In this webinar we discussed the Good Home Inquiry’s findings and recommendations, the policy priorities of the public and the next steps needed to improve our homes and improve the lives of millions of people.
Find out more: https://www.ageing-better.org.uk/events/good-home-inquiry-report-launch
One year on the impact of COVID-19 on the lives of people approaching later lifeCentre for Ageing Better
In this set of slides, we present findings of our research on work, health, housing and communities, which look at the impact of COVID-19 on people aged 50-70.
In this webinar we'll examine the role that poverty plays in healthy ageing, and hear what organisations are doing to address this major determinant of health inequality.
In this webinar, hosted by the Good Home Inquiry, we examined how a digitally connected home supports and enhances a good home and how we can ensure more people are connected in ways that work for them in their existing homes.
Find out more: https://www.ageing-better.org.uk/events/good-digitally-connected-home
This set of slides brings together findings from ‘The State of Ageing in 2020’.
We are offering this PowerPoint for use by others in your own presentations but we ask that you retain references to the Centre for Ageing Better.
ILC-UK Future of Ageing Presentation Slides - 09Nov16 ILC- UK
On Wednesday 9th November 2016, ILC-UK held it's second annual future of Ageing conference.
We welcomed over 180 delegates made up of business leaders; charity sector experts; public sector decision makers; local authority staff; academics; and senior journalists.
The one day conference was chaired by Baroness Slly Greengross OBE and Lawrence Churchill CBE, and we heard from the following speakers:
- Dr Islene Araujo de Carvalho, Senior Policy and Strategy Adviser, Department of Ageing and Life Course, WHO
- John Cridland CBE, Head of the Independent State Pension Age Review
- The Rt Rev. and the Rt Hon. the Lord Carey of Clifton, Archbishop of Canterbury 1991-2002
- Ben Franklin, Head of Economics of an Ageing Society, ILC-UK
- Professor Sarah Harper, Director, Oxford Institute of Population Ageing
- Dwayne Johnson, Director of Social Care and Health at Sefton Metropolitan Borough Council
- Dr Margaret McCartney, Author and Broadcaster
- John Pullinger CB, National Statistician, UK Statistics Authority
- David Sinclair, Director, ILC-UK
- Jonathan Stevens, Senior Vice President, Thought Leadership, AARP
- Linda Woodall, Director of Life Insurance and Financial Advice, and sponsor of the Ageing Population project, Financial Conduct Authority
ILC-UK, New Dynamics of Ageing and the Actuarial Profession debate: Improving...ILC- UK
Telecare and telemedicine can improve health outcomes and save money, argued the Prime Minister late last year. The Whole System Demonstrator (WSD) programme was set up by the Department of Health to attempt to, amongst other things, explore the evidence base as to the effectiveness and cost-effectiveness of these technologies.
The findings were striking. “If delivered properly, telehealth can substantially reduce mortality, reduce the need for admissions to hospital, lower the number of bed days spent in hospital and reduce the time spent in A&E” argued the DH.
The randomised control trial of over 6,000 patients found that if delivered properly, telehealth can deliver:
45% reduction in mortality rates
20% reduction in emergency admissions
15% reduction in A&E visits
14% reduction in elective admissions
14% reduction in bed days
8% reduction in tariff costs
Yet whilst claims about the potential of technology have been made for many years, embedding such technologies into people’s homes and lives has proved difficult.
The usability and accessibility of new technologies, the digital divide, a lack of funding for prevention, and a lack of trust and knowledge among healthcare professionals are among the many reasons why new technologies have sometimes failed to meet their potential.
At this event, Leela Damodaran, discussed how research into new technologies can help us age well and provide an overview of NDA research findings. She also highlight how we can most effectively deliver new technology.
Speakers presented the current evidence base in relation to the cost effectiveness of healthcare technologies.
ILC-UK presented findings of new work, supported by Nominet Trust, which will explore whether we can nudge people online.
As well as the debate, there were a number of Technology Showcases: Mappmal: hospitalfoodie; SomnIA; Design for Ageing Well; TACT3; Envision to envisage; Making the Kitchen Easier; NANA; Keeping Older People Connected; Safety on Stairs
Agenda from the event
15.00 – 16.30
Technology Showcases
16.30 – 16.35
Baroness Sally Greengross – Chief Executive, International Longevity Centre – UK
16.35 – 16.40
Alan Walker - Professor of Social Policy and Social Gerontology, Director of the New Dynamics
16.40 – 17.00
Mark Hawley – Professor of Health Service Research, University of Sheffield
17.00 – 17.10
Dr Nick Goodwin – Senior Fellow, Health Policy, The King’s Fund
17.10 – 17.25
Leela Damodaran – Professor of Participative Design and Change Management, Loughborough University
17.25 – 17.35
David Sinclair – Assistant Director, Research and Strategy, International Longevity Centre – UK
17.35 – 18.25
Discussion and Debate
18.25 – 18.30
Close - Baroness Sally Greengross – Chief Executive, International Longevity Centre – UK
18:30
Refreshments/Networki
In this webinar we discussed the Good Home Inquiry’s findings and recommendations, the policy priorities of the public and the next steps needed to improve our homes and improve the lives of millions of people.
Find out more: https://www.ageing-better.org.uk/events/good-home-inquiry-report-launch
One year on the impact of COVID-19 on the lives of people approaching later lifeCentre for Ageing Better
In this set of slides, we present findings of our research on work, health, housing and communities, which look at the impact of COVID-19 on people aged 50-70.
In this webinar we'll examine the role that poverty plays in healthy ageing, and hear what organisations are doing to address this major determinant of health inequality.
In this webinar, hosted by the Good Home Inquiry, we examined how a digitally connected home supports and enhances a good home and how we can ensure more people are connected in ways that work for them in their existing homes.
Find out more: https://www.ageing-better.org.uk/events/good-digitally-connected-home
This set of slides brings together findings from ‘The State of Ageing in 2020’.
We are offering this PowerPoint for use by others in your own presentations but we ask that you retain references to the Centre for Ageing Better.
ILC-UK Future of Ageing Presentation Slides - 09Nov16 ILC- UK
On Wednesday 9th November 2016, ILC-UK held it's second annual future of Ageing conference.
We welcomed over 180 delegates made up of business leaders; charity sector experts; public sector decision makers; local authority staff; academics; and senior journalists.
The one day conference was chaired by Baroness Slly Greengross OBE and Lawrence Churchill CBE, and we heard from the following speakers:
- Dr Islene Araujo de Carvalho, Senior Policy and Strategy Adviser, Department of Ageing and Life Course, WHO
- John Cridland CBE, Head of the Independent State Pension Age Review
- The Rt Rev. and the Rt Hon. the Lord Carey of Clifton, Archbishop of Canterbury 1991-2002
- Ben Franklin, Head of Economics of an Ageing Society, ILC-UK
- Professor Sarah Harper, Director, Oxford Institute of Population Ageing
- Dwayne Johnson, Director of Social Care and Health at Sefton Metropolitan Borough Council
- Dr Margaret McCartney, Author and Broadcaster
- John Pullinger CB, National Statistician, UK Statistics Authority
- David Sinclair, Director, ILC-UK
- Jonathan Stevens, Senior Vice President, Thought Leadership, AARP
- Linda Woodall, Director of Life Insurance and Financial Advice, and sponsor of the Ageing Population project, Financial Conduct Authority
ILC-UK, New Dynamics of Ageing and the Actuarial Profession debate: Improving...ILC- UK
Telecare and telemedicine can improve health outcomes and save money, argued the Prime Minister late last year. The Whole System Demonstrator (WSD) programme was set up by the Department of Health to attempt to, amongst other things, explore the evidence base as to the effectiveness and cost-effectiveness of these technologies.
The findings were striking. “If delivered properly, telehealth can substantially reduce mortality, reduce the need for admissions to hospital, lower the number of bed days spent in hospital and reduce the time spent in A&E” argued the DH.
The randomised control trial of over 6,000 patients found that if delivered properly, telehealth can deliver:
45% reduction in mortality rates
20% reduction in emergency admissions
15% reduction in A&E visits
14% reduction in elective admissions
14% reduction in bed days
8% reduction in tariff costs
Yet whilst claims about the potential of technology have been made for many years, embedding such technologies into people’s homes and lives has proved difficult.
The usability and accessibility of new technologies, the digital divide, a lack of funding for prevention, and a lack of trust and knowledge among healthcare professionals are among the many reasons why new technologies have sometimes failed to meet their potential.
At this event, Leela Damodaran, discussed how research into new technologies can help us age well and provide an overview of NDA research findings. She also highlight how we can most effectively deliver new technology.
Speakers presented the current evidence base in relation to the cost effectiveness of healthcare technologies.
ILC-UK presented findings of new work, supported by Nominet Trust, which will explore whether we can nudge people online.
