- 1.Later Life 2012
- National and International Trends:
- Prepared by Age UK Research Department
- For source information, see the Later Life factsheets in the
Age UK Knowledge
Hubhttp://www.ageuk.org.uk/professional-resources-home/knowledge-hub-evidence-statistics/
2. Overview
- Demographics and population trends
- Attitudes and discrimination
3. Demographics and Population Trends 4. Ageing in the UK
-
- 10.3 million aged over 65
-
- 12.5 million over-65s by 2020, 16 million by 2030
-
- 250,000 aged over 100 by 2050
UK Population estimates and projections (2010-based), ONS 2011
5. UK population pyramid (mid-2010 estimate) Source:ONS 2011 6.
Ageing of the UK population Source:ONS 2010 7.
- At current rates, life expectancy in the UK is increasing at
the rate of about two years for each decade that passes
- Source: House of Lords Science and Technology Committee
2005
- Ageing: Scientific Aspects
Life Expectancy at birth (UK) 8. Life expectancy at birth
(UK)
Source:World Bank Development Indicators 20 Nov 09 and ONS Oct
2011 9. Life Expectancy at Birth 1980-82 to 2006-08 Source: ONS
2011 10. Ageing - Internationally
- Across EU population growth over next 25 years:
- Across the world, by 2050 people over 60 will make up
Sources: see Age UK Later Life International Fact Sheet 2011
11.
- Global Population Aged 80+ years
Longevity Revolution - Global Source: WHO 2010 12. The Worlds
Oldest Countries (2009) Source: WHO WORLD HEALTH STATISTICS, 2011
Country Aged 60+ (%) Japan30 Germany26 Italy26 Sweden25 Bulgaria24
Finland24 Greece24 Austria23 Belgium23 Croatia23 Denmark23 France23
Portugal23 Switzerland23 Czech Republic22 Estonia22 Hungary22
Latvia22 Slovenia22 Spain22 United Kingdom 22 13.
- The number of centenarians in Japan increased almost
one-hundredfold from 154 in 1963 to more than 13,000 at the
beginning of this century and is projected to increase to almost
1,000,000 by 2050
- Source: Ageing Horizons, 3,1 (2005)
- N.B. This is assuming that records are accurate and there has
not been any large scale fraudulent reporting (some uncovered in
Japan, August 2010)
Longevity Revolution - Japan 14. Italy population pyramid
Source: US Census Bureau 2011 15. China population pyramids
(millions, by age and sex) 1950 2000 Male Female Male Female Age
Source:World Population Prospects: The 2004 Revision(2005). 80+
75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29
20-24 15-19 10-14 5-9 0-4 Age 2050 Female 80+ 75-79 70-74 65-69
60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14
5-9 0-4 Male 16. 17. Later life in the UK- an overview
- Over 1.3 million people are aged 85 or over. One in four
children born today
- People aged 65 now have an average life expectancy of 82-85
years, the
- last 7-9 years with a disability
- Nearly 2.5 million people aged 65+ in England have care
needs
- 3.7 million people aged 65+ currently live alone
- 821,000 people aged 65+ currently have dementia. is This is
projected to
- double in less than 40 years
Sources available in Age UK Later Life in UK fact sheet January
2012 18. Later Life internationally: an overview
- Of the current total world population of over 6.8 billion,
there are over 790 million people aged 60 and over
- Life expectancy at birth ranges from 82.6 years in Japan to
39.6 years in Swaziland
- 70% of the worlds older people (60+) live in less developed
countries
- 60% of people with dementia live in developing countries, and
this is expected to rise to 71% by 2040
- 70% of mortality in low income countries is due to communicable
disease and 30% to chronic long term illness; this will be reversed
by 2030
Sources available in Age UK International Later Life fact sheet
2011 19. Health and wellbeing 20. In eight years time, demographic
change alone would mean that there would be:
- Nearly 2.7 million people aged 75+ with at least one limiting
long term illness and over 4.3 million people aged 65+ with
LLTI
- People living an average of 7-9 years at the end of their lives
with a disability
- Nearly seven million older people who cannot walk up one flight
of stairs without resting
- One-and-a-half million older people who cannot see well enough
to recognise a friend across a road
- Over 4 million with major hearing problems
- Up to a third of a million people aged 75+ with dual sensory
loss
- A third of a million who have difficulty bathing
- Nearly a million with dementia
- Between 4-7 million with urinary incontinence
- One-and-a-half million suffering from depression
Demographic projections based on ONS population projections for
the UK and currently available prevalence figures (sources in Age
UK Later Life in UK fact sheet, January 2012 21. Why is this
important?
