1m more living with multiple conditions by 2020
Published on 01 October 2015 12:01 AM
One million more older people will be living with two or more long term conditions by 2020
On International Older People's Day, Age UK warns that without action we're all living longer but with more disability
People are living longer than ever before, yet they're not necessarily living healthier lives according to the leading older people's charity Age UK.
Today an estimated six million people aged 60 and over live with two or more long term conditions in England . New analysis from Age UK now suggests that, if nothing else changes, by 2020 this number will rise by around a million to more than 7 million .
Currently a woman aged 65 can expect to live another 20.8 years, while a man can expect another 18.2 years. However they can only expect to spend approximately 11 of those in good health .
As overall life expectancy has risen more of us are living into older age with multiple long-term conditions, frailty, dementia and social care needs. Around 40 per cent of all people aged 65 or over say that a long term health problem limits their day to day activities and quality of life.
Long term conditions (LTCs) are already the biggest challenge facing the NHS accounting for £7 in every £10 spent on health and social care, 70 per cent of hospital bed days and half of all GP appointments.
The findings, released on the same day as the World Health Organization's (WHO) new World Report on Ageing and Health, demonstrate that supporting people to maintain their health, wellbeing and independence as they age needs to be a priority both here in the UK and worldwide.
The WHO report defines Healthy Ageing as the process of developing and maintaining well-being in older age. It calls for:
- Better alignment of healthcare systems and the need to address the demands of older age in a more integrated way.
- The development of long term care systems that work and WHO warns that "in the 21st century, no country can afford not to have a comprehensive system of long term care."
- The need to create age friendly environments
- Improving measurement, monitoring and to have better understanding of older people
In the UK, without intervention the focus of NHS care will increasingly become support for people with long term conditions rather than short term interventions for people with urgent or acute health needs. Better planned and integrated care would not only improve and save lives but also save the NHS money.
Caroline Abrahams, Charity Director for Age UK said:
"There are many challenges ahead of us. Not only is the UK ageing, but so is the rest of the world and we need to be prepared to meet the needs of this shift in demographic. We fully support the World Health Organization's call for a more holistic approach to ageing when it comes to health and care
"Age UK supports the need for more integrated services to meet the needs of our ageing population. Our NHS and care services need to be fit for purpose, providing the right support that is focused on helping people stay well and independent in later life. But we must go further bringing together services and support across local areas to ensure every older person can live in a safe, supportive age-friendly community that values their contribution.
"After all ageing is inevitable for us all and we must do more to make the UK and the world a great place to grow older. "
Age International, sister charity to Age UK, works to protect and promote older people's right to health and improve access to care. The report's recommendations provide a useful tool to further the Charity's continued engagement with global governments and stakeholders to develop more age sensitive systems as well as service delivery.
The WHO report clearly shows that ageing is not something unique to the UK. The global number of older people is increasing and is expected to reach over 2 billion by 2050, with some of the greatest increases taking place in developing countries.
Chris Roles, Director of Age International, said:
"We strongly support the World Health Organization's report on healthy ageing as it provides timely, expert and practical advice for governments, policy makers and those in civil society who promote the needs and rights of older people.
"All over the world, including in low income countries, people are living longer. Whether these extra years of life are also extra years of good health is key to the wellbeing of older people, their families and communities.
"We've seen from our work in a wide range of low and middle income countries that improving health and care systems has a significant impact and enables older people to live fuller, more active and more secure lives.
"Together with the inclusion of older people in 15 of the 17 newly adopted Sustainable Development Goals, this report from WHO shows that older people and population ageing are starting to get the recognition they urgently need in these times of unprecedented demographic change."
Notes to editors
Contact: Liz Fairweather
Telephone: 020 3033 1718
Out of hours: 07071 243 243
For media enquiries relating to Wales, Scotland and Northern Ireland please contact the appropriate national office: Age Scotland on 0131 668 8055, Age Cymru on 029 2043 1562 and Age NI on 028 9024 5729.
For Age International, please contact Sara Guy on firstname.lastname@example.org or 020 3033 1466.
[i] The Age UK almanac of disease profiles in later life, University of Exeter Medical School (unpublished) and mid-2014 population estimates for England, Office for National Statistics, 2015 http://www.ons.gov.uk/ons/rel/pop-estimate/population-estimates-for-uk--england-and-wales--scotland-and-northern-ireland/mid-2014/stb---mid-2014-uk-population-estimates.html
[ii] The Age UK almanac of disease profiles in later life, University of Exeter Medical School (unpublished) and mid-2012 population projections for England (for 2020), Offic e for National Statistics, 2013 http://www.ons.gov.uk/ons/rel/npp/national-population-projections/2012-based-projections/stb-2012-based-npp-principal-and-key-variants.html
[iii] 10.9 years for men and 12.2 years for women. Health Expectancies at Birth and at Age 65 in the United Kingdom, 2009-11, Office for National Statistics 2014 http://www.ons.gov.uk/ons/publications/re-reference-tables.html?edition=tcm%3A77-380530
[iv] Figure for England from Census 2011, accessed via NOMIS LC3302EW - Long-term health problem or disability by general health by sex by age https://www.nomisweb.co.uk/query/construct/submit.asp?forward=yes&menuopt=201&subcomp
We work with our national partners, Age Scotland, Age Cymru and Age NI and our local Age UK partners in England (together the Age UK Family). We also work internationally for people in later life as a member of the DEC and with our sister charity Help Age International.
Age UK believes that everyone should have the opportunity to make the most of later life, whatever their circumstances. We provide free information, advice and support to over six million people; commercial products and services to over one million customers; and research and campaign on the issues that matter to people in later life. Our work focuses on five key areas: money matters, health and well being, home and care, work and training and leisure and lifestyle.
Age UK is a charitable company limited by guarantee and registered in England (registered charity number 1128267 and company number 6825798). Age Concern England and Help the Aged (both registered charities), and their trading and other associated companies merged on the 1st April 2009. Together they have formed the Age UK Group ("we"). Charitable services are offered through Age UK and commercial products are offered by the Charity's trading companies, which donate their net profits to Age UK (the Charity).
Age International is the only UK charity focusing on older people in developing countries. It is a subsidiary charity of Age UK, a member of the Disasters Emergency Committee (DEC) and the UK member of the global HelpAge network.
Age International raises funds in the UK to support the relief and development work of HelpAge in over 40 developing countries. It also raises awareness in the UK about the needs of older people in developing countries. And it engages in influencing and campaigning work in the UK to change policies and approaches towards older people. For further information, please visit our website www.ageinternational.org.uk