Tag Archives: Council

Healthy ageing: how health inequality can be tackled at the local level

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Image: Peter Kindersley via Centre for Ageing Better

Older people make up a significant portion of our population, and projections show the proportion of people over the age of 60 within the global population is set to rise even further over the coming years. ONS data shows by 2066 there will be a further 8.6 million projected UK residents aged 65 years and over, taking the total number in this group to 20.4 million and making up 26% of the total population.

Supporting people to age well, and age healthily is something which both local and national policymakers will have to take account of in order to not only ensure good quality of life for their ageing populations but also ensure that services are not overwhelmed.

Studies show the higher levels of deprivation people face in their earlier years, the more likely they are to enter older age in poor health and die younger compared with people who experience lower levels of deprivation. This highlights the need to tackle inequality across the life course, with the preventative action having a positive knock on impact on health inequalities in later life.

Some of the main drivers of inequalities include: social exclusion and isolation; access to and awareness of health and other community services; financial difficulties including fuel poverty and housing issues; insecure or low paid employment, with reduced opportunity to save or enrol in a formal pension to prepare for retirement; a lack of transport and distance from services; low levels of physical activity; and mobility or existing poor health, often characterised by long term chronic health issues.

These inequalities often combine and overlap to create even more challenging situations as people move into older life. More recent research has shown that the Covid-19 pandemic has only exacerbated these inequalities further.

Tackling inequalities at the local level

Alongside the national discussions around ageing, local demographic change has received comparatively less attention, despite place-based policies and concepts like “ageing well in place” being used in public health conversations for a number of years.

Research from the Resolution Foundation explores the intersection between demography and place, and its implications for politics and policy while further research is looking increasingly at local level case studies to highlight pockets of best practice which could help to inform the national approach.

A review from Public Health England looked at the specific experiences of older people in coastal and rural areas and the specific challenges they face in comparison to people living urban areas, exploring local level interventions and interventions which adopt a place- based approach, responding to the specific needs of people living in the area.

Other research in this area stresses that councils have a clear leadership role in supporting an ageing society and that they are uniquely placed to create strategies which reflect the needs of their populations. Through local engagement of older people systematically and regularly, and through co-production and co-design in the production of local policies and services, councils are in a position to underpin a more positive outlook on ageing, ensuring that older people are regarded as full citizens, rather than objects of charity or pity.

Approaches to poverty reduction in Greater Manchester

In Greater Manchester, healthy ageing and age inequalities have been made mayoral priorities and the Greater Manchester Combined Authority set up the Greater Manchester Ageing Hub to respond to what policymakers there see as the opportunities and challenges of an ageing population.

In 2018 the city published an “Age Friendly Strategy” to promote increased social inclusion within the city by trying to tackle the barriers to inclusion created by poverty and inequality, including creating age friendly places which allow older people to participate within their local communities, and promoting healthy ageing through strategies like GM Active Ageing, a partnership with Sport England.

Image: Peter Kindersley via Centre for Ageing Better

Creating a consensus on healthy ageing

The Centre for Ageing Better and Public Health England established 5 principles for healthy ageing which they are urging government and other policy actors to adopt to support future healthy ageing the five principles are:

  1. Prevention
  2. Opportunities
  3. Good homes and neighbourhoods
  4. Narrowing inequalities
  5. Tackling ageism

These principles can be used as building blocks to help organisations create strategies and policies which accurately reflect the core needs of people as they age. One thing which continues to be a challenge, however, is integrating intersectionality into both research and strategies or frameworks on ageing.

Not treating “older people” as one homogenous group, but taking account of the individual experiences of specific groups and how this may impact on their experience of inequalities: this is something researchers are making efforts to resolve in their work, and while there are limited studies which look specifically at BAME or LGBT groups, in the future taking account of intersectionality in ageing and inequalities will become more commonplace.

