Older Adults

"Life expectancy is rapidly increasing (although unequally). The population (of England) has aged significantly over the past 25 years. In 2008, 16 percent of the population was over 65 years old. If the current trend continues, 23 percent will be over 65 years old by 2033, which represents 3.2 million people. The over-fifties are the largest users of health and social care services. The impacts of the ageing population and levels of long-term illness and disability hold enormous implications for these services. Tight eligibility criteria have been introduced as a way of managing demand. Recipients of social care services are likely to be the most disadvantaged and most will have a long-term debilitating illness or disability" (Marmot, 2010).

Older people in Derby have poorer prospects later in life when compared to England as a whole. Derby has significantly:

  • Low healthy life expectancy for men and women
  • Low disability free life expectancy for men and women
  • Higher rate of death from any various causes, including cancer, heart disease and respiratory diseases
  • High rate of hospital admission for hip and knee replacement
  • High proportion of pensioners living alone

In Derby we have adapted our services to meet increasing demand by promoting more choice, greater independence and better information for service users and carers. Find out more on the Your Life Your Choice pages.

Older people in Derby do however, have a greater chance of remaining at home at 91 days after hospital discharge, suggesting good levels of community care and support to ensure that they remain well and cared for in a more comfortable environment.

The latest nationally published information on older people’s health and wellbeing can be found in the interactive Older People’s Health and Wellbeing Profiles and End of Life Care Profiles produced by Public Health England.

The Care Quality Commission (CQC) publishes Local Authority data profiles on older people's pathways to provide comparators and identify issues within the health and care systems for the 65 year and over age group in order to support improvements. Data summaries include service provision and outcomes, user experience and level of activity within the healthcare system.

Public Health England's 'Local Health' provides an interactive geographical tool showing a range of health and related measures at Clinical Commissioning Group, local authority and ward level information.

Additionally, a range of information, including health, is provided for each of Derby's seventeen wards and can be found within the quick ward profiles on the info4derby website.

The National Service Framework for older people sets out the government’s quality standards for health and social care services for older people. It will ensure older people are treated with respect; prevent unnecessary hospital admissions and support early discharge; reduce long-term illness by providing specialist care; promote healthy lifestyles and independence for those in older age.

Public Health England maintain an Older People's Health and Wellbeing Atlas that can be used to highlight deficits in the health and care of older people and variations between Local Authorities across England. It can support those responsible for delivering strategies for prevention and early intervention to improve the health and wellbeing of older people, as well as provide an evidence and intelligence base to support the delivery of the NSF.

Of note in Derby are the following:


  • lower proportion of the population aged over 65
  • lower proportion of people aged over 85
  • significantly better old age dependency ratio (number of people of state pension age as a percentage of working age population)
  • higher proportion of older people of ethnic minorities
  • significantly higher rate of income deprivation amongst older people
  • significantly higher rate of inequality in life expectancy at age 65 in males
  • lower healthy life expectancy at age 65 for males and females (18.1 for males compared to England 18.6 and 21 for females compared to England 21.1)
  • significantly lower number of additional years that females can expect to live disability free, beyond age 65

Health & Care

  • significantly higher rate of hospital admissions in the older population
  • significantly lower rate of stroke and hip fracture patients returning to their usual place of residence on discharge from hospital
  • significantly higher rate of knee replacements and heart bypass in females
  • significantly higher rate of mortality from circulatory disease, particularly heart disease
  • significantly fewer stroke admissions in males and females under 75 years.
  • Derby is better regionally and nationally for preventable sight loss due to age related macular degeneration, glaucoma and diabetic eye disease.
  • higher proportion of over 65s registered with the Local Authority as being deaf
  • greater effectiveness of reablement/rehabilitation services in males and those aged 75-84
  • lower coverage of reablement/rehabilitation service provision
  • Mortality rates for cancer and respiratory disease in the 65 years and over is higher in Derby compared to England
  • Age 65 and over vaccination coverage for those at risk is lower than target (74.3%, target >75%)
  • Significantly higher rate of direct standard emergency admissions in the 65 and over age group with dementia. (5250 per 100,000 population compared to England 3609).
  • Derby is worse for residential care and nursing home bed capacity for people aged 65 and over with dementia (57.8% compared to England 68.2%)

The following pages explore the level of need in this population in relation to these focussed subject areas: