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3 mitchell new mm ifa 2012 v3 120529


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3 mitchell new mm ifa 2012 v3 120529

  1. 1. Pathways to better health for olderpeople: Focusing on the person Michelle Mitchell, Director General Age UK
  2. 2. Our new reportI’m pleased to introduce our new reportIt examines two key questions: 1. As a country, how successful has England and the UK been in preventing later life disease and disability? 2. How well are we delivering high quality medical treatments for the common disabling diseases of later life?
  3. 3. Health in later life Prevalence of disease, 65 + Source: Health Survey for England 2005His risk of dementia will rise dramatically over the next 10 years
  4. 4. Life expectancy and healthylife expectancy
  5. 5. What’s wrong with the current system• Major gaps in variation of care• Care insufficiently integrated or centred on needs• Cannot meet efficiency challenges of system• Public health in later life and maintaining wellbeing across the life course a low priority
  6. 6. Even between comparable,countries, variation persistsColorectal cancer 5 year survival rates 70 Colorectal Cancer Relative survival estimates (%) 60 50 40 30 20 10 0 Australia Canada Denmark Norway Sweden UK 55-64 years 65-74 years 75-99 years Source: Coleman 2010
  7. 7. A poor deal for older peopleIn men over 75 (England): – Around 40% have untreated or uncontrolled hypertension – Around 40% have high cholesterol – Around 20% have diabetes • 80% have not received training in self- management • 20% do not get their feet checked – 73% are not helped to prevent their arthritis getting worse and 67% do not have pain management options discussed
  8. 8. Unfinished businessDramatic drops in mortality a major successBUT Care needs change rather than disappear 1,000 MEN Respiratory 900 Rates per 100,000 population Circulatory 800 Inf ectious 700 Cancers 600 500 400 300 200 100 - 1911 1921 1931 1941 1951 1961 1971 1981 1991 2001 Year Source: ONS, 2011
  9. 9. Public spending on older people 2010/11 £150bn Social care NHS £100bn £50bn Social security benefits £0bn Dilnot et al: Conclusions and recommendations of the Commission on Funding of Care and Support, 2011
  10. 10. Meet James
  11. 11. PathwaysNow In the future• Decisions are made for •Shared decision-makingJames•No comprehensive •Community and individualassessment of need needs understood•Conditions addressed in •Care planned againstisolation agreed outcomes•Social circumstances •Social care support fullyignored incorporated•Information not available to •Reduced need to usecare for himself health services
  12. 12. Principles for care• Huge opportunities to improve treatmentquality and achieve better outcomes• Healthcare must be designed with olderpeople and support shared decision making• Invest in managing long-term conditionmanagement• Invest in prevention• Unlock potential for older people to care forthemselves• Shift in cultural attitudes
  13. 13. Thank you