSpeaking recently with media I was struck by the number of presenters who, like me, concluded that ‘we’re not really ready for this, are we?’  It is one thing to age and another to age well, but the revolution in longevity is going to completely re-structure society.

We will need new solutions, new approaches and most of all new evidence on what truly works.  Simply increasing expenditure in itself is not an option because there is little evidence that much – some would say any – of what we do is cost-effective. Consider the escalating NHS budget: £43.5bn in 1988; £64bn in 1998 and a staggering £120bn (8% of GDP) in 2008 – without any corresponding reduction in demand or focus on outcomes.

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Understanding the Oldest Old

In 2012, the Office for National Statistics estimated that there are nearly 1.5 million people aged 85 and over in the UK. We are only at the beginning of an estimated escalation of numbers of people in this age group, projected to reach 5 million by 2050. What was formerly a small number of exceptional individuals is rapidly becoming a whole new generation for families in this country: the ‘Fourth Generation’.

Over recent years, through research, our contact with leading experts, and ourRea3 engagement with older people, it has become apparent to Age UK that we all need to know more about these ‘oldest old’. Often what we hear are stereotypes held over from days gone by – that these oldest people are all frail and in care homes, their useful life over. We are concerned that all of us who make decisions concerning their welfare need help to get up to date with their nature and needs.

So we asked experts to write summaries of what is known in their area of research about the ‘oldest old’. We’ve collected these lay-person summaries into a short book, ‘Understanding the Oldest Old.’ Continue reading

Guest blog: What burden of ageing?

This guest blog was contributed by Rob Greig, Chief Executive at the National Development Team for Inclusion (NDTi)

The area of government policy that has continually depressed me the most (and I’m talking successive governments here) is that around older people and ageing. What we at NDTi call the ‘demographic dialogue’ of public policy and the media creates a culture whereby older people are seen as a problem and a burden on society.

Read almost anything from government policy, think tanks or the national press and you will see older people being described negatively. They are ‘bed blockers’ in hospitals, creating a ‘financial precipice’ in public finances and the cause of a pension system crisis that means younger people will have to work longer. Older people are portrayed as being the cause of problems that government and society have to address.

I beg to differ.  There are 3 fundamental flaws in this perception of older citizens:

  • It sees older people as primarily passive recipients of services provided by the state or wider society, denying or even discouraging their capacity to continue to give to the communities around them.
  • The service and cost modelling is substantially based on an assumption that we will do the same in the future as we have done in the past – rather than explore more innovative options that could change the financial parameters
  • It conveniently appears to forget the contributions that people have made to society, through their work, taxes, caring and creativity. Is it too old-fashioned to still think that society may have some obligation in the form of ‘pay-back’ time that should argue against using the language of burden?

I will put the third point to one side as it is primarily influenced by values and opinions and instead focus on the first two – and tell you about Ted.

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Guest blog – Protected or ignored characteristics?

This blog was contributed by Jo Moriarty, a Research Fellow at King’s College London, in the Social Care Workforce Research Unit. She co-authored the evidence review Diversity in older people and access to services with Unit Director, Jill Manthorpe.

The Equality Act 2010 made existing anti-discrimination legislation simpler and removed inconsistencies. It covers nine so-called ‘protected characteristics’, aspects of our identity such as religion, race, gender, age, or sexuality, which cannot be used as reasons for treating us unfairly.

photo by spruce bingsteenSome older people may avoid asking for help because they think they won’t receive equal treatment, in spite of sharing a particular protected characteristic, such as being gay.

Age UK asked us to investigate whether five key services – falls prevention, home from hospital schemes, handyperson schemes, befriending, and day opportunities – successfully offer support across all older people, regardless of any ‘protected characteristic’.

It seemed a straightforward task. Researchers today have access to masses of material. We can trawl through specialist databases containing thousands of research papers published each year. Many organisations such as Age UK publish their research reports online and for free. Continue reading