As well as the debate, there were a number of Technology Showcases: Mappmal: hospitalfoodie; SomnIA; Design for Ageing Well; TACT3; Envision to envisage; Making the Kitchen Easier; NANA; Keeping Older People Connected; Safety on Stairs
Agenda from the event
15.00 – 16.30
Technology Showcases
16.30 – 16.35
Baroness Sally Greengross – Chief Executive, International Longevity Centre – UK
16.35 – 16.40
Alan Walker - Professor of Social Policy and Social Gerontology, Director of the New Dynamics
16.40 – 17.00
Mark Hawley – Professor of Health Service Research, University of Sheffield
17.00 – 17.10
Dr Nick Goodwin – Senior Fellow, Health Policy, The King’s Fund
17.10 – 17.25
Leela Damodaran – Professor of Participative Design and Change Management, Loughborough University
17.25 – 17.35
David Sinclair – Assistant Director, Research and Strategy, International Longevity Centre – UK
17.35 – 18.25
Discussion and Debate
18.25 – 18.30
Close - Baroness Sally Greengross – Chief Executive, International Longevity Centre – UK
18:30
Refreshments/Networki
This webinar explored the challenges and opportunities for people ageing in rural and coastal places, the impact of the pandemic on rural communities and the action required to support their recovery.
Find out more: https://www.ageing-better.org.uk/events/ageing-rural-place-webinar
COVID-19 in the UK and US: Understanding the impact on insurance, retirement ...ILC- UK
The UK and the US have been heavily impacted by the COVID-19 pandemic. But what is the impact on these critical financial services sectors, and what happens next?
Last Summer, we held a discussion webinar, co-hosted with the Institute and Faculty of Actuaries, that took a deep-dive into what the pandemic means for these sectors as a result of any changes to expected mortality, life expectancy and health.
One year on, we reconvened our panel of expert actuaries to ask:
- How has the pandemic affected the views of actuaries on future longevity, mortality and health?
- What was expected/ predictable, and what has changed?
What has this, and will this, mean for financial services, including retirement income, pension schemes, annuities in the US and UK?
- What happens next?
Nudge or Compel? Can behavioural economics tackle the digital exclusion of ol...ILC- UK
On the 29th November 2012, ILC-UK held the launch of a new report: ‘Nudge or Compel? Can behavioural economics tackle the digital exclusion of older people?’. This report, kindly supported by Nominet Trust, examines the factors which affect why older people do not get online, concentrating on behavioural choice. The launch was hosted by the Communications Consumer Panel.
Close to eight million adults in the UK have never used the internet, with the vast majority being older people. Over two fifths of those who have never been online are over 75. Previous work from ILC-UK has drawn attention to the nuances in why this digital divide continues; reporting in 2011 that for digital exclusion, factors such as psychological issues ‘appear to be more influential than material factors such as cost or lack of physical infrastructure’.
Within the last decade a strong policy trend has developed with the use of behavioural economics. Explored by Thaler and Sunstein in Nudge, this theory has been used in the development of programmes such as automatic enrolment in occupational pensions.
The introduction of the ‘digital by default’ agenda is likely to eventually result in reducing the alternative options for accessing public services and information. While resources have been funnelled into projects aiming to getting those not online connected, concerns have been raised that people who are disinclined to use the internet will be left without support and excluded from information and services.
During this event we heard from a number of experts in this area and approached the following questions:
-What potential is there for behavioural economics to ‘nudge’ people online?
-Has media literacy failed?
-Should we make more public services available exclusively online?
-How can we ensure that the digital by default agenda supports people to get online?
- How can we use digital technology in imaginative ways to re-think the challenges facing people in later life?
We held an event to launch SOS 2020, supported by Aviva and Ernst and Young. This event was kindly sponsored by the Institute and Faculty of Actuaries (IFoA).
Last week the OBR Fiscal Sustainability Report noted that "public finances are likely to come under pressure over the longer term, primarily as the result of an ageing population. Under our definition of unchanged policy, the Government would end up having to spend more as a share of national income on age-related items such as pensions and health care, but the same demographic trends would leave government revenues roughly stable."
But whilst there is greater awareness of the fiscal challenges of ageing, there has been little progress in addressing an overarching plan to address the challenges. ILC-UK is launching SOS 2020 to begin to identify costed solutions to the fiscal challenges of ageing.
The House of Lords Select Committee on Public Service and Demographic Change, in its 2013 report “Ready for Ageing”, began by saying “the UK population is ageing rapidly, but we have concluded that the Government and our society are woefully underprepared.”
SOS 2020 is a major new programme of work led by ILC-UK which will raise awareness of the need to adapt our economy and society to the big strategic challenges posed by an ageing population.
SOS 2020 will outline the specific policy measures needed to achieve this goal. It will illuminate the issues that face us and develop fully considered and costed solutions that will act as a “call to action” to policy-makers and politicians. Above all SOS 2020 aims to raise national and international awareness of problems and possible solutions in which we all have a vested interest.
In an increasingly interdependent world, there is a need to look beyond national shores for arguably collective consensus and joint solutions. SOS 2020 will give us the opportunity to do this.
ILC-UK launched SOS 2020 with specific projects exploring retirement income sustainability and healthcare sustainability.
This launch event gave delegates an opportunity to feed in their thoughts on how to ensure our public policy maximises the opportunities of our ageing society.
Virtual report launch: Slipping between the cracks? Retirement income prospec...ILC- UK
Find out more and see a recording of the event here: https://ilcuk.org.uk/report-launch-the-forgotten-generation-retirement-income-prospects-of-generation-x/
On the 24th November 2015, we held our first annual conference on 'The Future of Ageing'.
During this full day conference we painted a picture of the future of ageing and explored the challenges and opportunities ahead. Through our unique lifecourse focus we explored the potential impact of ageing not just on today’s older population, but also on tomorrows.
We heard presentations from:
- Steven Baxter (Partner, Hymans Robertson);
- Lord Filkin (Chair of the Centre for Ageing Better and Chair of the House of Lords Committee on Public Service and Demographic Change);
- Lord Willetts (Executive Chair at Resolution Foundation, and former Minister of State [Department for Business, Innovation and Skills]);
- Paul Johnson (Director, Institute for Fiscal Studies);
- Baroness Altmann (Minister for Pensions);
- Professor Jane Elliott (Chief Executive, Economic and Social Research Council);
- Professor Sir Mark Walport (Government Chief Scientific Adviser [GCSA] and Head of the Government Office for Science);
- Jim Boyd (Director of Corporate Affairs, Partnership);
- Elaine Draper (Director, Accessibility & Inclusion, Barclays);
- Mario Ambrosi (Head of Communications and Public Affairs, Anchor);
- Baroness Kay Andrews (Member of the House of Lords Built Environment Committee, Former Parliamentary Under-Secretary (Department for Communities and Local Government) 2006-2009);
- Professor Ian Philp (Deputy Medical Director for Older People’s Care, Heart of England NHS Foundation Trust).
The conference was chaired by Baroness Sally Greengross (Chief Executive, ILC-UK) and Lawrence Churchill (Trustee, ILC-UK).
Public service and demographic change: an ILC-UK/Actuarial Profession joint d...ILC- UK
Full details of the event are available here: http://www.ilcuk.org.uk/index.php/events/ilc_uk_and_the_actuarial_profession_debate_public_service_and_demographic_c
The live blog for this event is available here: http://blog.ilcuk.org.uk/2013/04/23/live-blog-public-service-and-demographic-change/
02Nov15 - Drink Wise Age Well programme launchILC- UK
On the 2nd November 2015, ILC-UK held a panel discussion to launch the Drink Wise, Age Well programme.
The event brought together important stakeholders to discuss the growing problem of alcohol misuse in the over 50s population of the UK. Supported by the Big Lottery Fund, Drink Wise, Age Well brings together 6 strategic partners; Addaction, the Royal Voluntary Service, International Longevity Centre UK, Drugs and Alcohol Charities Wales, Addiction Northern Ireland and the University of Bedfordshire.
With at least 20% of over 50s in the UK exceeding recommended alcohol units, and alcohol related harms significantly increasing in this age group, Drink Wise, Age Well will aim to create a healthier relationship with alcohol for the overs 50s population through a preventative approach.
As part of our programme evaluation we have recently carried out a survey of drinking behaviour in people aged 50 and over which more than 17,000 people completed.
Joining our panel to discuss this important and growing issue were:
- Simon Antrobus, CEO, Addaction (Chair)
- Don Lavoie, Alcohol Programme Manager, Alcohol Team, Public Health England
- Dr Sarah Wadd, Director, Substance misuse and Ageing Research Team at the Tilda Goldberg Centre, University of Bedfordshire
- Professor José Iparraguirre, Chief Economist, Age UK
- Dr Kieran Moriarty, Consultant Physician and Gastroenterologist, Bolton NHS FT
Village life: Independence, Loneliness, and Quality of Life in Retirement Vil...ILC- UK
On the 19th August, the ILC-UK held a launch event of a new research report “Village life: Independence, Loneliness, and Quality of Life in Retirement Villages with Extra Care” which considers the impact of retirement villages on independence, loneliness and quality of life of residents.
The report incorporates a survey of residents and compares the sample with a comparable group of non-residents living in private housing.
The report has been produced with the support of Bupa and Audley. Anchor provided additional survey respondents.
During the launch, Brian Beach, Research Fellow at ILC-UK, presented the findings of the research. Nick Sanderson, CEO of Audley, and Jeremy Porteus, Founder and Director or Housing LIN (Learning and Improvement Network), responded.
