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Paul McGarry
Senior Strategy Manager
Public HealthManchester
February2011
A Great Place to Grow Older
• Outline challenges for ageing in disadvantaged urban areas
• The Manchester story
• Opportunities for taking the ageing agenda forward
A tough patch• Population 450,000• Greater Manchester: ten
authorities, pop: 2.6 million• Unusual older population:
result of cohort migration/economic decline in 70/80s
• Second lowest male life expectancy in England
• High levels of pensioner poverty, ill-health and disability
• Vibrant public, community and private sectors
Withington
Burnage
Ardwick
Baguley
Barlow Moor
Benchill
Beswick & Clayton
Blackley
Bradford
Brooklands
Central
Charlestown
Cheetham
Chorlton
Crumpsall
Didsbury
Fallowfield
Gorton North
Gorton South
Harpurhey
Hulme
Levenshulme
Lightbowne
LongsightMoss Side
Moston
Newton Heath
Northenden
Old Moat
Rusholme
Sharston
Whalley Range
Woodhouse Park
Lower level SOA by IDAOPI rankw here 1= most deprived and 32,482 = least deprived in England
(top 90%) 22,722 to 27,017 (2)(top 60%) 19,329 to 22,722 (3)(top 50%) 12,628 to 19,329 (27)(top 40%) 9,647 to 12,628 (16)(top 30%) 6,452 to 9,647 (20)(top 20%) 3,216 to 6,452 (54)(top 10%) 1,590 to 3,216 (64)(top 5%) 322 to 1,590 (53)(top 1%) 1 to 322 (20)
Of the 259 SOAs in Manchester, the worst is ranked 5thin England. The best SOA is ranked 27,016 out of 32,482in England.
Income deprivation affecting older people index (IDAOPI)
Based on OS Mapping w ith the permission of the Controller of HMSO. Crow n Copyright. Unauthorised reproduction infringes Crow n Copyright and may lead to prosecution or civil proceedings. Licence number 100019568.
Planning Studies, Chief Executive's Department. May 2004
Source: IMD 2004, ODPM.
Resident population estimates and projections for older people Manchester Local Authority: 1982-2031
0.0
20.0
40.0
60.0
80.0
100.0
120.0
140.0
160.0
Mid-Year
Popu
latio
n (t
hous
ands
)
50+ 65+ 85+
Source: Population Estimates Unit, ONS: Crown Copyright.
Manchester demographics
Ageing in the city
“Some councils will see an outward migration of affluent people in their 50s and 60s who choose to leave the cities…..the remaining older population…tends to be….poorer, isolated and more vulnerable with a lower life expectancy and a need for acute interventions”
Audit Commission 2008
“Population ageing and urbanisation have in their different ways become the key social trends of the twenty-first century.”Phillipson 2010
“I just in this flat staring at the television or the walls. You get to a point where you think I can’t cope: I mean you think what’s the point being stuck in this flat day in day out.”Female, 51, West Gorton
“There is emerging evidence that urban environments may place older people at a heightened risk of isolation and loneliness.”
- Changes in which urban spaces are developed to meet the needs of younger consumers;
- Older people’s social well-being is prone to changes in population. The loss of family members, friends and neighbours has implications for the maintenance of stable social relationships.
- Older people are affected by changes linked to social issues, such as changes in services and levels of crime.”
Scharf/Gierveld 2008
Ageing in the city
Inequalities in later life: Mean walking speed and wealth,
people aged 60+
0.75
0.8
0.85
0.9
0.95
1
Richest 2nd 3rd 4th Poorest
Me
tre
s p
er
se
co
nd
English Longitudinal Study of Ageing
0%
10%
20%
30%
40%
50%
60%
50-59 75+ 50-59 75+
Richest 2nd 3rd 4th Poorest
English Longitudinal Study of Ageing
Men Women
Inequalities in later life:Depression and wealth
About VOP• Launched in 2003• Team based in Joint
Health Unit– Strategy development– Research and policy– Programme
Management– Engagement and
partnerships• Improve quality of life
Manchester Ageing Strategy
• Age-friendly city programme
Features of the Manchester approach
• Older people as citizens and peers
• Central resource• Political and senior
officer support• Strong
communication strategy
• Partnerships across sectors
• Community-based initiatives
Mainstreaming ageing
• The core trinity; crime, transport and physical environment
• Neighbourhood regeneration
• Culture and learning opportunities
• Housing and housing support projects
• Road safety
Mainstreaming ageing
• Low-level preventive services
• Mid-life focus– Health checks– Employment
• Public health – Free swimming
and physical activity
– Alcohol; sexual health
• Financial Inclusion campaigns
Working with older people
• “On your side”• VOP Board• VOP Forum• Task groups • Participation Fund• Small grants• Full of Life
Festival
Positive Images campaign
“Promote a positive attitude towards ageing, to encourage healthy lifestyle choices and to challenge negative stereotypes of older people.”
• Calendar• Billboards• Newspaper• Full of Life festival
Working locally - the VOP Networks
• Key activities– Information and
consultation– Informing
commissioning– Coordination– Developing
activities
Generations Together programme
• National programme of demonstrator projects
• 13 projects– Places and
spaces– Families– Health and
wellbeing– Skills and learning
Policy, learning and research
• Academic partnerships– New Dynamics of
Ageing: Call-Me– MICRA– Age Debate – Sharing the City– Advisory Board
• Research– Employment – Ageing and ethnicity– Ageing in cities
Percentage who agree that their local area is a good place to grow old: by age
21%
20%
25%
24%
29%
31%
31%
34%
36%
42%
45%
44%
57%
25%
22%
26%
32%
34%
32%
36%
51%
49%
56%
55%
60%
66%
18 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45 - 49
50 - 54
55 - 59
60 - 64
65 - 69
70 - 74
74 - 79
80 plus
Ag
e g
rou
p
2007/08
2004/05
Looking forward
• Launch of age-friendly city programme
• Research bids
• Volunteering and cultural programmes
• Mid-life approaches
• New public health arrangements