- While health is clearly an outcome in itself, it is also a key
driver of outcomes in other domains, including employment and
ability to contribute.
- ELSA (Wave 2, 2006) indicates the two-way relationship between
health and wealth: greater financial resources reduce the chances
of poor health, and good health has a positive relationship to
financial wellbeing
- Services are hospital focused, prioritising cure rather than
prevention or complex case management, commissioning is in early
stages of development, question marks over value for money,
realisation that some target-driven achievements occurred at the
expense of quality.
- National priorities remain but emphasis on local decision
making
- Choice as a patient right and a tool to drive up quality along
with contestability between providers for contracts framed by
ambition to provide care closer to home
22. What do older people think?
- Mental health older peoples preference for services include
peer support; a range of activities and opportunities of things to
do; 24-hour help in a crisis that helps you maintain everyday life;
supported housing options, technologies and skills and learning
opportunities that enable independent living. More broadly older
people suggest the following to improve mental health and
wellbeing: improve public attitudes; provision of activities for
older people; befriending schemes (esp. those aged 90+); improved
access to quality public services, and improving standard of living
(mostly younger respondents).
- Community Servicespriority areas for action include:improving
the range of support for carers; making services personalised and
holistic; joining up health and social care so there is one point
of call; considering the transport implications of any changes to
services
- Intermediate care help with keeping out of long term care is
important e.g. mentoring and advocacy to help them through the
health and social care system; more time from care assistants; more
availability and affordability of high quality home and telecare;
help with practical matters such as laundry, adequate refreshments
and warmth.
23. Long Term Health Conditions:The Strategic Challenge
- There are over 15 million people in England with long-term
health needs.
- Long term conditions are those that cannot, at present, be
cured, but can be controlled by medication and other
therapies.
- The impact on the NHS and social care for supporting people
with long term conditions is significant.
- Currently 69% of the total health and social care spend in
England is spent on the treatment and care of people with long term
conditions (DH Annual Report 2008).
- By 2025 the number of people will at least one long term
condition will rise by 3 million to 18 million(DoH 2008).
- This will be due to a rise in the ageing population and the
increased survival of pre-term babies.
Sources available in Age UK Later Life in UK fact sheet January
2012 unless otherwise stated 24.
- Coronary Heart Disease 2.6 million people are living with CHD
in the UK (89% of 190,000 deaths per year were in people 65 years
or older)
- Stroke 80% of 150,000 cases per year are over 65.Stroke is the
leading cause of severe adult disability
- Diabetes 2 million people in the UK are diagnosed.Prevalence
rises with age from one in 20 people over age of 65 to one in five
in people over 85 years
- Chronic Obstructive Pulmonary (Lung) Disease 3 million people
in the UK diagnosed.There are approximately 25,000 deaths from this
every year, with over 90% occurring in people 65years and
older
Prevalence of Long Term Conditions (1) Sources available in Age
UK Later Life in UK fact sheet January 2012 25.
- Cancer incidence increases with age of the 155,000 deaths each
year, three quarters occurred in people aged 65 and over.
- Arthritis Osteoarthritis affects over half the population by
age 65, and 10% of people aged 65+ have a major disability due to
OA.
- Osteoporosis Up to 21,000 people die following osteoporotic hip
fractures each year in the UK.
- Parkinsons Disease The second most common neuro-degenerative
disorder (120,000 have clinical diagnosis in the UK).The incidence
increases with age.
- Sensory impairments -1 in 5 people over 75 years old has a
significant visual impairment. Over 7 million people over 60 years
are deaf or hard of hearing.
Prevalence of Long Term Conditions (2) Sources available in Age
UK Later Life in UK fact sheet January 2012 26. Prevalence of Long
Term Conditions (3)
- Depression The commonest mental health condition in the older
population.A quarter of older people living in the community have
symptoms which warrant intervention, but it is estimated that 85%
of people over 65 do not receive any help from the NHS.
- Dementia Over 820,000 people are estimated to be suffering from
late onset dementia in the UK. This overall figure is forecast to
increase to 1,735,087 by 2051. Dementia affects 1 person in 6 over
80 and 1 in 3 over 95.
Sources available in Age UK Later Life in UK fact sheet January
2012 27. Disability, Age and Activities of Daily Living % Dependent
28. Older people and functional limitations
- 37% of men and 40% of women aged 65 and over have at least one
functional limitation(seeing, hearing, communication, walking, or
using stairs) .
- This increases to 57% and 65% respectively in those aged 85 and
over.
- More than half of men and women reporting any functional
disability were unable to walk 200 yards or more unaided without
stopping or discomfort.Both prevalence and severity increased with
age.
