The Final Countdown

By Claire Nurden, Research and Policy Officer

Of all the challenges that Dilnot has faced in his review of social care over the past year, the final key decision seems to have boiled down to this: do we or do we not compel people to contribute to the potential future costs of their social care?

General speculation has certainly pointed in the direction of an insurance scheme to help people protect themselves against the cost of future care and support needs, but as the ABI suggests, the general public currently have little awareness of the need, or indeed willingness, to pay into a scheme of this sort, especially if a state funded option is available as a safety net.

A serious anomaly exists here. Without making contributions to an insurance scheme for social care compulsory, the most effective incentive to encourage people to sign up is to make the state funded option unattractive. But not only would this be unfair to people that have been forced to rely on the state funded option as a result of financial hardship, but deliberately constructing a sub-standard system of social care is unacceptable, if not immoral, in a civilised society.

Are you ageless and amortal?

By Claire Nurden, Research and Policy Officer

Interesting piece in the Mail this morning. Sitting right at the top of the gossip column, at first glance it seems like yet another article feeding the public’s fascination with looking younger (note the photos of cosmetically enhanced Demi Moore). But on closer inspection the message is actually very different. While yes, some of the discussion is about how we look, it goes on to recognise that looking ageless is more than skin deep, and that more and more men and women are now challenging the stereotypes they are faced with in their older age – and reaping the rewards.

Granted, the fact that they have led with the headline, “Can you believe this woman is 65?” (and some of the less than pleasant reader comments!), is evidence of how far we have to go in terms of challenging ageist ideas of later life in this country, but as a whole it does seem like a positive step in the right direction.

Multitasking Myths

By Claire Nurden
Research and Policy Officer

Now I’m no scientist, so I can’t question the validity of the research findings on older people’s ability to multitask, which have been widely reported in today’s media. But we can question the nature of the reporting of these findings, and the skewed impression it gives about people’s capabilities in their later years.

The headlines (unsurprisingly) seize on the evidence that older brains are ‘less nimble’ in their ability to deal with more than one situation at once, and that the ability to multitask ‘wanes’ with age. But surely the point here is not how many tasks you do at once, but how well you can do them. The added skills and experience many older people bring to bear on the situations they are faced with could, in fact, counter any supposed decline in pure processing ability. This point is made very strongly in the recent Lewis Wolport book on ageing.

While some changes in brain functions might occur as we age, we shouldn’t be reporting this as if it was the only thing – or even the most important thing – about getting older.

New Campaign Encouraging People in the North West to Seek an Early Dementia Diagnosis

We’re welcoming today’s launch of a new Department of Health pilot campaign in the North West, and Yorkshire and the Humber, to help people recognise the signs and symptoms of dementia and urging them to seek advice from their GP.

According to the campaign, there is an estimated 82,661 people living with dementia in the North West, over half of whom are undiagnosed and are consequently missing out on access to treatment and support which could help improve their independence and quality of life.

It can be tough, or even frightening, to admit that you, or someone close to you, might be suffering from dementia. Or you might just not be aware of the signs, but the sooner you discuss it and seek help, the better, since, as the campaign highlights, early diagnosis is key to enabling people to access advice, information and support from social services, voluntary agencies and support groups.

For further information on how to recognise the signs and symptoms of dementia, visit: www.nhs.uk/dementia

It never rains but it pours

by Claire Nurden, Research and Policy officer

Now the dust has begun to settle after the spending review, it seems that the effects will be more far-reaching and complex than many first thought. A broader understanding of the context that specific cuts will made in is essential to get a full grasp of the potential impact, and an idea of how devastating they could be for the most vulnerable older people in our society.

We already know that half of the £2billion earmarked for social care is not ring-fenced and could well be used to plug the gaps in other council funding. But questions are also now being raised about the other half – allocated as part of the health budget. While the NHS has been promised protection, in reality it has seen the smallest budget increase for fifteen years - and that in the face of the challenge of a rapidly ageing population and increasing need. What guarantees are there that the money for social care will be safe when demands for healthcare are rising?

And demand is indeed the issue here. We face a situation where unmet need resulting from cuts in social care and local services such as housing and leisure will drive demand in the health service, and vice versa. All of these services are inter-dependent and must be seen as such when gauging the full consequences of the cuts. Better integration is needed to properly weather the storm, but who will deliver this when cuts to middle-management make change a daunting prospect? It never rains but it pours...

Questions questions – what would reform of the state pension mean for us all?

By Claire Nurden, Research and Policy Officer

News of proposed reforms to the pensions system hit the papers in the last few days, and as we all get our heads around the possible changes only one thing is clear – we need more information!

At Independent Age our initial reaction was that, of course, any moves to transfer the cost of bureaucracy into older people’s pockets are welcome. But we mustn’t forget that pension credit currently plays an important role in passporting people through to other support, like council tax benefit. If these reforms go ahead then thought must be given to ensuring the poorest older people still receive everything they are entitled to. Or could this signal the end to means-tested benefits altogether?

And what of the Government’s calculation that the money saved from eliminating means testing will be enough to fund the change? Some personal financial experts are already expressing concern about the effect this could have on the state second pension. Will it just be rolled into the single £140 payment? And will all pensioners feel the benefit of the reform or will it only affect those retiring under the new rules? In which case, can it really be the case that there will be no losers, only winners? If funding a move like this is really so simple, then the question must be raised, why on earth hasn’t it been done before?

Only one thing is certain - it was a very timely announcement given that many of this week’s winners (women and carers) were last week’s losers in the spending review.

The cuts: smoke and mirrors?

We were left facing a bit of a conundrum after yesterday’s spending review. In the case of social care, the chancellor seemed to be giving with one hand but taking away with the other. An extra £2bn appears to have been earmarked for the care and support of elderly and disabled people, but the money is not ring-fenced and councils are under no obligation to use it for this purpose. The reality is that while any extra funding is welcome, most is likely to be used to plug the holes left by huge cuts in other council funding.

The social care system is already at breaking point. In most areas help is already restricted to those with the most severe needs, leaving many others alone and without very basic support. It has never been more important for communities to mobilise and put pressure on their local councils to use the money in the way it was intended, and protect the most vulnerable people in our society.