31Mar14 - Understanding wellbeing in old age across the world: lessons from a...ILC- UK
Global ageing is calling into question the differences between developed and developing countries.
Developing countries are seeing a growth of non-communicable diseases usually associated with affluence in wealthier countries: obesity; diabetes; cancer; heart disease; dementia; among others.
Urbanisation is posing significant challenges and opportunities, but countries like China are also seeing vast areas of rural hinterland with an increasingly ageing population.
At the same time, a complex picture of wealth and financial satisfaction is emerging across the world. The global economy is more heavily interlinked than ever before with the future economic success of the UK and wealthier countries likely to rely on the success of development in lower and middle income countries. There is a very positive story to tell about wellbeing in developing countries which is rarely heard.
Across the world, transitions are varying in pace, but a common factor facing most parts is ageing.
Focussing on ageing makes good development sense, a fact that policymakers are increasingly recognising. There has been growing interest from academics and policy makers in exploring how to best compare the impact of ageing in a global context.
HelpAge International's Global AgeWatch Index ranks countries by how well their ageing populations are faring.
The EC and UN supported Active Ageing Index (AAI) is an analytical tool that aims to help policy makers produce policies for active and healthy ageing.
The Global Aging Preparedness Index (GAP) was developed by the Center for Strategic and International Studies’ with financial support from Prudential plc. The GAP Index seeks to inform the policy debate about global aging and focus attention on the need for constructive reform.
Following introductory remarks from Chris Roles of Age International, Jessica Watson of ILC-UK presented new work using a major international dataset – the World Values Survey – about levels of self-reported financial satisfaction. Analysing data from 56 countries over six continents, these findings throw new light on levels of financial satisfaction within and between countries. This analysis has been made possible by the ESRC SDAI initiative
ILC-UK/Actuarial Profession Robert Butler Memorial Lecture, in partnership wi...ILC- UK
A memorial lecture and debate on Centenarians and the Oldest Old
The ILC-UK was saddened last summer, by the loss of Dr. Robert N. Butler, founder of the first International Longevity Centre in the United States and Pulitzer prize-winning gerontologist. His invaluable contribution has changed the approach and research on ageing and longevity.
In tribute to Dr Butler, ILC-UK organised a memorial lecture and debate, in partnership with Age UK and the Joseph Rowntree Foundation, on Centenarians and the Oldest Old.
In 1911 there were just 100 Centenarians living in England and Wales, a figure which grew to 9,000 people in 2006 and represented a 90-fold increase over the previous 100 years (Dini and Goldring. 2008). There was a fourteen-fold increase in male centenarians and a 23-fold increase in female centenarians over the last 50 years of the twentieth century (Dini and Goldring. 2008).
The number of people aged over 100 is expected to nearly double between 2030 and 2035, when it is projected there will be 97,300 centenarians in the UK. It is then expected to more than double again during the next decade, to stand at 202,100 by 2045. (DWP/ONS December 2010).
The ONS estimates that by 2066 there will be at least 507,000 people in the UK aged 100 or over, including 7,700 super centenarians who are aged 110 or over. By 2080, there may be 626,900 people aged over 100. 21,000 of these will be over 110. (DWP/ONS December 2010).
Even the conservative estimates for the growth in the number of the oldest old will have a significant impact on services. Yet whilst policy makers seem aware of the growth in the number of people living to 100, there has been little or no explicit exploration about the impact of the growth in numbers of oldest old on public policy.
Professor Tom Kirkwood, Associate Dean for Ageing at Newcastle University gave the Lecture. The ILC-UK presented early findings of work for Age UK on the oldest old.
Agenda from the event:
16:30 – 16.35
Welcome and introduction from chair Baroness Sally Greengross, Chief Executive, International Longevity Centre – UK
16.35 – 17.20
The Robert Butler Memorial Lecture by Professor Tom Kirkwood, Associate Dean for Ageing at Newcastle University. For a copy of Professor Kirkwood's slides please email events@ilcuk.org.uk
17.20 – 17.30
Centenarians and the Oldest Old, ILC-UK
David Sinclair
17.30 - 17.35
A personal contribution on the life of a Centenarian
Noreen Siba
17.35 – 17.45
First telegram at 110? The implications of longevity
Dr Matthew Norton
17.45 – 17.55
'What older people want and value in life?' Joseph Rowntree Foundation
Ilona Haslewood
17.55 – 18.25
Panel and Audience Debate
18.25 - 18.30
Close
10Apr14 - Ensuring communities offer what older people wantILC- UK
This seminar was held on Thursday 10th April 2014, 13:30 (for 14:00) – 17:00 on the topic is ‘Ensuring communities offer what older people want’, and focussed on the activities and interests of older people that need to be represented in our communities to ensure good quality of life and wellbeing for an ageing population. The results of these seminars will inform a solutions-focussed policy brief, looking at what needs to be done to create age-ready local areas. This brief will be launched in May at a full day conference on ageing in our communities.
In this seminar we considered what communities provide for older people and how these needs may change (or stay the same) as they age. We know from research on isolation and loneliness that social connections remain an important part of quality of life for many people as they get older, yet as the ‘loneliness epidemic’ continues to hit headlines it is clear that this is not being fully addressed in communities. Exploring how activities and services can maintain and build on social networks is key to maintaining wellbeing within the community.
Elsewhere, we explored the services, amenities and activities available to older people in their communities – from village shops, to post offices, to libraries and adult education classes, and how these enhance wellbeing for older people. A community can take many forms, and in this session we will also be considering the approaches to be taken from different kinds of setting – from urban to rural – and the challenges that lie in providing services to these distinct regions.
This seminar explored:
• How family connections, friendships and social ties can be supported and better integrated into community activities.
• What role do local services and shops play in building a community, what the future of these services looks like and what can be done to ensure they support ageing in the community?
• What activities are currently available for older people in their communities, and are these suitable or prepared for an increasing number of people accessing them? What else should be available?
• How we can ensure that fun and playfulness remain part of life when growing older in the community?
• How can we ensure that the experience of growing older remains at its highest quality across rural, town, suburban, and urban settings?
Launched in the House of Lords on Thursday, 13th July 2017, this report, produced by ILC-UK with the support of Royal London, finds that those who received financial advice in the 2001-2007 period had accumulated significantly more liquid financial assets and pension wealth than their unadvised equivalent peers by 2012-14.
Throughout 2014, ILC-UK, supported by specialist insurance company, Partnership Assurance Group plc, is undertaking a series of events to explore the relationship between our changing demography and public policy.
The fourth event in this 'Population Patterns Seminar Series' considered the findings of our ‘Factpack’ of UK demographic statistics.
We all know that people are living longer but how is that likely to change our society? How will pensions be affected? How will we care for our growing older society when the traditional “working age” population is shrinking?
These types of debates are increasingly being played out in the media and in political circles but in order for such debates to be productive, they have to be well informed.
ILC-UK believes its 2014 ‘Factpack’ will support this process by highlighting the most recent evidence of our rapidly ageing society. Not only does it provide statistics on a range of critical topics from life expectancy to housing supply; and pensions to long-term care, it also includes a special focus on the current and potential future state of pensioner poverty.
The event was chaired by Baroness Sally Greengross (ILC-UK) with a welcome from Steve Haberman (Dean of the Cass Business School). We were delighted that Gregg McClymont MP, Shadow Minister (Work and Pensions), spoke at at the launch event. We also heard presentations from Professor Les Mayhew (Professor of Statistics, Cass Business School), Steve Groves (Chief Executive of Partnership), Ben Franklin (Research Fellow at ILC-UK) and a response from Tom Younger of the Department for Work and Pensions.
During the discussion we explored:
How the UK’s demography has changed since the release of the 2013 Factpack and how it might change in the future,
How demographic change is reshaping our society,
The challenge of pensioner poverty,
Regional variations in the experiences of older people,
How policy makers should respond to these findings.
Agenda
16:00 - 16:30 Registration
16:30 - 16:35 Welcome by Chair, Baroness Sally Greengross (ILC-UK)
16:35 - 16:40 Welcome by the Dean of Cass Business School, Professor Stete Habberman
16:40 - 16:50 Presentation from Richard Willets (Partnership)
16:50 - 17:10 Presentation from Gregg McClymont MP (Shadow Minister for Work and Pensions)
17:10 - 17:20 Presentation from Ben Franklin (ILC-UK)
17:20 - 17:30 Presentation from Professor Les Mayhew (Cass Business School) Presentation
17:30 - 17:35 Response from Tom Younger (Department for Work and Pensions)
17:35 - 18:25 Discussion/Q&A
18:25 - 18:30 Close by Chair, Baroness Sally Greengross (ILC-UK)
18:30 - 19:15 Drinks reception
Are we ready to make the UK the best country to grow old in?
One year ago, the House of Lords Committee on Public Services and Demographic Change produced a hard-hitting report which argued that the Government and society was “woefully underprepared” for a rapidly ageing population.
On the first anniversary of the ‘Ready for Ageing?’ report, we are in the unenviable position that sees the United Kingdom ranked unlucky number 13 in a global index of the best countries in the world to grow old in. The principal recommendations in the ‘Ready for Ageing?’ report have not yet been properly addressed or acted on.
