joining up our approach to healthy ageing · joining up our approach to healthy ageing. ... our...
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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
[email protected] 849 403