- The number of functional limitations also increased with age
with 17% of men and 19% of women aged 85 and over with three or
more functional limitations.
- Functional limitations can result in depression and social
isolation.
Analysis of English Longitudinal Study of Ageing (ELSA) Waves
1-3 29. Severe Cognitive Limitationby Age and Gender (US) 30.
Healthy Life Expectancy
- Life expectancy is increasing and until recently, healthy life
expectancy has been increasing at a slower rate
- This has meant that many older people are living longer in poor
health
- There is little evidence ofconsistent success in compressing
morbidity and some evidence that disability rates are declining,
but an average 65-year-old can expect to live 7- 9 years with a
disability
Age UK analysis of life expectancy and healthy life expectancies
at age 65, ONS 2011 published in Agenda for Later Life 2011 31.
Work and Learning 32.
- Older workers are particularly disadvantaged by lack of
educational qualifications - employment rates are significantly
lower for those with no qualifications whatsoever.
- Access to learning centres becomes more difficult with age,
with FE colleges, adult education centres and the home being main
locations of learning
Education and age Source: NIACE annual surveys of learning
Economic activity by highest qualification, 50-69 y/o 0% 20% 40%
60% 80% 100% Degree/ equiv Higher edu A-Level /equiv GCSE
A*-C/equiv Other No Qual Those 50+ with no qualifications
experience employment rates over 20% lower than those with
qualifications much of the difference explained by illness or
disability Employed Unemployed Inactive: sick or disabled Inactive:
Other Inactive: looking after family/home Inactive: Retired 33.
- The number of people undertaking learning decreases
significantly with age
- But mental activity like learning can slow cognitive decline,
reduce morbidity, and facilitate healthier lives.
Continuing learning Source: NIACE annual surveys of learning.
The 2011 and 2012 reports follow this trend 34. Advantages of
learning in later life (1) In the community
- The Benefits of lifelong learning for adults over 50 have been
categorized under the following headings:
- Helps to reduce poverty through various mechanisms, including
new employment and improved knowledge (NIACE IFLL Thematic Paper 6
2010)
- Money saving (DIY savings on contractors labour)
- Helps to reduce isolation through improved social contacts
- Offers an inexpensive way to try new activities
- Improved self esteem (achievement of set goal)
- New topic of conversation with family and friends (anecdotal
evidence only)
- MEDICAL AND PSYCHOLOGICAL
- May help to slow cognitive decline. So far, limited evidence,
much of it anecdotal, about keeping your mind sharp, improving some
aspects of memory (recall)
- Self-reported reduction in symptoms of depression
- There is no authenticated proof yet of physical benefits
related directly to learning activities except where they involve
extra exercise or sport
Note: Although there is a great deal of research on the benefits
of learning in general, there is a shortage of reliable data on
improvements to the health (physical and mental/ psychological) to
older learners. 35.
- In care settings, learning opportunities for older people
can:
- improve both physical and mental health;
- reduce dependence on medication;
- improve recovery rates; reduce dependency on others and
- lead to a greater enjoyment of life which gives residents
something to look forward to.
Advantages of learning in later life (2) In care settings
Source:Enhancing Informal Adult Learning for Older People in Care
NIACE 2010 36. Barriers to learning
- Lack of interest and feeling too old are the main barriers to
learning as people get older.
- Poor information about availability of learning opportunities
and inappropriate courses may explain lack of interest.
- One survey found 43% of older people agree that there is not
enough information on what education courses are available and 30%
believe courses on offer are not appropriate for older
learners.
Source: NIACE 37. Employment trends
- 7,368,000 people aged from 50 to State Pension Age (SPA,
currently 60 for women and 65 for men) are in employment
- 849,000 people aged 65 or over were employed in July September
2011, a rise of 0.1 per cent over the last year; this is about 3%
of the UK labour force
- The employment rate for 50 to SPA is 65% and for SPA+ it is
8.4%
- The latest figures (Jul-Sep 2011) show the unemployment rate
for people aged 50+ in the UK is 4.7%
- In October 2011, 241,100 people aged 50 or over claimed
Jobseekers Allowance.
- Median hourly pay for workers in their 50s is 12.00 and 10.00
for workers aged 60+, as opposed to 13.03 for workers in their
30s
- There has been a trend of people leaving the workforce
(presumably for retirement) later. For men, the estimate of average
age of withdrawal increased from 63.8 years in 2004 to 64.5 in
2009. For women, it increased from 61.2 years in 2004 to 62.0 years
in 2009
Sources: Labour Market Statistics, ONS 2009 - 2011 38. What do
older people think?
