Ageing Society

8/8/2019 Ageing Society

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An ageing society are our health and social

care systems fit for purpose?

Philip Hurst

National Development Manager - Health


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Overview of seminar

The demography an opportunity

The challenge and the promise

Age discrimination and human rights today

e u ure w a m g e p


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Assuming continued improvements in mortality, life expectancy for.

females.


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Over 85s are the fastest growing

population group


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l r l m in l r f h l hand care services

People aged 65+: wo t r s o acute osp ta e s up to

also with mental health needs)

Average 7 visits p.a. to GP (compared to 4visits b oun er adults

65% of NHS spend

60% o gross social care spend


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older people will include

Nearly 1 million with dementia

1.5 million with depression

Over 4 million with major hearing problems

Between 4-7 million with urinary incontinence

Nearl 7 million who cannot walk u one fli ht of

stairs without resting

Multiple morbidity is the already the norm


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A (not so) New Ambition

In the next phase of health and social care reform

we must place older peoples needs at the centrean nvo ve t em an t e r representat ves n care

planning.

t n ve years our am t on s to ensure t at o erpeople and their families will have confidence that in

,

respect for their dignity and their human rights.

ew m on or ge: epar men o ea ,


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sma c w curren sys ems

Incentives and levers based on single conditions /

Choice and control as main approach to quality

Broken social care system under-funded, tight

Personal budgets evaluation ignored

e emp as s on re-a emen

Age discrimination persists


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review

Despite recent progress, and the good service received by many people of

all ages, age discrimination remains an issue for the health and social

care system whichallorganisations need to address.

Many of the examples of age discrimination that have been shared with us

are of indirect discrimination but these have just as detrimental an impact

on patients, service users and carers and on public confidence in the

system as direct discrimination.

Negative attitudes and narrow assumptions about age but particularly

about older people, are an important cause of age discrimination. Action to

shape attitudes through training and professional standards is therefore

critical.

Discriminatory behaviour is often bound up with other factors contributingto poor quality care: leaders within the system need to take responsibility

for tackling age discrimination as part of achieving high quality care.


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Age discrimination mental health

There is indisputable evidence that older

at all levels of mental health care: from primary

,

to standards of care and access to treatments

.

New Horizons A Shared Vision for Mentalea t ,


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-consequences

In primary care

n soc a care

In acute hos itals

In specialist mental health services


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healthcare

Malnutrition and dehydration Mixed sex wards

Abuse/rou h treatment Lack of confidentialit

Neglect, poor hygiene Medication/other restraint

Bullying, infantilising attitudes Hasty discharge

Fear of complaining Eviction from care homes

Discrimination on grounds of age, disability and race

Communication problems (esp dementia or language other thanEnglish)

o n omm ee on uman g s,


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healthcare

We consider that the power imbalance between service providers

and service users and the strong evidence that we have receivedo stor c an em e e age sm w t n ea t care or o er

people are important factors in the failure to respect and protect

the human rights of older people. These problems require more

than simply action at the local level, but an entire culture change inthe way that healthcare services for older people are run, as well

as stron leadershi from the to .

Joint Committee on Human Rights, 2007


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Human rights abuses - consequences

In hospital, despite being blind, her meals and drinks

were left on a trolle in most cases without her beinalerted. For the most part, staff did not offer any

assistance with eating and drinking.

When she asked for a commode, she was told by anurse that she could use her incontinence pad.

On the ri ht track? A e Concern 2008


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A long and sorry saga

Stoke Mandeville

a stone an un r ge e s

Mid Staffordshire

Basildon & Thurrock


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..

.at visiting time with no blankets over him and no trousers

on...just a pad stuffed between his legs and some net pantsoose y o ng t n p ace... t was a m xe war an v s tors

were all walking past his bed

,

Left unwashed and fed b fellow atients et another lifeends without dignity

Newspaper headline 6 May 2010


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Equality Act 2010

Protection against discrimination,arassmen an v c m sa on on groun s oage

Outlaws age discrimination in provision ofgoods, facilities and services from 2012

Objective justification and exemptions

u c sec or equa y u y rom pr


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Levers and leaders

Unambiguous standards

ro ess ona e ucat on an tra n ng

O ortunities for a voice inc re ulation and

inspection

-testing

Local heroes


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ues ons

Documents

Ageing Society