I want to set out some key arguments which make the case for a public health-led approach to making our communities, and in our case, city, good places to grow older. Firstly, I want to argue that dominant narratives of ageing, those that feature in policy debates, and are present in how we discuss older people are not fit for purpose. Indeed we might argue that language Secondly, I want to argue that policy and programmes of work have to repson
Thirdly, I want to argue that there is a significant wealth of evidence in the academy, but also with our practioners and communities. Fourthly: ph can lead programmes
Source: Valuing Older People, MCC 2012
David Regan - High impact health interventions
David ReganDirector of Public HealthManchester City CouncilCreating age-friendly communities
Key arguments 1Conceptual approach• Dominant policynarratives of ageingcan limit thedevelopment ofcitizenship-basedapproaches to ageingand older people.Policy• Policy needs torespond in particularto ageing indisadvantagedcommunities,including those now in‘mid-life’.
Key arguments 2Evidence• There is (inter)nationalevidence, and goodpractice, to supportthis approach.Leadership• Public health groups inlocal authorities arewell placed to leadcomprehensive ageingprogrammes, evenwithin current financialconstraints.
Medical Care CitizenshipPatient Customer CitizenFocus on individual Focus on individual,family and informalnetworksFocus onneighbourhood andcityClinical interventions Care interventions Promoting socialcapital andparticipationCommission for ‘frailelderly’Commission forvulnerable peopleAge-proofinguniversal servicesPrevention of entryto hospitalPrevention to delayentry to care systemReducing socialexclusionHealth (and caresystem)Whole system Changing socialstructure and attitudesCitizenship-based policyapproach
Citizenship-based approach• Asset-based model:building on resourcesof the city and its oldercitizens• Focus on civicparticipation and socialinclusion“Manchester has established itself at aninternational level as a leading authority indeveloping one of the most comprehensivestrategic programmes on ageing.”John Beard, Director, Department ofAgeing and Life CourseWorld Health Organisation
The Approach in Practice:improving social participation
The Approach in Practice:new approaches for baby-boomers
Conclusions• Impact of cities onageing• Austerity andcentralisation ofservices createschallenges• Reduce demand forhigh-end services• Sustainable andbalanced communities• Public health teamscan play a leading rolein their new home
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