- The majority of those aged 55 and over would prefer to be
working full time than not working at all, and it is common for
older people to view working as the ideal situation for them
- and want to keep working:
- A 2003 survey found over two-thirds of respondents aged between
50-70 who were in, or looking for, a job planned to work in some
capacity during retirement or never retire
- The average age at which workers over 50 retired reached its
highest level for men (64.6 years) since 1984. For women comparable
figures showed an increase from 60.7 in 1984 to 61.9 in 2008.
Sources in Age UK Later Life in UK fact sheet, January 2012 39.
Why is this important?
- Employment supports an individuals ability to contribute in
addition to their material wellbeing (ELSA Wave 3 presentation,
Banks and Tetlow 2008).
- All those who want to work need to be in work and work needs to
be promoted as a mechanism for achieving wellbeing and independence
in later life
- The impact of projected pension shortfalls on the timing of
retirement is not yet clear, but concern about financial security
is likely to bring about a further rise in working past SPA.
40. Money Matters 41. Trends
- Increasing reliance on private sector, complexity in productson
offer
- More individuals are directly exposed to risk: a significant
percentage of 50-65 year olds are in danger of having replacement
rates below benchmarks of adequacy
- Increase in need for info and advice to access entitlements and
make appropriate decisions about finances
- Increasing use by organisations of websites as the main channel
rather than (more expensive) face to face (although Pension Service
home visits)
- Digital exclusion now leading to increase in financial
exclusion, not just in banking, but increasingly public services
and private care funding (poor risks?)
- Greater exposure to financial abuse
- Gaps in support for frail vulnerable older people, especially
around money management.
42. What do older people think?
- Confusion regarding choices of pensions, savings and care
- Lack of interest in accessing products online
- Concern about pensions (55-65 year-olds currently finding out
that their pensions will not be adequate):
Source: Turner final report, 2005 43. Why is this important?
- An individuals income clearly supports their material
wellbeing. It also enables independent living and appropriate
housing
- ELSA (2006 and 2008) provides strong evidence of a positive
correlation between higher income/ wealth and reduced risk of
developing most of the age-related chronic conditions, including
type 2 diabetes, high blood pressure, raised cholesterol,
disability (reduced strength and mobility)
44. Health and financial status
- 1.8 million pensioners live in poverty.Nearly two-thirds of
these are women.
- Older people on higher incomes are more likely to report their
health as good or very good.
- People on lower incomes are more likely to report asthma,
chronic lung disease and diabetes.High blood pressure is more
common among poorer older people.
Sources: Households below Average Income and Pensioner Income
Series, DWP 2011 45. Wealth and health: Odds of poor health
increase with poverty 46. Net Worth by Health of Husband and Wife
47. Pension coverage in UK For the latest figures on pensions and
pension coverage, see Age UK Later Life in UK fact sheet, January
2012 48. Forecast change in public pension spending 20002040 (%)
49. Do Pension Incentives Matter? Survival probabilities, by
pension status UK men No Occupational Pension With Occupational
Pension 50. Do Pension Incentives Matter? Survival probabilities,
by pension status UK women No Occupational Pension With
Occupational Pension 51. Home and Care 52. Housing Why is this
important?
- Decent and appropriate housing is a key element in quality of
life and good health in older age
- Demographic changes, combined with changes in policy on care
provision and home ownership have meant - and will continue to mean
- an increasing number of the oldest old living longer, and often
alone, in their own homes
- Older people (especially single people aged 75+) are more
likely than younger people to live in older, non-decent homes)
Source: Older People, Decent Homes and Fuel Poverty. An Analysis
of the English House Condition Survey, Help the Aged and BRE, 2006
53. Policy context
- Government encouraging institutional investment more in private
rented sector to make up the shortfall in social housing.
- Growing debate around reconciling housing related support,
social care and health services to deliver independence at
home(role of common assessment framework)
- Cuts in preventative services - housing related support - more
funding diverted to social care Further decline in retirement
housing in the social sector - increased focus on the most
vulnerable
- Reforms to security of tenure (see Hills report) possibly less
security for both private and social residents issue around
offering settled accommodation to older people
- Calls for improved coordination - partnership with LAs and PCTs
increasing focus on the role of retirement communities - some
growth
- Increasing push towards assistive technology to replace or
reduce
- housing support workers - increased pressure to cut labour
costs through assistive technology but likely to remain marginal
for next 5-10 years (except top end of market)
54. What older people think
- 92% of adults say they envisage living in a home they have for
life, but 23% said their current home was unsuitable to live in in
old age (B&Q survey, 2008)
- More older people refusing to purchase preventative services to
save money as the result of increased 'choice' and rising
charges
- Opinions sharply divided between those who benefit from
Assistive Technology and those who see reduced contact with 'human'
support
- Concern about inheritance tax is not necessarily exclusive to
the very rich. ELSA (Wave 3, Emmerson Muriel 2008) found that 1 in
8 of their representative 50+ sample have assets above the IHT
threshold
- Whatever the merits of residential in comparison with living in
the community, over 70% of adults surveyed view it negatively: 48%
of homeowners 18+ say they cant think of anything worse than moving
into a care home.
