Joining up our approach to healthy ageing

We’re all living longer: a great opportunity, but………we’re poorly prepared, and ...……..the period lived in good health and free of disability is not increasing as quickly • 44,500 of the 115,600 65+ popn limited in day

to day activities (19,600 a lot; 24,900 a little)…..we are ageing unequally - some of us will experience significantly better later life • 20 yr difference in onset of disability btw most &

least affluent; 15 yr difference in onset of multiple illness

Ageing population

• Ageing is a society-wide issue, not a clinical / social care one

• Key aim to delay onset of loss of function and disability – enabling people to stay engaged, stay creative, stay active, stay connected - enjoy life

• Life-course approaches• Asset-based approaches• Place based approaches

Changing the mindset…

What helps us age well?

Percentage of people aged 55-64 with a health problem that limits the work they can do

The main reasons people aged 55-SPA are economically inactive are health conditions and caring responsibilities

Source: J. Abell and N. Amin- Smith et. al (2018), The Dynamics of Ageing: Evidence from the English Longitudinal Study of Ageing, Wave 8: 2002-2016.

Activity levels

Mind the activity gap…………

Lots going on, but fragmented:• Is the message clear?• Go Active Gold – South and

Vale – rural focus • Leisure Centres - ?trad offer• Health walks / walk and talk• Local initiatives • Generation Games – LTCs

and falls

Signposting Delivery

70+ classes across the county

Our Story

Ca. 1000 people attend our classes per week

Tools to help people be active at home

Addressing the needs of older people in Oxfordshire

Physical Activity Connections

Mental wellbeing

Long term conditions Loneliness

and social isolation

Carers Welcome

What we provide1. Strength & Balance: Aim to reduce the

risk of falls

2. Specialist classes: MS, Parkinson’s, COPD, Bone health

What we provide

3. General Classes: Exercise to music, Zumba Gold, Tai Chi, Chair-based exercise

What we provide

Home Exercise

Breakdown of our classesClass Type Qty

Strength & Balance (17 cardiac classes) 34

Dynamic Strength & Balance 6

Big Bold and Balance 6

COPD, MS, Bone health 4

Tai Chi 5

Chair Based exercise 9Exercise to music 7

What people say…The teacher is caring,

understanding and patient. It has

brought me out of my house. I

have two artificial knees, but now

I am able to do more than before,

e.g. the marching warm up

exercise we do at the beginning of

the class.”Margaret, 82

Sally Bromley

The Challenge

We remain committed to;providing an evidence based strength and balance structured exercise programme as recommended in NICEFalls Guidance and Quality Standards 2015, Department of Health Prevention Package Exercise Training to Prevent Falls 2009 and by Royal College of Physicians 2012

providing value for money. Public Health England Falls and Fractures Consensus Statement 2017 Resource Pack recommends FaME as a cost effective evidence based programme to reduce falls

maintaining fidelity to the original intervention

FaME evidence

Why FaME?

http://www.laterlifetraining.co.uk/wp-content/uploads/2017/07/LLT-Guidance_Evidenced-Based-Falls-Prevention-Programmes_FaME_Otago_commissioning_240717.pdf

Return on investment

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/679856/A_return_on_investment_tool_for_falls_prevention_programmes.pdf

Areas of Inactivity…

https://www.activeoxfordshire.org/place-making

The pilot questionnaire was developed by Age UK Oxfordshire with the assistance of an outcomes research specialist (Diane Wild). 30 year career in health outcomes researchAdministered to 135 participants, 66 were returned

71-80 = 44% - 81-90 = 24% - 90+ = 8%

Health Professional = 31% - GP = 27% - Friend = 22%

(84%) of respondents reported to greatly enjoy the class

27% of respondents felt that the classes had improved their lives outside of the class to a great extent, the majority (61%) said that they thought this had happened to some extent.

Although 35% of the respondents felt that the classes had improved their confidence about their balance to a great extent, the majority (53%) said that they thought this had happened to some extent.

Evaluation March 2018

Berg BalanceSit to StandTUGHADSRAPASelf-efficacy measureOPQOL brief

Evaluation

• 12 participants –Referred via NHS.net

• 4 undergraduates• Discussions about

larger scale research project

The Future…• Referrals• Applying the evidence in

Oxfordshire• Rurality• Evaluate Impact• Could replicate for many

long term conditions• Capacity £

1. Levels of inactivity in older adults2. Fragmented provision3. Confused message around exercise4. Rurality5. Deprivation6. Barriers: (PRACTICAL- cost; transport; carers; PERCEPTION –‘It’s not for me’; guilt about ‘me’ time; confidence; time; PHYSICAL -mobility issues; sensory impairment)7. Age-friendly opportunities8. Age-friendly and inclusive volunteering9. Ageism 10. Insight

The challenges of adding life to years…….

What are the barriers that we can realistically tackle together to encourage more people to be physically active and ‘add life to years’?

Call to action …

Penny Thewlis – Chief ExecutiveAlastair Thomas – Head of ServiceAnna McKay – Marketing

info@generationgames.org.uk01235 849 403