Healthy ageing Alison Iliff, Health and Wellbeing Programme Manager Whole Systems Approach to Ageing Well, 27 September 2018
What is Healthy Ageing? World Health Organisation definition: the process of developing and maintaining the functional ability that enables wellbeing in older age This includes a person’s ability to: • meet their basic needs • to learn, grow and make decisions • to be mobile • to build and maintain relationships • to contribute to society 2 Healthy Ageing. Whole System Approach to Ageing Well, 27 September 2018
Why is healthy ageing important? 3 Healthy Ageing. Whole System Approach to Ageing Well, 27 September 2018
The global ageing population • The number of people today aged 60 and over has doubled since 1980. • The number of people aged 80 years will almost quadruple to 395 million between now and 2050. • Within the next five years, the number of adults aged 65 and over will outnumber children under the age of 5. • Between 2000 and 2050, the proportion of the world’s population over 60 years will double from about 11% to 22%. 4 Healthy Ageing. Whole System Approach to Ageing Well, 27 September 2018
Age distribution: UK Aged 65 and over 0 to 15 years (%) 16 to 64 years (%) (%) UK population 1976 24.5 61.2 14.2 56,216,121 1986 20.5 64.1 15.4 56,683,835 1996 20.7 63.5 15.9 58,164,374 2006 19.2 64.9 15.9 60,827,067 2016 18.9 63.1 18.0 65,648,054 2026 18.8 60.7 20.5 69,843,515 2036 18.0 58.2 23.9 73,360,907 2046 17.7 57.7 24.7 76,342,235 Source: Office for National Statistics 5 Healthy Ageing. Whole System Approach to Ageing Well, 27 September 2018
Facts and figures • A baby girl born today can expect to live to the age of 83, a baby boy to 79. • One in three will reach their 100 th birthday • Globally the number of over 60s has doubled since 1980 • By 2050 the number of over 80s is expected to quadruple BUT… • 40% of over 65s in the UK have a life-limiting long-term health condition (eg diabetes, respiratory disease, CVD, cancer, dementia) • There are marked inequalities between the most and the least deprived areas 6 Healthy Ageing. Whole System Approach to Ageing Well, 27 September 2018
Healthy later life? 7 Healthy Ageing. Whole System Approach to Ageing Well, 27 September 2018
Life course approach to ageing well • Waiting until state pension age is too late • 1001 Critical Days • Risk-taking and health promoting behaviours • Inequalities persist across generations 8 Healthy Ageing. Whole System Approach to Ageing Well, 27 September 2018
Mid-life approaches to healthy ageing 40-65: 45-55: 40-74: - Risk reduction messages - Physical Activity - NHS Health check - Making Every Contact - Menopause Count 55+ - Social isolation & 50-70: loneliness - Breast screening - Vitamin D - Pre-retirement 60- 74: - Bowel Cancer Screening 75+ - Falls prevention - Sight tests - Abdominal aortic aneurysm - Hearing tests (AAA) screening (men, 65yrs) - Strength and - Flu, pneumococcal, shingles Balance vaccination 9 Healthy Ageing. Whole System Approach to Ageing Well, 27 September 2018
Why is healthy ageing important? 10 Healthy Ageing. Whole System Approach to Ageing Well, 27 September 2018
Why is healthy ageing important? 11 Healthy Ageing. Whole System Approach to Ageing Well, 27 September 2018
Why is healthy ageing important? 12 Healthy Ageing. Whole System Approach to Ageing Well, 27 September 2018
National priorities for healthy ageing • Productive healthy ageing • Increase awareness of lifestyle interventions and collaborate with system leaders to scale these interventions with the older population to increase healthy life expectancy • Older people’s mental health , including social isolation, loneliness and dementia. • Raise awareness of dementia risk reduction and drive behaviour change in midlife and later years • Musculoskeletal health including falls prevention • Promote primary falls prevention with a particular focus on older adults • ‘Non - traditional’ inequalities in later life 13 Healthy ageing slides for medical students. April 2018
Age friendly communities • Physical environment – housing, transport, street furniture, toilets, • Feeling safe • Participation – employment, volunteering, social activities • Public services – accessible health and social care • Communication and information • Respect – countering ageism 14 Healthy Ageing. Whole System Approach to Ageing Well, 27 September 2018
Physical environment Image source: DWELL (Sheffield University), Romford Recorder 15 Healthy Ageing. Whole System Approach to Ageing Well, 27 September 2018
Employment • More people aged 50+ are in employment than ever before • Reasons for leaving the workforce are complex and include: • Ill health and disability • Caring responsibilities • Redundancy • Financial security Keeping people in work for longer will require a shift in mindset for both employers and older people 10 Odessa programme: spring workshop March 2017 Healthy Ageing. Whole System Approach to Ageing Well, 27 September 2018
Isolation and loneliness in older age Isolation The relationship between social isolation and loneliness is complex and varies between individuals. • 12% of those aged over 65 report isolation. (SCIE) • Age UK report that approx. two-fifths all older people say the television is their main company. • 11% of older people are in contact with family less than once a month. Loneliness • Research over decades has found a fairly constant proportion – 10-13% - of older people feeling lonely often or always . • Estimates place the number of people aged over 65 who are often or always lonely at over one million. 17 Healthy Ageing. Whole System Approach to Ageing Well, 27 September 2018
What this means in Y&H • Working with colleagues focusing on other aspects of PH to ensure healthy ageing is reflected • Spatial planning – age friendly towns/cities, suitable housing stock, accessible transport • Physical activity – strength and balance, age appropriate opportunities, wide range of ability • Mental health – social isolation and loneliness, older carers, older service users • Oral health and nutrition – access to dental care, food deserts, ability and desire to prepare nutritious meals, hydration • Vulnerable groups – older people with learning disabilities, older population in receipt of drug and alcohol services, older people who are/at risk of homelessness 18 Healthy Ageing. Whole System Approach to Ageing Well, 27 September 2018
Key issues • Continuing rise in numbers and proportion of population in later life • Increasing numbers living independently – and often alone – in later life • Older carers – caring for grandchildren, children with disabilities, partners or ageing parents • Older workers • Healthy ageing needs a life-course approach 19 Healthy ageing slides for medical students. April 2018
Any questions? Alison Iliff Public Health England Alison.iliff@phe.gov.uk 20 Healthy Ageing. Whole System Approach to Ageing Well, 27 September 2018
Recommend
More recommend