- A further 14% say they would be nervous and 9% frightened
(B&Q survey 2008)
- 5% of people aged 65+ in the UK need but do not receive help
with everyday jobs such as hoovering or changing a light bulb
55. Trends
- Continued push on homeownership - experience of Right to Buy
generation unable to maintain housing should provide lessons
- Growth in need for local housing advice and advocacy
opportunities for one-stop shop services
- Growing inequality of retirement provision between private and
public sectors
- Growing regional and local inequality in regard to poor housing
Expansion in private rented sector - more older people living in
insecure tenancies
- Increasingly difficult to obtain additional resources from
PCTs
- Housing support and service charges - growing divide between
those receiving benefits and those paying for themselves - likely
to increase friction within retirement housing
- Likely increase in numbers of older homeless people resettled
in poor temporary accommodation
- Public sector will focus on the most vulnerable
- Possible further decline in specialist housing. Growing debate
around mobility (moving to be nearer friends and relatives offering
support) and flexibility within social rented sector
56. Health and Home
- The majority of older people live within the community.
- 26% of households with someone aged over 75 live in social
housing and 68% are home owners.
- 6% of older households live in sheltered housing
- 4% of older people live in a care home.
- Poor housing has a detrimental impact on both physical and
mental health.
- 2.7 million households with at least one person aged over 60
are living in a non-decent home.
- Older people are more likely to be living in non-decent homes
in the private sector if they are over 75, or aged 60 or more and
living alone.
- 1.5 million women aged 75 and over live alone compared to 0.5
million men of the same age .
Sources: see Age UK Later Life in UK fact sheet, January 2012
57. Care and support at home
- There are 6 million carers in the UK.
- 2.8 million people aged 50 and over provide unpaid care; nearly
1 million of these are aged 65+ and nearly 50,000 are aged
85+.
- There are 8,000 carers aged 90+ (4000 providing 50+ hours of
care per week.
- Unpaid carers currently provide 65% of care compared to 25%
paid for by the state (10% is privately purchased).
- 73% of English local authorities have plans to limit care to
people with substantial and critical needs only.
- The growing number of older people means that the need for
support from unpaid carers could rise by 30% over the next 35 years
(9.1 million).
Sources: see Age UK Later Life in UK fact sheet, January 2012
58. Supported self-care
- Older people and their carers want services that will:
-
- improve their quality of life, health and well-being and enable
them to be more independent.
-
- Be supported and enable them to self care and have active
involvement in decisions about their care and support.
-
- To have choice and control services built around the needs of
individuals and carers.
- The 2006 White PaperOur health, our care, our say , promoted
telecare and assistive technology in helping people retain their
independence and improve their quality of life.
- The use of the internet by older people, particularly over 75s
is increasing steadily but over half of all older people continue
to be excluded from the benefits of new technologies.
Source: Internet Access Quarterly Update Q3 2011, ONS 2011 59.
Social Inclusion 60. Why is this important? (1) Source: ESRC/NATCEN
research (Dec 11) and Age UK Later Life in UK fact sheet, January
2012
- 3.7 million people aged 65+ live alone and 600,000 older people
leave their homes once a week or less and 17% of have less than
weekly contact with family, friends and neighbours
- Over one million older people experience (poor social relations
and) social exclusion.
- Older people who live alone spend a lot of time with friends
and acquaintances, but on average, they can also spend eleven hours
alone on a week day and ten and a half hours alone at weekends
(excluding sleep).
61. Why is this important? (2)
- Social isolation prevents ability to contribute.It also is a
risk factor for health.
- Inactivity and isolation accelerate physical and psychological
declines, creating a negative spiral towards premature, preventable
ill health and dependency.A recent ELSA study revealed that social
detachment reduces quality of life.
- Depression is associated with lack of social support (36% of
men and 54% of women with severe lack of social support have high
depressive symptoms)
Source: ELSA waves 1-3 and Age UK Later Life in UK fact sheet,
January 2012 62. Social Inclusion impacts negatively on older
peoples quality of life Source: ELSA waves 1-3 63. Policy
context
- Social isolation is a cross-cutting issue and the
responsibility for alleviating it lies with several Government
departments.