In his October 2013 speech on ‘The Forgotten Million’, Secretary of State for Health, Jeremy Hunt MP, set down a challenge that the UK should in fact aspire to be best country to grow old in, but the question remains: why are our public services so poorly prepared for major demographic change, and what as a society can we do to ensure future generations of older people thrive in later life?
Lord Filkin, Chair of the Committee on Public Services and Demographic Change, hosted a House of Lords breakfast debate looking forward to 2030, a date by which there will be 50% more people aged 65 and over in England and a doubling in the numbers of people aged 85 and over. As a society, we need to prepare for the next 15 years right now and certainly in the next Parliament.
At this event, Independent Age and ILC-UK, supported by members of the Ready for Ageing Alliance, launched 2030 Vision: Making the UK the best country to grow old in, which will look to the long term and consider what politicians and policy makers need to now, both in preparation for next year’s General Election, and between 2015 and 2020, to prepare for the long term opportunities and challenges ahead.
During the debate, we invited contributions on the economic and societal implications of population ageing and the major policy decisions all the main parties face to ready the UK and its public services for dramatic population ageing.
It’s clear that our political, social and cultural approach towards old age today is already hopelessly out of date, so this event will provide Parliamentarians and stakeholders from across civil society with an opportunity to mark the first anniversary of the House of Lords’ Committee report on demographic change and look ahead, so as a society we can seize the opportunities presented by an ageing population.
02May14 - The demographic implications of Scottish independenceILC- UK
During 2014, ILC-UK, supported by the specialist insurance company, Partnership Assurance Group plc, is undertaking a series of events to explore the relationship between our changing demography and public policy.
The third event in the series explored the demographic implications of Scottish independence.
In 2014, Scotland will vote in an independence referendum which could significantly change its relationship with the rest of the United Kingdom. An independent Scotland would have a fully independent NHS, control a significant proportion of the North Sea oil reserves and will take on a percentage of the UK national debt.
An independent Scotland would also result in the UK having a new demographic makeup. There are currently a number of marked differences between the two countries which will be highlighted by the division. These include a 2.8 year gap in healthy life expectancy for men, as well as differences in overall life expectancy and mortality rates. Recent figures released by the ONS suggest that the future health of an independent Scotland may actually align with that of the UK. The number of children aged two to 15 either overweight or obese in Scotland is now equal to that of England (30%), and lower than Wales (36%), and Scottish men are significantly more active than their counterparts in both countries.
The seminar explored these differences, as well as how the demography of an independent Scotland may change over time, and what future Scottish Governments (with or without independence) may need to do to adapt to these demographic changes.
Scottish independence would have a number of age-related policy implications for both Scotland and the rest of the United Kingdom. The issue of Scotland’s ageing population has already entered political debate, with the SNP announcing that, if elected, they would make new pensioners £4.40 a month better off than in England, while also pledging to set up a commission looking at the state pension age. The Scottish government has also announced that benefits, tax credits and state pensions would continue to be paid from the first day of independence, but have not addressed how they will meet the challenge of moving schemes from one administration to another.
Presentation slides from the ILC-UK 'What is retirmeent really like?' launch event on the 1st December 2015.
Building on ILC-UK’s extensive work on older consumers and on retirement income, this major research report assesses the differences between theory or popular belief about retirement and the reality of it.
The report considers how spending varies during old age and challenges pre-existing stereotypes about retired life which can be misleading and may contribute to poor planning or unrealistic expectations. This report, which incorporates new quantitative analysis and the feedback from 3 expert focus groups, will explore the role for policymakers and industry in helping us retire well.
This webinar explored the challenges and opportunities for people ageing in rural and coastal places, the impact of the pandemic on rural communities and the action required to support their recovery.
Find out more: https://www.ageing-better.org.uk/events/ageing-rural-place-webinar
COVID-19 in the UK and US: Understanding the impact on insurance, retirement ...ILC- UK
The UK and the US have been heavily impacted by the COVID-19 pandemic. But what is the impact on these critical financial services sectors, and what happens next?
Last Summer, we held a discussion webinar, co-hosted with the Institute and Faculty of Actuaries, that took a deep-dive into what the pandemic means for these sectors as a result of any changes to expected mortality, life expectancy and health.
One year on, we reconvened our panel of expert actuaries to ask:
- How has the pandemic affected the views of actuaries on future longevity, mortality and health?
- What was expected/ predictable, and what has changed?
What has this, and will this, mean for financial services, including retirement income, pension schemes, annuities in the US and UK?
- What happens next?
Nudge or Compel? Can behavioural economics tackle the digital exclusion of ol...ILC- UK
On the 29th November 2012, ILC-UK held the launch of a new report: ‘Nudge or Compel? Can behavioural economics tackle the digital exclusion of older people?’. This report, kindly supported by Nominet Trust, examines the factors which affect why older people do not get online, concentrating on behavioural choice. The launch was hosted by the Communications Consumer Panel.
Close to eight million adults in the UK have never used the internet, with the vast majority being older people. Over two fifths of those who have never been online are over 75. Previous work from ILC-UK has drawn attention to the nuances in why this digital divide continues; reporting in 2011 that for digital exclusion, factors such as psychological issues ‘appear to be more influential than material factors such as cost or lack of physical infrastructure’.
Within the last decade a strong policy trend has developed with the use of behavioural economics. Explored by Thaler and Sunstein in Nudge, this theory has been used in the development of programmes such as automatic enrolment in occupational pensions.
The introduction of the ‘digital by default’ agenda is likely to eventually result in reducing the alternative options for accessing public services and information. While resources have been funnelled into projects aiming to getting those not online connected, concerns have been raised that people who are disinclined to use the internet will be left without support and excluded from information and services.
During this event we heard from a number of experts in this area and approached the following questions:
-What potential is there for behavioural economics to ‘nudge’ people online?
-Has media literacy failed?
-Should we make more public services available exclusively online?
-How can we ensure that the digital by default agenda supports people to get online?
- How can we use digital technology in imaginative ways to re-think the challenges facing people in later life?
We held an event to launch SOS 2020, supported by Aviva and Ernst and Young. This event was kindly sponsored by the Institute and Faculty of Actuaries (IFoA).
Last week the OBR Fiscal Sustainability Report noted that "public finances are likely to come under pressure over the longer term, primarily as the result of an ageing population. Under our definition of unchanged policy, the Government would end up having to spend more as a share of national income on age-related items such as pensions and health care, but the same demographic trends would leave government revenues roughly stable."
But whilst there is greater awareness of the fiscal challenges of ageing, there has been little progress in addressing an overarching plan to address the challenges. ILC-UK is launching SOS 2020 to begin to identify costed solutions to the fiscal challenges of ageing.
The House of Lords Select Committee on Public Service and Demographic Change, in its 2013 report “Ready for Ageing”, began by saying “the UK population is ageing rapidly, but we have concluded that the Government and our society are woefully underprepared.”
SOS 2020 is a major new programme of work led by ILC-UK which will raise awareness of the need to adapt our economy and society to the big strategic challenges posed by an ageing population.
SOS 2020 will outline the specific policy measures needed to achieve this goal. It will illuminate the issues that face us and develop fully considered and costed solutions that will act as a “call to action” to policy-makers and politicians. Above all SOS 2020 aims to raise national and international awareness of problems and possible solutions in which we all have a vested interest.
In an increasingly interdependent world, there is a need to look beyond national shores for arguably collective consensus and joint solutions. SOS 2020 will give us the opportunity to do this.
ILC-UK launched SOS 2020 with specific projects exploring retirement income sustainability and healthcare sustainability.
This launch event gave delegates an opportunity to feed in their thoughts on how to ensure our public policy maximises the opportunities of our ageing society.
Virtual report launch: Slipping between the cracks? Retirement income prospec...ILC- UK
Find out more and see a recording of the event here: https://ilcuk.org.uk/report-launch-the-forgotten-generation-retirement-income-prospects-of-generation-x/
On the 24th November 2015, we held our first annual conference on 'The Future of Ageing'.
During this full day conference we painted a picture of the future of ageing and explored the challenges and opportunities ahead. Through our unique lifecourse focus we explored the potential impact of ageing not just on today’s older population, but also on tomorrows.
We heard presentations from:
- Steven Baxter (Partner, Hymans Robertson);
- Lord Filkin (Chair of the Centre for Ageing Better and Chair of the House of Lords Committee on Public Service and Demographic Change);
- Lord Willetts (Executive Chair at Resolution Foundation, and former Minister of State [Department for Business, Innovation and Skills]);
- Paul Johnson (Director, Institute for Fiscal Studies);
- Baroness Altmann (Minister for Pensions);
- Professor Jane Elliott (Chief Executive, Economic and Social Research Council);
- Professor Sir Mark Walport (Government Chief Scientific Adviser [GCSA] and Head of the Government Office for Science);
- Jim Boyd (Director of Corporate Affairs, Partnership);
- Elaine Draper (Director, Accessibility & Inclusion, Barclays);
- Mario Ambrosi (Head of Communications and Public Affairs, Anchor);
- Baroness Kay Andrews (Member of the House of Lords Built Environment Committee, Former Parliamentary Under-Secretary (Department for Communities and Local Government) 2006-2009);
- Professor Ian Philp (Deputy Medical Director for Older People’s Care, Heart of England NHS Foundation Trust).
