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An Ageing World – what does it mean for us? 1 26 October 2016 Lord Geoffrey Filkin Chair, Centre for Ageing Better

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An Ageing World – what does it mean for us?

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26 October 2016

Lord Geoffrey Filkin

Chair, Centre for Ageing Better

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An ageing world: more older people

230 million more people aged 65+ by 2025

60% increase in people aged 65+ by 2030

Three times as many people aged 80+ by 2050

Europe oldest; Latin America ageing fast; Africa slowest

Asia the oldest - with 55% of the world’s 65+ population

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World population aged 65+ (%), 2015

Source: U.S. Census Bureau. 2013,2014; International Data Base, U.S. population projection

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World population aged 65+ (%), 2050

Source: U.S. Census Bureau. 2013,2014; International Data Base, U.S. population projection

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An ageing world: longer lives

Globally, we are now living 35 years longer, on average, than in 1970

Since 1970, life expectancy has increased by 30 years in Asia; 10 years in Africa

From 2013 to 2045, Asia’s median age will increase by 9.5 years; Africa’s by 5 years

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Great opportunities

Extra years present a great opportunity

But there are big variations in later life well-being. For example:

People unhappier in Soviet Union/E. Europe

Happier in Latin America and richer English speaking nations

What can we do to enjoy our longer lives?

Centre for Ageing Better: Later life in 2015: An analysis of the views and experiences of people aged 50 and over

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A social revolution

A massive change to the world is creating very different societies

Caused by smaller families and later deaths

So we have more older and fewer young people

Affects all countries and all people though the rate of change varies

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What makes for a good later life?

In the UK the evidence shows that a good later life depends on:

Enough money

Good enough health

Social relations

Meaning and purpose

A home and neighbourhood that supports us

Are these the main factors in your country?

Centre for Ageing Better: Later life in 2015: An analysis of the views and experiences of people aged 50 and over

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How to prepare for a longer life?

Enough income - public pensions may be limited

Many will need to work for longer and save more

Try to keep healthy

Have meaning

Be socially active

Prepare with families for later frailer years

But, we are not good at doing these!

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Disabilities in later life

Rates of disability and of long term conditions increase with age

Hence, we will see an increased prevalence of, for example:

Deafness Dementia Diabetes Hypertension Cancer Frailty

Therefore, there will be an increased need for social care

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Disabilities in later life

Governments need to assess potential growth of disabilities and address four key issues:

Prevention – healthy lifestyles, less pollution

Help people help themselves – lifestyle choices, planning

Develop home-centred support

Re-shape health and care services for chronic illnesses

These changes and challenges will be with us for decades

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Fiscal challenges for government

Source: OECD Demographic and Labour Force database

Older population will grow twice as fast as working age population

More demand for health, pensions and support for people with disabilities

But fewer in work, relatively – so lower tax revenues!

A two-fold fiscal challenge

Number of people aged 65+ as % of labour force (15 to 64 years)

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What should governments do?

Assess what is happening now and in 10 and 20 years’ time

Consider social changes – family centred support?

Countries have different welfare traditions

Governments cannot do it all but can do much

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What should governments do?

Governments cannot do it all but they can:

Have a plan and a vision for their aging society

Promote the benefits of a longer life

Encourage later working and saving

Reduce smoking, obesity, poor diet, smoke pollution

Re-shape health systems

Review welfare settlement for rising demands

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How can we enjoy our longer lives?

It’s a lifetime goal

Work later, if you can, 30% do in Latin America, Asia and Africa

Save more - over a lifetime

Live a healthy life - avoid smoking, obesity, inactivity

Keep good social relations and a purpose to life

Live in a home suitable for our later years

Plan, prepare, discuss in the family

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How can we enjoy our longer lives?

Great opportunities from longer lives, even with disabilitiesWe do not need to be rich or in perfect health to be happy!

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References

Most data in this speech is from:

An Ageing World: 2015 - US Departments of Commerce, Health and Human Sciences.

Ready for Ageing? - 2013 House of Lords. The Filkin report.

Centre for Ageing Better: Later life in 2015: An analysis of the views and experiences of people aged 50 and over

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About the Centre for Ageing Better

An independent charitable foundation launchedin January 2015 supported by the Government

We work for a society in which everybodyenjoys a good later life.

Secured a 10 year endowment fromthe Big Lottery Fund.

We are part of the network of What Worksorganisations that promote the better useof evidence.

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Contact

Centre for Ageing BetterAngel Building, Level 3407 St John Street, London EC1V 4AD

020 3829 0113ageing-better.org.uk

Registered Company Number: 8838490 & Charity Registration Number: 1160741 19

Geoff [email protected]

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Appendices

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Health inequalities

Source: Department of Health analysis of General Household Survey 2006

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Later life in 2015

Factors contributing to a good later life:

Centre for Ageing Better: Later life in 2015: An analysis of the views and experiences of people aged 50 and over

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World population aged 65+ (%), 2016

Source: Population Reference Bureau – www.worldpopdata.org (2016)