- Policies which may directly impact on social isolation are
fragmented but include:
-
- Linkage Plus aimed to improve outcomes for older people through
better joining-up between services and linking older people to
services.
-
- Developments in transport policy including making the freedom
pass available, amending community transport regulations and
-
- Investment of 5.5 million into intergenerational
volunteering
-
- Individual budgets for those that access social care
-
- Positive duty as applied to culture and leisure
opportunities
-
- Neighbourhood warden schemes
-
- Informal learning white paper
64. What do older people think? Source: Own surveys and analysis
of ELSA wave 3
- 29% of respondents to an Age Concern survey saw friends and 36%
saw family a few times and month or less
- However many people at mid- to later life may not consider they
need to expand their social networks
- 44% state they do not need lots of friends
- 45% disagreed that they feel lonely from time to time
- Analysis of ELSA wave 3 has found that life satisfaction
significantly decreases after certain life events, with many
underlying factors clustering around themes of social isolation and
lack of support.
- Satisfaction with current levels of social interaction could be
a barrier to individuals building up social networks
65. Trends Source: DCLG household estimates, 2006 One person
households areprojected to overtake married couple households by
2030 As people age, the risk of being lonely increases.For details
of trends in volunteering and digital inclusion, see Appendix
226,000 797,000 923,000 834,000 947,000 1,061,000 1,659,000 254,000
1,048,000 1,460,000 1,415,000 1,792,000 1,559,000 2,359,000 0
500,000 1,000,000 1,500,000 2,000,000 2,500,000 Under 25 25 - 34 35
- 44 45 - 54 55 - 64 65 - 74 75 and over 2026 2003 66. Public
Policy Challenges 67. Long term challenges
- A decade of spending cuts doing more with less?
- Demographic change a manageable transition (working longer;
pensions reform) but we must now prepare our public services
- Income pensioner poverty stuck around 20% for the next decade
despite pension reform
- Healthy life expectancy - remains an elusive goal, avoid longer
periods of disability
- Social and technological change changes in family life,
communities and the digital divide what next?
68. 2011: Uncertainty and Opportunity
- Older people not immune from the recession
-
- Job losses hitting older workers
-
- Impact on savings and annuities
- Now - a focus on employment and skills; an end to forced
retirement
- The aftermath public service cuts must not disproportionately
harm older people
- Social care reform - 2011 is make or break for the long
term
- The Equality Bill new rights outside work; end forced
retirement?
- Pensioner poverty Child poverty Bill focuses minds on ending
pensioner poverty
- Coalition pressing older peoples priorities
69. Equal citizens, equal rights
- Use Equality Bill to outlaw age discrimination in goods and
services, rapidly and with minimal exemptions
- Support EU directive on discrimination beyond the
workplace
- Robust enforcement and promotion of existing age discrimination
law
- Extend Human Rights Act to private providers of public
services
- 68%say politicians see older people as a low priority
- 60%say age discrimination exists in older peoples lives
- 60%say age discrimination exists in the workplace
- 53%say people in very old age are treated like children
- 52%say those planning services dont pay enough attention to
older people
PRIORITY: Outlaw mandatory retirement ages (2010 priority) 70.
Enough Money
- Government commitment to end pensioner poverty
- Public services work together to push take-up of benefits
- Index State Pension to earnings now and improve pensions for
women who retired before 2010
- Urgent review of Fuel Poverty Strategy
- 16% (AHC)of pensioners in poverty
- 59-67%of those eligible receive Pension Credit
- 56%of employees covered by a non-state pension
- 36%of over-60s avoid heating rooms to save money
- 7%of 85+ households dont have a bank account
PRIORITY: Roll out automatic payment of benefits 71. My life, my
care
- Increase investment in preventative support and information,
advice and advocacy
- A fair national system for assessing need and allocating
resources
- A radical new long-term settlement for care and support, which
increases access and quality, and is fair and affordable for
all
- 410,000people over 65 with unmet need for help around the
home
- 67,000households receiving low-level home care
- 347,000people receiving home care
- 60gap between average weekly fees for a care home and the
standard council payment
- 27,000people over 65 receiving Direct Payments
PRIORITY: Spend an extra 1-2bn on older peoples care 72. Staying
well and feeling good
- All public services to work to promote lifetime good
health
- NHS reform to reflect older peoples needs and preferences
- Improve access to primary care for carers and care home
residents
- All health providers to adopt person-centred measures of
dignity
- Age-aware workforce development strategies
- 24%of over-65s say quality of life has worsened in the last
year
- 7.3 yearsfor men and9.4 yearsfor women of future disability at
age of 65
- 19%of 65-74s and7%of over-75s do recommended levels of
exercise
- 149,00075+ emergency readmissions within 1 month of
discharge
- 64%say health and care staff dont always treat older people
with dignity
PRIORITY: Re-direct the NHS to prevent and manage common
conditions of ageing 73. Places to age in
- Local public agencies to commit to lifetime neighbourhoods
principles
- Rapid adoption of Lifetime Homes planning standard
- Review policy and funding for supported housing
- During recession, anti-crime initiatives for and with older
people
- 11%of over -65s say they are lonely
- 35%of 60+ households live in poor housing conditions
- 26,00065+ excess winter deaths
- 9-10%of over 75s find it very difficult to access doctor, post
office, supermarket
- 6%of over-65s leave home once a week or less
PRIORITY: a national offer and brand for local older peoples
services 74. Opportunities and contributions
- Employers to adopt flexible working and age management
policies, with a right to request flexible work.
