Thursday 27 June 2013

Older people feel stereotyped

 


A pioneering three-year research project, involving older people themselves, Shaping our Age, whose report is published today, has found that older people have a great deal to contribute to the debate around well-being and services for older people and yet 71 per cent say that they are rarely or never consulted on services that impact their life.

Shaping our Age, supported by the Big Lottery Fund, is a joint project between the Centre for Citizen Participation at Brunel University, the Centre for Social Action at De Montfort University and older people’s charity the Royal Voluntary Service [RVS](formerly WRVS). The research challenges the common perceptions of ageing and seeks to question the portrayal of older people and the assumptions that those providing services for them often make.

To coincide with today's launch, Shaping our Age commissioned new quantitative research amongst over 65s which is also being published. This highlights older people's own concerns about their position in society; 61 per cent of over 65s think that society sees them as a burden and the majority (57 per cent) think that the media encourages the idea that older people are a problem for society. Two-thirds of older people (66 per cent) feel that they are stereotyped and, worryingly, well over half (56 per cent) think that older people are ignored. Despite the views of others, the vast majority (62 per cent) of over 65s do not feel as old as they are and two-thirds (61 per cent) don't see age as important.

Shaping our Age illustrates the huge contribution that older people have to make to the debate around their own well-being and how best to provide services and support for older people and yet only a third (33 per cent) of older people feel that the contribution that older people make to society is recognised. The report shows that traditional services for older people, whilst addressing important practical needs, can also encourage passivity and dependence. Many of these services do things "for" older people rather than working alongside them, involving older people and responding to what they themselves would like.  Older people reported being patronised or not sufficiently involved or valued. These findings are echoed by the survey results which found that although a majority of over 65s (57 per cent) do not use services specifically for older people; for those that do, one in ten feel that the services provided are not really what they want nor are they interesting or stimulating enough. Sixteen per cent say that the services are the stereotypical ones that people think older people would like.

David McCullough, Royal Voluntary Service Chief Executive, said:

"The fact that, as a society, we are living longer is a wonderful thing but the challenges that this brings with it has led to older people being seen as a burden. This report lays out what many of us already know: that older people have a huge amount to give back to society and we should harness that expertise and enthusiasm to make services better for older people by involving them more in decision making. Shaping our Age is an exciting and innovative research project which should act as a wake-up call for those of us providing services for older people.”

Professor Peter Beresford OBE, Director, Centre for Citizen Participation, Brunel University, said: "The biggest issue older people see as needed for improving their well-being is more social contact and they want to play a bigger part in changing things for the better. Services for older people have to shift from a paternalistic ‘doing-to’ model to the ‘involvement-led’ approach older people value. What’s needed now are the twenty-first century equivalent of the old ‘Darby and Joan’ clubs, not just more of the same”.

Jennie Fleming, Reader in Participatory Research and Social Action, Centre for Social Action, De Montfort University, said: “Shaping our Age clearly demonstrates the need to involve older people more in both the debate around their own well-being, but also the actual services that they use. Participation in activities makes a massive difference to an older person’s sense of well-being and that in turn can have a positive effect on loneliness, which we know has a knock on impact on mental and physical health.”

Shaping our Age defines what constitutes well-being for older people by consulting with the project's participants. Key factors which determine well-being were found to be good mental and physical health; achieving and accomplishing in life; and leading an independent life.
Keeping fit and active and being involved with other people were also seen as important. Relationships and social contacts with friends and family are essential and participating in groups and clubs, as well as volunteering, were cited as important. Through a national consultation with older people, as well as five local projects carried out as part of Shaping our Age, the report suggests a future model for services for older people which would involve older people themselves in helping develop the kind of services and activities that will contribute most to their well-being. Key factors include starting with the older people and using their expertise and knowledge, having small groups for activities and actually doing what older people want to do rather than dictating what they should do.

Royal Voluntary Service  supports over 100,000 older people each month to stay independent in their own homes for longer with tailor made solutions. Through its army of 40,000 volunteers, the charity runs services such as Good Neighbours, Meals-on-Wheels and Books-on-Wheels that alleviate loneliness and help older people. Royal Voluntary Service also provides practical support for older people who have been in hospital through its On Ward Befriending and Home from Hospital services.

Tuesday 25 June 2013

Frontline services cuts: Concern for older people



More than 90 per cent of social workers worry that life will become more difficult for older people who need social care as frontline cuts start to bite according to an Age UK/College of Social Work survey. Seven out of 10 respondents said cuts in frontline services are leaving older people more isolated and with a reduced quality of life. 80% reported the spending cuts were resulting in families unable to cope with the additional strain of caring responsibilities. 

In the joint survey of more than 300 adult care social workers by Age UK and The College of Social Work, 94 per cent said they have witnessed a squeeze on budgets for care services for older people over the last three years. And the cuts have not all been absorbed by efficiencies with 85 per cent of respondents saying frontline services had been affected by the cuts. There was a wide consensus from social workers (81%) that they are seeing negative impacts of cuts in social care spending for example reporting seeing families unable to cope with caring responsibilities.

Social workers also report seeing older people ending up in hospital more frequently (63%), older people becoming more isolated (71%) and having a reduced quality of life (72%). Where local authorities have frozen or reduced spending on adult care services in the last three years, the vast majority of social workers who responded to the survey (93.5 %) said they now see older people who would have qualified for care three years ago now not receiving it, with 79 per cent of respondents saying older people whose needs have not changed get less help now than they would have done in 2010. 

The survey also showed that Fair Access to Care Services criteria – in which older people’s care needs are assessed as low, moderate, substantial or critical – are being used by local authorities to reduce care spending with one in five respondents saying that they were under pressure to minimise levels of need of older people so putting them under the eligibility threshold. However, 26 per cent of social workers also said that they now exaggerated older people’s disabilities to ensure that they qualified for local authority support. Over a third (36%) of respondents said the threshold for eligibility for state-funded care at the local authority where they work is now higher than it was three years ago.

Bernard Walker, Chair of The College of Social Work Adults Faculty said:

“Social workers are doing as much as they can to secure essential care and support services necessary to enable older people to live with dignity and in comfort in their own homes and communities. But they are alerting us to many incidents where even the very basic levels of care are either no longer available to many people or are being withdrawn altogether. As well as causing unnecessary suffering to many frail and lonely older people this situation is causing their care needs to escalate more quickly, increasing the burden on higher cost care services provided by the NHS. The College wholly supports the business case for investing in adult social care as it is the most cost effective model for ensuring society can afford to look after its ageing population with dignity and respect.”

Michelle Mitchell, Charity Director General of Age UK said: “This survey is yet more evidence that the social care system is failing increasing numbers of older people. Inadequate social care  leaves older people living miserable, isolated existences, their carers unable to cope and all too often results in unnecessary and distressing hospital stays. Only by ensuring sustainable and adequate funding for a system that covers all those with at least moderate care needs can the Government begin to fulfil its vision of making Britain the best place to grow old in Europe.”