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Healthy Ageing

Healthy Ageing. Helen Ryall Health Improvement Programme Manager (Healthy Ageing) . Aims. Define healthy ageing Describe the changing age demographics in Scotland Discuss the policy context for healthy ageing Highlight the development of the Active and Healthy Ageing Plan

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Healthy Ageing

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  1. Healthy Ageing Helen Ryall Health Improvement Programme Manager (Healthy Ageing)

  2. Aims • Define healthy ageing • Describe the changing age demographics in Scotland • Discuss the policy context for healthy ageing • Highlight the development of the Active and Healthy Ageing Plan • Share some existing work on sexual health and relationships for older people from around Scotland

  3. Older people – who are they? • Variance in public opinion! • When 40% of the population is aged 50 or more the distinction between services for older people and services for everyone loses significance • Chronological age (>65?) or a combination of biological, psychological and social factors • Adopting a life course approach may be preferable

  4. The projected percentage change in Scotland's population by age group, 2010-2035 Source: http://www.gro-scotland.gov.uk/statistics/theme/population/projections/ scotland/2010-based/figures.html

  5. What is ‘healthy ageing’? • “A lifelong process shaped by several factors that, alone and acting together, favour health, participation and security in older adult life” (WHO) • “Depends on a number of determinants that surround individuals, families and nations. They include material conditions as well as social factors that affect individual types of behaviour and feelings” (Marmot, 2006)

  6. The needs of older people • Somewhere to be • Somewhere to go • Something to do • Someone to talk to • Someone to trust and be trusted by • Someone to respect and be respected by. confirmed by the ‘Talking Points’ work (Petch, 2012)

  7. What can we do to support healthy ageing? • Recognising the wide range of capacities and resources among older people • Anticipating and responding flexibly to ageing-related needs and preferences • Respecting their decisions and lifestyles • Protecting those who are most vulnerable • Promoting their inclusion in and contribution to all areas of community life

  8. Policy context • Early intervention, prevention and addressing health inequalities key planks in SG policies • A number of key policies relevant to the promotion of healthy ageing and the reduction of health inequalities (All our futures – 2007; RCOP 2011-21) • Some are disease specific (e.g. Dementia Strategy 2010); some focus on environment and support services (e.g. Housing strategy 2011); some focus on how older people can contribute to society (e.g.Caringtogether 2010-2015)

  9. Policy Gaps • Whilst there are many policies focused on older people, there are many others which appear to forget about older people: • The Obesity Route Map • A Breath of fresh air for Scotland: The challenge Tobacco control Action Plan • Sexual Health and BBV Framework

  10. Active and Healthy Ageing Plan • Developed in partnership with a wide range of stakeholders including SG (JIT and PA), LA’s, Health Boards, universities, and older people • Focuses on practical steps we can take in the next 3 years • Highlights areas of work already ongoing and identifies current gaps • 2 stages – stage 1 actions for national agencies, and stage 2 focused on support for local partnerships

  11. Themes • “I want to have fun and enjoy myself” • “I wish to remain connected to my community and friends” • “Don’t talk about me without me and respect my beliefs and values” • “I wish to be able to contribute to society for as long as I want” • Monitoring and evaluation

  12. “I want to have fun and enjoy myself” • Discussions with professional stakeholders and local surveys suggest a lack of information for older people on sexual health and relationships • NHS G&C have a leaflet called “Pillow talk” • LGBT Centre (Dumfries) has an active 50+ social group • Highland Rainbow folk – LGBT volunteers raising awareness of issues facing older LGBT people • Evidence of needs of older people living with HIV (THT and WC)

  13. “I want to have fun and enjoy myself” • Actions: • Undertake qualitative research to better understand the sexual health and HIV information needs of older people including those in same sex relationships – with a view to developing resources to address needs • Work with stakeholders to identify appropriate routes to provide sexual health/HIV information that meet the needs of all older people, including those from ethnic communities and those in same sex relationships

  14. Just because I am growing older doesn’t mean to say that I want to fade away. I have the same hopes, fears, passions and interests that I always had and I need help to facilitate them Beth, older lesbian woman Perspectives on ageing: lesbians, gay men and bisexuals, JRF 2012

  15. To summarise • The older population in Scotland is increasing and we all need to ensure we remember that in developing policies and in designing services • “Don’t talk about me without me” - the inclusion of older people in designing services or support systems is key • Inequalities accumulate as we age, so adopting a life course approach to services and support is important • Opportunity to input to the actions identified in the AHA plan

  16. Thank you for listening Any questions? Comments? Helen Ryall helenryall@nhs.net 0131 536 5557

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