- All local public services to facilitate lifelong learning
- IT industry to embrace accessibility and inclusive design
- Public bodies to involve diverse groups of older people in
decisions affecting them
- 76%say the country fails to make good use of older peoples
skills and talents
- 312,000over-50s unemployed
- 168,000over-60s participating in state-funded learning
- 60%of over-65s have never used the internet
- 39%of 65-74s and24%of over 75s participate in formal
volunteering at least once a month
PRIORITY: age proof employment and skills support during
recession 75. Public Policy at Age UK
-
- Communities and transport
-
- Equality and human rights
-
- Employment and opportunities
- Supporting Age Concerns and other partners influence
effectively
- National programmes where the key decisions are local
- Regional teams working with partners
- EU and international institutions
- Partnership with HelpAge International
76. The older consumer 77. A large and growing older population
78. Spending, income and wealth
- Over 100 billion spent by 65+ households every year
- Rich people spend same amount, whatever their age. Poor people
in later life spend less than younger groups with the same
income
- Lower incomes on average, but similar poverty rate
- 2.2 million with no savings; 3 million with over 20,000
- Huge inequalities in wealth, but richer than younger age groups
on average (housing)
Sources: see Age UK Later Life in the UK fact sheet, January
2012 79. Distribution of wealth within and between cohorts 80. Real
spending power
- Over 50s account for 80% of UK financial wealth
- On average, higher disposable income than under 50s
- But huge variation in terms of who accounts for it..
- Wealth concentrated among current 50 - 64s:
-
- spend more per week than any other age group
- 65 75s already have similar spending power to under 50s
versus
- 40% of retired who rely on state pension: 60% home ownership
over 75s
Sources: see Age UK Later Life in the UK fact sheet, January
2012 81. Assumptions about older consumers
- Often misrepresented, neglected, ignored
- 55% of over 55s agree business and retailers have little
interest in the consumer needs of older consumers
- Ageism stereotyping of a whole age group as
-
- Incompetent and incapable
- Neglected even for products mainly for older age groups
reinforcing and responding to internalised ageism
82. Facts about older consumers (1)
- People getmore diverseas they get older
- Full-time, part-time, retired, caring, grand-parenting,
volunteering etc
- 8% of people over 65 are from BME backgrounds
- 5-7% over over-60s are LGB
- A third of over-65s are disabled, rising to 2/3 of
over-85s
- A quarter have symptoms of depression
Sources: see Age UK Later Life in the UK fact sheet, January
2012 83. Facts about older consumers (2)
- Driving half of over-70s dont have a driving licence
- Valuing home over-65s spend more time at home (80% of the week)
and like them more. But some feel trapped at home.
- Living alone half of 75+ households live alone. 7-9% over
over-65s are often or always lonely
- Not exercising enough 17% of women aged 65-74 and 20% of men
meet recommended guidelines
- Having cognitive difficulties especially over 80s
Sources: see Age UK Later Life in the UK fact sheet, January
2012 84. Facts about older consumers (3)
- Late adopters, but get there
-
- 77% of 65-74 year olds use a mobile
-
- 40% aged over 65 have used the internet, including a million
almost every day
-
- 1 in 10 60-69 year olds own an MP3 player
- Spend higher share on essentials (food, energy, housing
etc)
- A little less susceptible to switching products, advertising
etc
- Hate stigmatising products eg ugly adaptations
- But mainstream products dont always serve their needs
Sources: see Age UK Later Life in the UK fact sheet, January
2012 85. Impact of ageing on activities of daily living
- Impacts on hearing, sight, touch, dexterity, muscular strength,
mobility etc
- 28% of over-65s have significant sight loss
- 55% of over 60s have hearing problems
- One third of over-65s have a fall each year
- 9 million people have arthritis
- Small print harder to read
- Call centres more difficult to navigate
- Bending and stretching to reach shelves
- Fiddly buttons on clothes
- Sending text messages on mobile phones
Facts about older consumers (4) Sources: see Age UK Later Life
in the UK fact sheet, January 2012 86. Attitudes and discrimination
87. An attitude problem
- As a society, we have failed to come to terms with the dramatic
increase in the number of older people, both in absolute terms and
proportionate to the population
- Denial; the difficulty we all have in coming to terms with
getting older, our own ageing process
- Older people feel they are marginalised, ignored,
stereotyped
- Products, marketing and communications still addressed to the
younger generation
88. 89. Age discrimination in the UK is still pervasive and
widespread
- 60% of older people in the UK agree that age discrimination
exists in the daily lives of older people
- 53% of adults agree that once you reach very old age, people
tend to treat you as a child
- 52 per cent of older people agree that those who plan services
do not pay enough attention to the needs of older people
- 68% of older people agree that politicians see older people as
a low priority
- 76% of older people believe the country fails to make good use
of the skills and talents of older people
- 97% of annual travel insurance policies impose an upper age
limit for new customers
- In a study of patients at a stroke unit (2004-06), 4 per cent
of patients age 75 and above were given an MRI scan, compared to 26
per cent of those under 75
Sources: see Age UK Later Life in the UK fact sheet, January
2012 90. Ageist attitudes are considered a serious problem in
Europe, especially in the UK and France Source: Ageism in Europe.
Findings from the European Social Survey, Age UK 2011 91. Even
amongst the old themselves. Source: Ageism in Britain, Age Concern
2006 92. Society does not place a high value on old age
- Sheer numbers mean there is no status or achievement in having
defied the odds
- As a revered minority, older people used to carry the wisdom of
their tribe and family.But now:
-
- no longer natural leaders
-
- diminishing role in extended family
- In a secular / Western society, there is no sense of the
development of spiritual wisdom that comes with age
- Experience used to be a basis for respect.But with the impact
of technological change the experience of age is increasingly
replaced by the expertise of youth
- Longer life seen as a burden, not a benefit
93. Society is dominated by youth culture
- Huge pressure to remain looking and feeling young:
-
- role models are young and beautiful
-
- men worry about loss of potency, power and success
-
- women about a decline in their attractiveness
- Business still tends to innovate and grow by focusing on the
young
- The majority of people working in marketing, communication and
design are under 40 (including Age UK)
94. Society is bound by cultural conditioning and stereotyping
of what old age means and looks like
- Deterioration and decay, no sex, no fun
- Traditional and conservative, not innovative, lacking in
discernment, not interested in style, fashion, technology
- Stereotyped prejudice written into the language: grumpy old,
silly old, boring old, dirty old man
- Indeed, society tends to shut old age away, rather than living
with it
95. The idea and fact of ageing can be traumatic
- Coming to terms with loss of youth
- Fear of physical and mental decay
- Fear of being alone, isolated, abandoned, helpless
- Many live in denial: suppressing and denying our own fears we
do not put ourselves into the shoes of being an older person.
96. Summary: the business case
- Design inclusively and older consumers will buy
- Recognise that business opportunities come with change
- Recognise the complexity of the market
97. Opportunities 98. The Third Age should present rich
opportunities
- The changing lifestyle of retirement
- Different priorities and needs
- More time, and different uses
- New interests and opportunities
99. Potentially a different life and opportunities
- Family food and toiletry products:
- My food and beauty preferences;
-
- premium toiletry products
- Weekly professional manicure
- Meals at nice restaurants
Lifestages survey cluster analysis, ACRS 100. Thinking beyond
age
- Not helpful to think of age per se.
- Ageing is an individual experience; people age in different
ways
- The accumulation of damage is dramatically different from one
person to another
- Peoples response to and ability to cope with the ageing
process, differs dramatically
- Basic differences in attitudes towards life become
magnified
101. Attitudes are much more defining
- Potentially a more complex segmentation than for younger
markets:
-
- less vulnerable to peer group pressure
-
- less need to conform, more individualistic
- Most helpful segmentation based on understanding a range of
feelings about ageing
- Overlaid by attitude towards life per se
- Whilst spending power is clearly a critical marketing
variable
102. The way forward...
- Question the notion of ageing; in society, in ourselves
- Ignore the calendar; chronological age is progressively less
relevant
- Develop services and products which are appropriate to the
third and fourth ages
-
- enhancethe quality of life