The conference was chaired by Baroness Sally Greengross (Chief Executive, ILC-UK) and Lawrence Churchill (Trustee, ILC-UK).
Public service and demographic change: an ILC-UK/Actuarial Profession joint d...ILC- UK
Full details of the event are available here: http://www.ilcuk.org.uk/index.php/events/ilc_uk_and_the_actuarial_profession_debate_public_service_and_demographic_c
The live blog for this event is available here: http://blog.ilcuk.org.uk/2013/04/23/live-blog-public-service-and-demographic-change/
02Nov15 - Drink Wise Age Well programme launchILC- UK
On the 2nd November 2015, ILC-UK held a panel discussion to launch the Drink Wise, Age Well programme.
The event brought together important stakeholders to discuss the growing problem of alcohol misuse in the over 50s population of the UK. Supported by the Big Lottery Fund, Drink Wise, Age Well brings together 6 strategic partners; Addaction, the Royal Voluntary Service, International Longevity Centre UK, Drugs and Alcohol Charities Wales, Addiction Northern Ireland and the University of Bedfordshire.
With at least 20% of over 50s in the UK exceeding recommended alcohol units, and alcohol related harms significantly increasing in this age group, Drink Wise, Age Well will aim to create a healthier relationship with alcohol for the overs 50s population through a preventative approach.
As part of our programme evaluation we have recently carried out a survey of drinking behaviour in people aged 50 and over which more than 17,000 people completed.
Joining our panel to discuss this important and growing issue were:
- Simon Antrobus, CEO, Addaction (Chair)
- Don Lavoie, Alcohol Programme Manager, Alcohol Team, Public Health England
- Dr Sarah Wadd, Director, Substance misuse and Ageing Research Team at the Tilda Goldberg Centre, University of Bedfordshire
- Professor José Iparraguirre, Chief Economist, Age UK
- Dr Kieran Moriarty, Consultant Physician and Gastroenterologist, Bolton NHS FT
Village life: Independence, Loneliness, and Quality of Life in Retirement Vil...ILC- UK
On the 19th August, the ILC-UK held a launch event of a new research report “Village life: Independence, Loneliness, and Quality of Life in Retirement Villages with Extra Care” which considers the impact of retirement villages on independence, loneliness and quality of life of residents.
The report incorporates a survey of residents and compares the sample with a comparable group of non-residents living in private housing.
The report has been produced with the support of Bupa and Audley. Anchor provided additional survey respondents.
During the launch, Brian Beach, Research Fellow at ILC-UK, presented the findings of the research. Nick Sanderson, CEO of Audley, and Jeremy Porteus, Founder and Director or Housing LIN (Learning and Improvement Network), responded.
31Mar14 - Understanding wellbeing in old age across the world: lessons from a...ILC- UK
Global ageing is calling into question the differences between developed and developing countries.
Developing countries are seeing a growth of non-communicable diseases usually associated with affluence in wealthier countries: obesity; diabetes; cancer; heart disease; dementia; among others.
Urbanisation is posing significant challenges and opportunities, but countries like China are also seeing vast areas of rural hinterland with an increasingly ageing population.
At the same time, a complex picture of wealth and financial satisfaction is emerging across the world. The global economy is more heavily interlinked than ever before with the future economic success of the UK and wealthier countries likely to rely on the success of development in lower and middle income countries. There is a very positive story to tell about wellbeing in developing countries which is rarely heard.
Across the world, transitions are varying in pace, but a common factor facing most parts is ageing.
Focussing on ageing makes good development sense, a fact that policymakers are increasingly recognising. There has been growing interest from academics and policy makers in exploring how to best compare the impact of ageing in a global context.
HelpAge International's Global AgeWatch Index ranks countries by how well their ageing populations are faring.
The EC and UN supported Active Ageing Index (AAI) is an analytical tool that aims to help policy makers produce policies for active and healthy ageing.
The Global Aging Preparedness Index (GAP) was developed by the Center for Strategic and International Studies’ with financial support from Prudential plc. The GAP Index seeks to inform the policy debate about global aging and focus attention on the need for constructive reform.
Following introductory remarks from Chris Roles of Age International, Jessica Watson of ILC-UK presented new work using a major international dataset – the World Values Survey – about levels of self-reported financial satisfaction. Analysing data from 56 countries over six continents, these findings throw new light on levels of financial satisfaction within and between countries. This analysis has been made possible by the ESRC SDAI initiative
ILC-UK/Actuarial Profession Robert Butler Memorial Lecture, in partnership wi...ILC- UK
A memorial lecture and debate on Centenarians and the Oldest Old
The ILC-UK was saddened last summer, by the loss of Dr. Robert N. Butler, founder of the first International Longevity Centre in the United States and Pulitzer prize-winning gerontologist. His invaluable contribution has changed the approach and research on ageing and longevity.
In tribute to Dr Butler, ILC-UK organised a memorial lecture and debate, in partnership with Age UK and the Joseph Rowntree Foundation, on Centenarians and the Oldest Old.
In 1911 there were just 100 Centenarians living in England and Wales, a figure which grew to 9,000 people in 2006 and represented a 90-fold increase over the previous 100 years (Dini and Goldring. 2008). There was a fourteen-fold increase in male centenarians and a 23-fold increase in female centenarians over the last 50 years of the twentieth century (Dini and Goldring. 2008).
The number of people aged over 100 is expected to nearly double between 2030 and 2035, when it is projected there will be 97,300 centenarians in the UK. It is then expected to more than double again during the next decade, to stand at 202,100 by 2045. (DWP/ONS December 2010).
The ONS estimates that by 2066 there will be at least 507,000 people in the UK aged 100 or over, including 7,700 super centenarians who are aged 110 or over. By 2080, there may be 626,900 people aged over 100. 21,000 of these will be over 110. (DWP/ONS December 2010).
Even the conservative estimates for the growth in the number of the oldest old will have a significant impact on services. Yet whilst policy makers seem aware of the growth in the number of people living to 100, there has been little or no explicit exploration about the impact of the growth in numbers of oldest old on public policy.
Professor Tom Kirkwood, Associate Dean for Ageing at Newcastle University gave the Lecture. The ILC-UK presented early findings of work for Age UK on the oldest old.
Agenda from the event:
16:30 – 16.35
Welcome and introduction from chair Baroness Sally Greengross, Chief Executive, International Longevity Centre – UK
16.35 – 17.20
The Robert Butler Memorial Lecture by Professor Tom Kirkwood, Associate Dean for Ageing at Newcastle University. For a copy of Professor Kirkwood's slides please email events@ilcuk.org.uk
17.20 – 17.30
Centenarians and the Oldest Old, ILC-UK
David Sinclair
17.30 - 17.35
A personal contribution on the life of a Centenarian
Noreen Siba
17.35 – 17.45
First telegram at 110? The implications of longevity
Dr Matthew Norton
17.45 – 17.55
'What older people want and value in life?' Joseph Rowntree Foundation
Ilona Haslewood
17.55 – 18.25
Panel and Audience Debate
18.25 - 18.30
Close
10Apr14 - Ensuring communities offer what older people wantILC- UK
This seminar was held on Thursday 10th April 2014, 13:30 (for 14:00) – 17:00 on the topic is ‘Ensuring communities offer what older people want’, and focussed on the activities and interests of older people that need to be represented in our communities to ensure good quality of life and wellbeing for an ageing population. The results of these seminars will inform a solutions-focussed policy brief, looking at what needs to be done to create age-ready local areas. This brief will be launched in May at a full day conference on ageing in our communities.
In this seminar we considered what communities provide for older people and how these needs may change (or stay the same) as they age. We know from research on isolation and loneliness that social connections remain an important part of quality of life for many people as they get older, yet as the ‘loneliness epidemic’ continues to hit headlines it is clear that this is not being fully addressed in communities. Exploring how activities and services can maintain and build on social networks is key to maintaining wellbeing within the community.
Elsewhere, we explored the services, amenities and activities available to older people in their communities – from village shops, to post offices, to libraries and adult education classes, and how these enhance wellbeing for older people. A community can take many forms, and in this session we will also be considering the approaches to be taken from different kinds of setting – from urban to rural – and the challenges that lie in providing services to these distinct regions.
This seminar explored:
• How family connections, friendships and social ties can be supported and better integrated into community activities.
• What role do local services and shops play in building a community, what the future of these services looks like and what can be done to ensure they support ageing in the community?
• What activities are currently available for older people in their communities, and are these suitable or prepared for an increasing number of people accessing them? What else should be available?
• How we can ensure that fun and playfulness remain part of life when growing older in the community?
• How can we ensure that the experience of growing older remains at its highest quality across rural, town, suburban, and urban settings?
Launched in the House of Lords on Thursday, 13th July 2017, this report, produced by ILC-UK with the support of Royal London, finds that those who received financial advice in the 2001-2007 period had accumulated significantly more liquid financial assets and pension wealth than their unadvised equivalent peers by 2012-14.
Throughout 2014, ILC-UK, supported by specialist insurance company, Partnership Assurance Group plc, is undertaking a series of events to explore the relationship between our changing demography and public policy.
The fourth event in this 'Population Patterns Seminar Series' considered the findings of our ‘Factpack’ of UK demographic statistics.
