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 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.

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 can be found in the Neighbourhood Profiles.

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.

To explore the data for Derby users need to click on the geography tab at the top of the page and select ‘upper tier local authorities’, then in the ‘select area: map/list’ tab scroll down and click on Derby. Once selected, click on the ‘select area: map/list’ again to remove that list of Local Authorities.

Of note in Derby is 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
  • significantly lower healthy life expectancy at age 65 for males and females
  • significantly lower number of additional years that females can expect to live disability free, beyond age 65
  • significantly higher rate of hospital admissions in the older population
  • significantly fewer stroke admissions in females
  • 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
  • lower need for cataract operations
  • 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

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