ICT based answers for life events in older age

1. Future scenario’s for Independent Living Services in the EU ICT based answers for life events in older age Name

2. Customer objectives Scientific knowledge TNO Information and Communication Technology TNO Information- and Communication Technology Consultancy Applied knowledge Products & tools Prototyping Testing Funding: 30 % government / 70% contract Turnover: 40 million Euro Employees: 450 (TNO = 4500)

3. Background of research project • TNO Information and Communication Technologypartners: VUB University Brussels empirica GmbH • client: IPTS (Institute for Prospective Technological Studies)part of JRC, European Commission DG Research

4. Research questions: • What ILS-policies exist in the EU? • What can we learn from ‘proven practices’ in this field? • What scenario’s can be depicted to describe the future of ILS, • What are the market opportunities and policy implications and recommendations for realising the ILS described in these scenario’s?

5. Work/activities Health/impairment Household Mobility policy society formal networks informal network ageing person The ageing person as part of its networks 4 life spheres cover all levels of networks

6. Constituents of Independent Living Partnership Gainful employment Medical treatment and health care Familial support Voluntary work Basic ADL (personal hygiene, nutrition, etc.) Learning Social support (core network) Constituents of Ability to quickly react to emergencies Independent Extended social network living Housekeeping / controlling the home environment Social recognition control, empowerment, Community / Societal, cultural and political participation participation, Physical mobility at home independence, autonomy, Sense of security self- determination, self-respect, Physical mobility outside home, self-reliance Motor, sensory, tactile and cognitive capabilities Participatory and self- Level of needs Basic and physical requirements Psycho-social needs fulfillments needs

7. ICT enabling Independent Living Services

8. Policies influencing (ICT supported) ILS

9. Examples: ILS-Policies in the EU • Specific ICT policies directed towards empowering family / informal carers • Belgium, UK • Anti-discrimination legislation exists that promotes ICT • Denmark, UK • Employment policies on role of ICT in old age • Netherland, Finland

10. Political-economic Central role of market • Scenario D: Scenario A: Socio-cultural New Collectivism Socio-cultural Individual among individuals • Scenario C: Scenario B: Political-economic Central role of government / public sector Foresight Scenarios

12. Lessons: Adoption barriers for realizing the potential of ICT-based ILS • Low ICT use and/or acceptance in the health care sector • In particular, low ICT use by elderly (EU average) • Miss-match between supply and demand • Usability, usefulness, functionality, affordability, privacy • Insufficient integrated approach of user needs • Ethical issues • Control of decision, privacy rules, intrusiveness, critical technologies: risks and responsibilities

13. Issues • ILS development need policies adressing user needs/contexts • More holistic policy approach: too much fragmentation now • informal carers are neglected • too little awareness of ICT-ILS potential: awareness! • too much market driven approach: innovation is never without risks • myth of ICT-ILS as only costs/staff saver needs dismantling

14. Next: • context for debate • shared understanding • basis for policy and strategy building • consensus building between DGs

17. Thank you very much • for your attention • josephine.dries@tno.nl • and • rukiye.ozcivelek@ec.europa.eu