We all know that people are living longer but how is that likely to change our society? How will pensions be affected? How will we care for our growing older society when the traditional “working age” population is shrinking?
These types of debates are increasingly being played out in the media and in political circles but in order for such debates to be productive, they have to be well informed.
ILC-UK believes its 2014 ‘Factpack’ will support this process by highlighting the most recent evidence of our rapidly ageing society. Not only does it provide statistics on a range of critical topics from life expectancy to housing supply; and pensions to long-term care, it also includes a special focus on the current and potential future state of pensioner poverty.
The event was chaired by Baroness Sally Greengross (ILC-UK) with a welcome from Steve Haberman (Dean of the Cass Business School). We were delighted that Gregg McClymont MP, Shadow Minister (Work and Pensions), spoke at at the launch event. We also heard presentations from Professor Les Mayhew (Professor of Statistics, Cass Business School), Steve Groves (Chief Executive of Partnership), Ben Franklin (Research Fellow at ILC-UK) and a response from Tom Younger of the Department for Work and Pensions.
During the discussion we explored:
How the UK’s demography has changed since the release of the 2013 Factpack and how it might change in the future,
How demographic change is reshaping our society,
The challenge of pensioner poverty,
Regional variations in the experiences of older people,
How policy makers should respond to these findings.
Agenda
16:00 - 16:30 Registration
16:30 - 16:35 Welcome by Chair, Baroness Sally Greengross (ILC-UK)
16:35 - 16:40 Welcome by the Dean of Cass Business School, Professor Stete Habberman
16:40 - 16:50 Presentation from Richard Willets (Partnership)
16:50 - 17:10 Presentation from Gregg McClymont MP (Shadow Minister for Work and Pensions)
17:10 - 17:20 Presentation from Ben Franklin (ILC-UK)
17:20 - 17:30 Presentation from Professor Les Mayhew (Cass Business School) Presentation
17:30 - 17:35 Response from Tom Younger (Department for Work and Pensions)
17:35 - 18:25 Discussion/Q&A
18:25 - 18:30 Close by Chair, Baroness Sally Greengross (ILC-UK)
18:30 - 19:15 Drinks reception
Are we ready to make the UK the best country to grow old in?
One year ago, the House of Lords Committee on Public Services and Demographic Change produced a hard-hitting report which argued that the Government and society was “woefully underprepared” for a rapidly ageing population.
On the first anniversary of the ‘Ready for Ageing?’ report, we are in the unenviable position that sees the United Kingdom ranked unlucky number 13 in a global index of the best countries in the world to grow old in. The principal recommendations in the ‘Ready for Ageing?’ report have not yet been properly addressed or acted on.
In his October 2013 speech on ‘The Forgotten Million’, Secretary of State for Health, Jeremy Hunt MP, set down a challenge that the UK should in fact aspire to be best country to grow old in, but the question remains: why are our public services so poorly prepared for major demographic change, and what as a society can we do to ensure future generations of older people thrive in later life?
Lord Filkin, Chair of the Committee on Public Services and Demographic Change, hosted a House of Lords breakfast debate looking forward to 2030, a date by which there will be 50% more people aged 65 and over in England and a doubling in the numbers of people aged 85 and over. As a society, we need to prepare for the next 15 years right now and certainly in the next Parliament.
At this event, Independent Age and ILC-UK, supported by members of the Ready for Ageing Alliance, launched 2030 Vision: Making the UK the best country to grow old in, which will look to the long term and consider what politicians and policy makers need to now, both in preparation for next year’s General Election, and between 2015 and 2020, to prepare for the long term opportunities and challenges ahead.
During the debate, we invited contributions on the economic and societal implications of population ageing and the major policy decisions all the main parties face to ready the UK and its public services for dramatic population ageing.
It’s clear that our political, social and cultural approach towards old age today is already hopelessly out of date, so this event will provide Parliamentarians and stakeholders from across civil society with an opportunity to mark the first anniversary of the House of Lords’ Committee report on demographic change and look ahead, so as a society we can seize the opportunities presented by an ageing population.
02May14 - The demographic implications of Scottish independenceILC- UK
During 2014, ILC-UK, supported by the specialist insurance company, Partnership Assurance Group plc, is undertaking a series of events to explore the relationship between our changing demography and public policy.
The third event in the series explored the demographic implications of Scottish independence.
In 2014, Scotland will vote in an independence referendum which could significantly change its relationship with the rest of the United Kingdom. An independent Scotland would have a fully independent NHS, control a significant proportion of the North Sea oil reserves and will take on a percentage of the UK national debt.
An independent Scotland would also result in the UK having a new demographic makeup. There are currently a number of marked differences between the two countries which will be highlighted by the division. These include a 2.8 year gap in healthy life expectancy for men, as well as differences in overall life expectancy and mortality rates. Recent figures released by the ONS suggest that the future health of an independent Scotland may actually align with that of the UK. The number of children aged two to 15 either overweight or obese in Scotland is now equal to that of England (30%), and lower than Wales (36%), and Scottish men are significantly more active than their counterparts in both countries.
The seminar explored these differences, as well as how the demography of an independent Scotland may change over time, and what future Scottish Governments (with or without independence) may need to do to adapt to these demographic changes.
Scottish independence would have a number of age-related policy implications for both Scotland and the rest of the United Kingdom. The issue of Scotland’s ageing population has already entered political debate, with the SNP announcing that, if elected, they would make new pensioners £4.40 a month better off than in England, while also pledging to set up a commission looking at the state pension age. The Scottish government has also announced that benefits, tax credits and state pensions would continue to be paid from the first day of independence, but have not addressed how they will meet the challenge of moving schemes from one administration to another.
Presentation slides from the ILC-UK 'What is retirmeent really like?' launch event on the 1st December 2015.
Building on ILC-UK’s extensive work on older consumers and on retirement income, this major research report assesses the differences between theory or popular belief about retirement and the reality of it.
The report considers how spending varies during old age and challenges pre-existing stereotypes about retired life which can be misleading and may contribute to poor planning or unrealistic expectations. This report, which incorporates new quantitative analysis and the feedback from 3 expert focus groups, will explore the role for policymakers and industry in helping us retire well.
In the UK, 94,000 people die from a smoking-related disease every year. Huge geographic and socioeconomic variation in smoking means health, life expectancy and economic inequality. Tackling smoking head-on remains a crucial step to meeting Government targets to extend healthy life expectancy and level up.
However, the latest ILC-UK research highlights the need for greater Government ambition in health improvement measures. Even if all smoking was banned tomorrow, the beneficial impact might not be felt for 40 years. Improving healthy life expectancy means addressing the interconnected risk factors associated with smoking, such as mental illness, drug abuse, obesity, poor housing, and deprivation. With differences of up to 15 years in health expectancy between the healthiest and least healthy areas, there is much scope to level up – the Government’s policies just need to be bolder.
In the UK, 94,000 people die from a smoking-related disease every year. Huge geographic and socioeconomic variation in smoking means health, life expectancy and economic inequality. Tackling smoking head-on remains a crucial step to meeting Government targets to extend healthy life expectancy and level up.
However, the latest ILC-UK research highlights the need for greater Government ambition in health improvement measures. Even if all smoking was banned tomorrow, the beneficial impact might not be felt for 40 years. Improving healthy life expectancy means addressing the interconnected risk factors associated with smoking, such as mental illness, drug abuse, obesity, poor housing, and deprivation. With differences of up to 15 years in health expectancy between the healthiest and least healthy areas, there is much scope to level up – the Government’s policies just need to be bolder.
Webinar: Longevity in research and policy - What Happens nextILC- UK
In this webinar Dr Brian Beach, Senior Research Fellow at ILC highlighted the trends in longevity that have driven extraordinary demographic changes and altered the way we learn and work, where and how we live, and how we deliver care. We explored these trends in the light of the coronavirus pandemic and discussed three key perspectives that should shape future research and policy development:
- Maximising the benefits of longevity;
- Addressing diversity and inequalities across the life course
- Understanding how policy can work for current as well as future generations' needs.
Keynote address by Anna Dixon (Chief Executive, Centre for Ageing Better) at the Royal College of Occupational Therapists Older People Annual Conference 2017.
Overcoming Inequalities: Addressing barriers to extending working livesILC- UK
Socio-economic inequalities continue to present challenges to the Government’s Fuller Working Lives programme, and research conducted by the ILC-UK in 2015 found that although 1.1 million people are currently working beyond state pension age, 1 million people aged 50-64 have been forced out of work through a combination of redundancy, ill health or early retirement.
This one day conference, hosted by the ILC-UK and research teams from renEWL and the Uncertain Futures consortium allowed policy makers, business leaders, civil society organisations and academics to engage with new research findings on the socio-economic inequalities preventing some sections of the population from achieving longer, fuller working lives. The conference examined the current barriers to extending working lives: health inequalities, work place practice, and the policy barriers that Government, business and civil society can work collectively to address.