The future of ageing

We are living longer than ever before. Taking steps to reduce inequalities and support healthy ageing will ensure that those extra years are fulfilling, both for the individual and for society.

Helping people to continue to contribute to society, to really live into old age, embrace and enjoy it – and not just exist – in old age should be a priority for everyone, Reducing inequalities to support people to age well will be a major contributor to ensuring this happens.

If you enjoyed this article you might like to read:

A home for life? Developing lifetime neighbourhoods to support ageing well in place

“Same storm, different boats”: addressing covid-19 inequalities and the ‘long term challenge’

Inclusive streets: from low expectations to big dreams

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Women in public life: breaking the barriers – conference highlights

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By Rebecca Jackson

With Scotland’s now famed “all female leadership” heading the main political parties in Holyrood (excepting Willie Rennie’s leadership of the Scottish Liberal Democrats) and the announcement of Jeremy Corbyn’s recently reshuffled shadow cabinet containing 17 women and 14 men, it is no surprise that the extent of women’s participation in public life is being debated. Has the tide turned, or are there still barriers in local government and in politics?

Delegates came from across Scotland to an event held by COSLA last month to discuss the issue. Bringing together council representatives and those from the third sector, private sector, and academia, the conference explored what action can be taken to advance the contribution of women to public life in Scotland.

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Image by blog.willis

 “Catcalling in the chamber left me in tears….”

Delegates were, at times, highly critical of the council environment for women, in particular in Scotland. Based on some of the personal anecdotes being presented by panellists and delegates, it is unsurprising that only 25% of councillors in Scotland are women, the lowest proportion in the UK.

The day’s events were tinged with a strong undertone of scepticism and frustration at the inaccessibility of council life to some women. Barriers include working hours, child care provision, work-life balance and the idea of merit, as well as the “archaic systems” in place in some political parties which do little to promote, let alone advance, the active participation of women in local politics in Scotland. There was also a lengthy discussion about the culture of council chambers, with the attitudes of some men within them being seen as less than encouraging – although this was robustly rebutted by some women (notably Scottish Labour leader, Kezia Dugdale), who emphasised the positive impact that men had had on their political development.

Willie Rennie, one of the session panellists, acknowledged his party’s poor record on female representation, which he called “embarrassing and shameful.” He set out plans to reform party structures to implement frameworks for elections which are similar to those used by other parties.

Clear barriers … but no straightforward answers

There was a long discussion during a panel session with female councillors from the COSLA Women’s Task Group about the possibility of setting up a forum in order to create a space for women in local government seeking advice and support. This was widely supported by conference delegates.

Other suggestions to increase accessibility and change perceptions around women in public life included:

  • promoting a cross party consensus on encouraging women candidates to stand in local and parliamentary elections;
  • creating a mentoring scheme to encourage more young women to participate and give them an opportunity to learn, but also potentially to help change the culture of others;
  • using negative comments to drive participation and improve the contribution of women, through a desire to enact real fundamental change in the current system;
  • remembering that it is not just in local authorities that women need to have more presence – it was stressed by a number of delegates that numerous public bodies should be encouraged either to attend events like this, or to host their own;
  • considering and using, if necessary, statutory measures to advance the role of women (this does not necessarily mean the use of quotas, although it was felt that there should be a robust discussion concerning women and quotas).

égalité des sexes

Building on positive steps

The day’s discussion highlighted that there are already a large number of women involved in public life in Scotland, but there are far more who leave it or are put off contributing because of the barriers which exist and the difficulties many women have in overcoming these barriers.

Nicola Sturgeon has already committed her party to promoting greater equality on the boards of public bodies through the introduction of quotas if the SNP wins in the Scottish Parliament election in May. It is clear that, while this is encouraging, much more needs to be done. Equalities issues are broader than gender – other groups are also seriously under-represented.

All political parties and public bodies need to seriously consider what steps need to be taken to achieve lasting, positive change.

Read some of our other blogs on equalities issues:

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