Speakers included:
John Cridland, Independent Reviewer of the State Pension Age
- Professor David Armstrong, Department of Primary Care and Public Health Sciences, King's College London
- Professor Jenny Head, Professor of Medical and Social Statistics, UCL
- Prof. Sarah Vickerstaff, Professor of Work and Employment, University of Kent
- Dr Mai Stafford, renEWL
- Dr Charlotte Clark, Uncertain Futures Research Consortium
- Peter Kelly, Senior Psychologist, Health and Safety Executive
- Nicola Lee, Employment Relations Adviser, RCN
- Dr Ewan Carr, renEWL
- Professor Wendy Loretto, Uncertain Futures Research Consortium
- Patrick Thomson, Senior Programme Manager, Centre for Ageing Better
- Denise Keating, CEO, Employers Network for Equality and Inclusion
- Yvonne Sonsino, Innovation Leader, Mercer Europe and Pacific
- Dr Emily Murray, renEWL
- Professor Chris Phillipson, Uncertain Futures Research Consortium
- Russell Taylor, DWP Fuller Working Lives Team
- Caroline Abrahams, Charity Director, Age UK
- Professor Stephen Stansfeld, renEWL
- Dr Joanne Crawford, Uncertain Futures Research Consortium
- Rachael Saunders, Business in the Community
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Redefining lifelong learning webinar presentation slides.pptxILC- UK
We know that we’re living longer, which means many people will also be working for longer. One in seven people over 65 are still employed in the UK, but we’re still seeing challenges in our labour markets.
According to the ILC’s Healthy Ageing and Prevention Index, the UK’s work span is only 31.5 years, ranking the UK 47th out of 121 countries. Skills shortages driven by demographic change are hitting all sectors of the UK’s economy: by 2030, we could see a shortage of 2.6 million workers. On the other hand, if UK employment rates for those aged 50 to 64 matched the rates of those aged 35 to 49, the country’s GDP would increase by more than 5%.
One way to improve work span and employment is through lifelong learning. However, in the UK, as the Learning and Work Institute’s Adult Participation in Learning survey showed, rates of learning continue to fall with age. In 2023, only 36% of people aged 55 to 64, 24% of those aged 65 to 74, and 17% of those aged 75 and over said that they’d taken part in any kind of learning in the past three years.
To better understand the approaches in other countries, we consulted with experts in lifelong learning, both from the UK and globally. ILC's report, in collaboration with Phoenix Insights, Redefining lifelong learning: lessons from across the globe considers the approaches taken in Singapore, Japan, South Korea, Canada, Germany, the Netherlands and Sweden. While each country’s approach is different, and shaped by its wider cultural, political and economic context, there are some common threads including: learning culture; the range of learning opportunities on offer; levels of support and investment; and accessibility
"If only I had"... LV= insights into retirement planning webinarILC- UK
As part of this debate LV= shares the findings from their quarterly Wealth and Wellbeing research programme, which surveys a nationally representative sample of 4,000 adults across the UK on a variety of topics, including their changing attitude to their finances and their wider wellbeing.
Healthy Ageing and Prevention Index - Our impactILC- UK
This year, ILC-UK launched the Healthy Ageing and Prevention Index. This slide deck summarizes what we’ve achieved so far and sets out our plans for 2024 to continue to shape the agenda on global health.
Alongside the G20 Health Ministers’ meeting in Gandhinagar, India, in August, ILC-India and ILC-UK held a joint high-level side event to amplify the importance of healthy ageing and prevention among the G20.
Plugging the gap: Estimating the demand and supply of jobs by sector in 2030ILC- UK
The UK economy could see a shortfall of 2.6 million workers by 2030 – almost twice the workforce of the NHS – as a result of population ageing, the COVID pandemic and Brexit.
These shortfalls will affect the whole economy, with manufacturing, retail, construction, transport, health and social care among the sectors projected to be hardest hit.
To plug these gaps, Government must introduce a comprehensive Workforce Strategy looking at:
How to support people to stay in the workforce for longer, e.g. by supporting healthy workplaces, supporting carers and creating flexible conditions that suit people’s needs.
How to ameliorate childcare costs and reintegrate people into the workforce following timeout for caring or a health need
The role of migration and automation in addressing major workforce gaps
Leaving no one behind: Progress on Life Course Immunisation Roundtable – alon...ILC- UK
Leaving no one behind: Progress on Life Course Immunisation Roundtable – alongside the World Health Assembly
Date: Tuesday 23 May 2023
Time: 13.00 – 14.30 (CET), followed by refreshments
Location: Geneva Press Club, Geneva, Switzerland
Global launch of the Healthy Ageing and Prevention Index alongside the 76th World Health Assembly
Date: Tuesday 23 May 2023
Time: 3.30pm – 4.30pm (CET) launch, followed by networking with refreshments
Location: Geneva Press Club, Geneva, Switzerland
G7 high-level side event in Niigata: Healthy ageing and prevention
Date: Wednesday 10 May 2023
Time: 2.00pm – 3.30pm (JST), followed by networking with refreshments
Location: Niigata, Japan
Vaccine confidence in Central and Eastern Europe working lunchILC- UK
At this exclusive working lunch, we discussed the International Longevity Centre UK’s (ILC-UK) forthcoming report on vaccine confidence in Central & Eastern Europe (CEE).
During this event, we shared the findings from our policy publication on what we think should be the priorities for the G20 in India and the key messages we want to disseminate to ministers and world leaders. We heard from experts on the opportunities and challenges to engage India and the G20 with prevention and healthy ageing and identify further opportunities to maximise our engagement while at the G20 in September.
Final Marathon or sprint launch Les Mayhew slides 19 April.pptxILC- UK
Research by the International Longevity Centre UK (ILC) funded by Bayes Business School — based on Commonwealth Games competitor records since the inaugural event in 1930 — shows large differences in the longevity of medal winners compared to people in the general population that were born in the same year. A report finds that top-level sports people can live over 5 years longer than the rest of the population.
Launching Trial and error: Supporting age diversity in clinical trialsILC- UK
During this virtual event, Esther McNamara, ILC's Senior Health Policy Lead, presents the Trial and error report’s findings and recommendations. A panel of five experts respond to the report and discuss how improved age diversity will benefit patients of all ages.
Report launch - Moving the needle: Improving uptake of adult vaccination in J...ILC- UK
Launch of the Moving the needle report, produced by ILC-UK in partnership with Stripe Partners.
This event was chaired by Dr Noriko Cable, Honorary Senior Research Fellow, Institute of Epidemiology & Health, UCL. Speakers include:
Arabella Trower, Senior Consultant, Stripe Partners
David Sinclair, Chief Executive, ILC-UK
Dr Charles Alessi, Chief Clinical Officer, éditohealth
Jason James, Director General, Daiwa Anglo-Japanese Foundation
Dr Michael Hodin, CEO, Global Coalition on Aging
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Making the extra years count: Inequalities in disability and dependency with increasing longevity
1. Join the conversation: @ilcuk
#HealthyYears
Making the extra years count:
Inequalities in disability and dependency with
increasing longevity
2. Join the conversation: @ilcuk
#HealthyYears
Welcome from chair
Dr Brian Beach, Senior Research Fellow, ILC
3. What is ILC?
ILC is the UK’s specialist think tank on the impact of longevity on
society and what happens next. We:
• Are independent and politically neutral
• Use evidence-based research for policy
• Work collaboratively to pioneer solutions for the future
Our work focuses on three strategic priorities:
• Maximising the benefits of longevity
• Ensuring longer lives are good for everyone
• Future-proofing policy and practice
Join the conversation: @ilcuk
#InternalisedAgeism
5. Join the conversation: @ilcuk
#HealthyYears
Presentation of findings
Prof Carol Jagger, Newcastle University
6. From Newcastle. For the world.
Making the extra years count - Inequalities
in disability and dependency with
increasing longevity
7. From Newcastle. For the world.
Project team
• Professor Carol Jagger
• Dr Andrew Kingston
• Dr Holly Q Bennett
• Professor Fiona Matthews
• Professor Lynne Corner
• Dame Louise Robinson
• Dr Ilianna Lourida
• Older People and Frailty Policy Research Unit
• Dr Gemma Spiers
7
Making the extra years count
• Professor Tom Scharf (Chair)
–Newcastle University
• Professor Clare Bambra
–Newcastle University
• Professor Julia Newton
–Academic Health Sciences Network, NE and N
Cumbria
• Professor Les Mayhew
–CASS Business School and ILC-UK
Advisory Group
8. From Newcastle. For the world.
Project aims
Are changes in years with disability and
dependency at age 65 over the last 20 years
• Due to (a) increased incidence of
disability/dependency, (b) reduced ability to return
to independence, or (c) longer survival with
disability/dependency?
• Due to individual long-term conditions becoming
more prevalent, or more disabling, or because
multiple conditions (multi-morbidity) have
increased?
• Being experienced similarly by all social groups?
8
Making the extra years count – aims
Definitions
• Disability
–Difficulties or help required with basic or
instrumental activities of daily living (ADL and
IADL)
• Dependency
–Help required with ADL or IADL or severe
cognitive impairment
–Reflects lapsed time requiring help
9. From Newcastle. For the world.
• Life expectancy increases have slowed and have reversed since Covid (Aburto et al., JECH 2021)
• National trends usually based on X-sectional data - limited ability to understand drivers
• Unique longitudinal data for 2 generations of people aged 65+ in 1991 and 2011 from the Cognitive Function
and Ageing Studies
9
Background
No disability
Disability Disability
No disability
Dead
Baseline 2-yr follow-up
Longitudinal data
10. From Newcastle. For the world.
Four key messages from the project
Between 1991 and 2011
• Inequalities increased substantially because the
“richest” experienced delayed disability – the
“poorest” longer life with disability
• Women with some health conditions experienced a
reduction in disability
• The “poorest” saw a much greater increase in the
prevalence of multiple long-term conditions
(MLTCs) - but this didn’t explain the inequalities
• It IS possible to delay disability even in the
presence of MLTCs
10
Making the extra years count – key messages
11. From Newcastle. For the world.
DFLE gap 1.0 year 2.7 years 0.7 years 3.1 years
Disability gap 0.1 year 0.8 years 0.8 years 0.7 years
Making the extra years count – DFLE at age 65 by deprivation
12. From Newcastle. For the world. 12
Making the extra years count – new statistic DFLE50%
• DFLE (along with LE and DLE) usually reported at a
single age – i.e. age 65
• If these quantities are illustrated across the age
range there is a point where the DFLE line crosses
the DLE line – a turning point
• This turning point (DFLE50%) is the age at which
50% of remaining life is spent free of disability and
50% with disability
• From this age the majority of remaining life will be
spent with disability
0
5
10
15
20
25
65 70 75 80 85 90 95
Years
Age
1991 Most advantaged men
1991 Life expectancy
1991 Disability-free life expectancy
1991 Life expectancy with disability
1991 DFLE50%: 79
13. From Newcastle. For the world.
DFLE50% by deprivation – change from 1991 to 2011 - MEN
Most advantaged Least advantaged
0
5
10
15
20
25
65 70 75 80 85 90 95
Years
Age
2011 DFLE50%: 85
1991 DFLE50%: 79
0
5
10
15
20
25
65 70 75 80 85 90 95
Years
Age
2011 DFLE50%: 79
1991 DFLE50%: 77
1991 Life expectancy
1991 Disability-free life expectancy
1991 Life expectancy with disability
2011 Life expectancy
2011 Disability-free life expectancy
2011 Life expectancy with disability
14. From Newcastle. For the world.
Most advantaged Least advantaged
DFLE50% by deprivation – change from 1991 to 2011 - WOMEN
0
5
10
15
20
25
65 70 75 80 85 90 95
Years
Age
2011 DFLE50%: 73
1991 DFLE50%: 68
0
5
10
15
20
25
65 70 75 80 85 90 95
Years
Age
2011 DFLE50%: 67
1991 DFLE50%: 68
1991 Life expectancy
1991 Disability-free life expectancy
1991 Life expectancy with disability
2011 Life expectancy
2011 Disability-free life expectancy
2011 Life expectancy with disability
Source: Bennett, Kingston, Spiers et al. IJE (2021)
15. From Newcastle. For the world.
What is driving the widening
inequalities?
Men
• Most advantaged
− 30% reduction in incident disability
− 80% increase in recovery
− 60% reduction in death from a disability-free state
• Least advantaged
− 30% reduction in death from disability state – therefore longer life
with disability
Women
• Most advantaged
− 30% reduction in incident disability
• Least advantaged
− No change in any transitions
15
Making the extra years count – why are inequalities widening?
No disability
Disability Disability
No disability
Dead
Baseline 2-yr follow-up
16. From Newcastle. For the world.
Change in long-term conditions
between 1991 and 2011?
• Prevalence (odds)
− Diabetes and peripheral vascular disease (PVD) more than
doubled
− Coronary Heart Disease (CHD) and hearing difficulties
increased by 20%
− Cognitive impairment reduced by 40%
• Disabling effect
− In men all conditions resulted in an increase in years with
disability between 1991 and 2011 with smallest increase for
PVD (0.7 years)
− In women there was a reduction in years with disability with
arthritis (0.2 yrs), CHD (1.1 yrs), diabetes (0.2 yrs), hearing
difficulties (0.5 yrs), respiratory disease (0.6 yrs)
− Largest increase for cognitive impairment for men (1.8 yrs)
and women (1.3 yrs)
16
Making the extra years count – the role of single long-term conditions
Less in CFAS II More in CFAS II
17. From Newcastle. For the world.
What is the role of multiple long-term conditions (MLTCs)?
Between 1991 and 2011
• Prevalence of MLTCs
− The overall prevalence of MLTCs increased but only in 65-74 years age group
− Prevalence of MLTCs changed little for most advantaged but increased by 10 percentage points in least
advantaged
• For men and women with MLTCs there was hardly any DFLE inequality by deprivation in 1991 – by
2011 DFLE inequality had tripled to around 2.5 years
• Increase in DFLE inequality similar in men and women without MLTCs - so MLTCs not all the
reason for DFLE inequality
• Most advantaged men and women with MLTCs had a reduction in disability incidence
17
Making the extra years count – the role of multiple long-term conditions
18. From Newcastle. For the world.
Four key messages from the project
Between 1991 and 2011
• Inequalities increased substantially because the
“richest” experienced delayed disability – the
“poorest” longer life with disability
• Women with some health conditions experienced a
reduction in disability
• The “poorest” saw a much greater increase in the
prevalence of multiple long-term conditions
(MLTCs) - but this didn’t explain the inequalities
• It IS possible to delay disability even in the
presence of MLTCs
18
Making the extra years count – key messages
19. From Newcastle. For the world. 19
Making the extra years count - acknowledgements
CFAS studies collaboration
20. ncl.ac.uk
Making the extra years count – Inequalities
in disability and dependency with increasing
longevity
Thank you
21. Join the conversation: @ilcuk
#HealthyYears
Response
Prof Les Mayhew, ILC & Cass Business School
22. Counting the cost of inequalities
Les Mayhew
Professor of statistics, the Business School, City
University, London
Head of Global Research
ILC
23. Research issues arising
• What is the significance of an increasing gap between health and life
expectancy i.e. more years spent with disability or poor health?
• Are these avoidable years i.e. can something be done earlier in life to
address problems later on or do we put our faith in medical research?
• Can we put a value on an increasing gap in terms of pensions, health and
welfare costs and if so how to do that?
• What does it tell us about policies to improve health versus life
extensions i.e. the prevention versus treatment argument?
24. An illustrative chart combining life, health and work
spans
20
30
40
50
60
70
80
90
LLL HHH HHM LLL LLL MMM
Hartlepool Windsor and
Maidenhead
Richmond upon
Thames
Birmingham Liverpool Leeds
Age
Unhealthy years
Inactive healthy years
Working lives
State Pension Age
25. Where to next?
Ideally…..
•A life course approach based on adults of working age
focusing on health and work and the economics of ageing
•An accounting framework combining demographic, health,
economic variables with fiscal effects
•A ‘what-if’ capability e.g. what is the impact on economic
growth and the fiscal implications of a one-year improvement
in health
•Creation of a single overarching measure of inequality
combining these concepts
26. Join the conversation: @ilcuk
#HealthyYears
Response
Prof Sir Michael Marmot, UCL Institute of Health
Equity
33. Work with us
Business intelligence: we’ll give you advance notice of our latest research,
ad hoc briefings on areas of specific interest to your organisation, as well as a
discount on any research you commission from us.
Networks and connections: our Partners events have included visits to
Number 10, briefings with prominent influencers, as well as the opportunity to
meet ministers, policy experts and fellow Partners.
Brand benefits: as a Partner your brand will be visible through our numerous
events, press releases and presentations, and give you the opportunity to be
positioned at the heart of the debate on longevity.
For more information contact
Redvers Lee: redverslee@ilcuk.org.uk
34. Delivering prevention in an ageing
world
Find out more:
https://ilcuk.org.uk/delivering-
prevention-in-an-ageing-world/
@ilcuk
#DeliveringPrevention
We have an actively engaged network of experts, policy makers and practitioners, including long standing relations with UCL; our first partner
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These are results for disability.
The graphs show disability-free life expectancy, life expectancy with disability and total life expectancy at age 65.
There are a few things to point out on these graphs
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The DFLE50% is where the disability-free life expectancy dashed line and life expectancy with disability dotted line cross
It is the age at which disability-free years and years with disability are equal so where 50% of remaining life expectancy is spent disability-free or with disability.
For men this age is relatively equal in CFAS I across SES groups with only a two year difference between the most advantaged and least advantaged.
However improvements between CFAS I and CFAS II were far greater for the most advantaged men compared to least advantaged men resulting in an increase in DFLE50% from age 79 to age 85 for the most advantaged men and only an increase from age 77 to 79 for the least advantaged men.
In CFAS II the difference in DFLE50% between most and least advantaged men is 6 years, wider than the difference in CFAS I of 2 years.
If we look at the same for women, in CFAS I the age where life expectancy with and without disability is equal is same for the most and least advantaged.
While the most advantaged women see improvements between CFAS I and II with an increase from age 68 to 73 in DFLE50%, there was potentially a decrease in DFLE50% of a year from age 68 to 67 for the least advantaged
So even though there is no difference in DFLE50% between the most and least advantaged women in CFAS I, by CFAS II there is a difference of 6 years.
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We have an actively engaged network of experts, policy makers and practitioners, including long standing relations with UCL; our first partner