Booming Happy !

My blogs at the start of 2016 have had a grumbly theme in spite of my best efforts. Unhappy GP’s dominated my early thoughts — I must recommend them a pill to lift their mood 😄   Then my mind was moved to the troubles of Age UK which still persist today😩   Now at last some welcome relief, I stumbled across some good news 😃

The National Survey of  Health and Development.  I had never heard of it before, but it makes very interesting reading.  It is a longitudinal research study which started the year before I was born, and follows the lives of 3000 people who were born in 1946.  It has tracked their health and wellbeing ever since.    It is the lucky baby boomer generation that I was born into.

The original group of people have been surveyed annually.  Over 40 books and numerous research papers have been published commenting on the findings of the research.  An excellent book entitled “The Life Project” and written by research journalist Helen Pearson, describes how the research has been used over the years.

Seventy years on the cohort  group reported that they have reached a time when they are happiest in their lives.   They feel more confident, cheerful, optimistic, useful and relaxed.   I wonder where they were in the swinging 60’s ?  Or when they first went out on a date? Or when they got their first job/ pay packet ? Or how about when they got married or had their first child ?  Or even a first car or a holiday abroad ?

The researchers must have discovered a group of people who have led very sheltered lives —– or perhaps they have just forgotten the good times 😄    Or maybe it is just that the reality is, that:

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“Hear This”

Nearly a third of people aged between 65 and 74 have a hearing impairment and this increases to nearly half of people over 75.   These are staggeringly high figures and yet you would not know it just from walking around.    Hearing loss, although common amongst elderly people, is very much a hidden frailty.    You can’t see it, there are no bandages, no white sticks and many older people don’t want you to know.

Increasing deafness is a sign of approaching old age – who wants to hold their hand up to that?   So they soldier on turning the TV up louder and guessing what people are saying to them.    My father did this all the time.    When asked any question, he would often answer “half past eleven” thinking you were asking him the time.  :-).  Irrespective of the question you had actually asked.

Yet this is a serious health problem which left untreated can lead to much more devastating conditions.   The most obvious is loneliness and isolation, as hearing loss gradually excludes them from joining in conversations.   Recent research at John Hopkins University in Maryland, has found that a third of the risk of dementia is down to hearing loss.

Unfortunately the NHS is deaf to this situation, with audiology services becoming more and more restricted.    Only 1 in 5 of the 6.7 million people who could benefit from a hearing test actually get one on the NHS.

Everyone else is left at the mercy of predatory private sector providers, who will often charge them a fortune for hearing aid, which should be provided free on the NHS.

So, it is not just double glazing salesmen, anti-ageing cosmetics suppliers, opticians who want to upgrade your spectacles every five minutes and expensive hearing aid providers, who take advantage of older peoples’ vulnerability.

Now the NHS is doing it too!

Posted in HEALTH | Tagged , | 1 Comment

“Feel Good, Heal Good”

Since January this year, I have been collecting some of the headlines in the press which relate to elderly people to get a sense of how they are currently perceived.    If you have been reading this blog for some time, there will be no surprises here.    The prevailing wind of press headlines, more often than not, blows in the direction of the burden that older people place on society.    The NHS and Social Services are struggling under the weight of the older elderly and this comes through in many of the headlines.

Here are a few of the headlines that don’t offer a great outlook to older people:-

  • “Rationing hearing aids is fuelling Alzheimer’s crisis
  • “Hearing aid cuts linked to spreading dementia”
  • “Loneliness is a devastating issue for a million”

These three headlines, although separately published, are related.  Hearing impairment is probably the most common frailty amongst older people, which is also the least talked about ailment.   Hearing loss is not a life threatening condition and is treated as something of a “Cinderella” service in the NHS.    It is low down the list in terms of priorities for treatment and like dentistry, it is more often than not contracted out to the private sector, and ceases to be “free at the point of delivery”.    The juxtaposition of these headlines inadvertently, but correctly, makes a link between hearing loss, loneliness and dementia.    I believe all three things are closely related.    I will say more about this subject in my next blog.

  • “Council tax bills will rise to fund care for elderly”
  • “Care home bills soar with only one week’s notice”

I’ve written a lot about residential care over the years and through all that time, Social Services have been strapped for cash to fund residential care and progressively it has been rationed to the most dependent cases, particularly those with dementia.    Residential care has consistently lived down to its reputation for poor care, underpinned by low pay and inadequate standards of training.  The recent Government move toward a higher minimum wage, whilst welcome, will add significantly to care home costs without improving the quality of care.

  • “GPs vote to axe care home visits”
  • “It’s cruel and cowardly for GPs to turn their back on the old”
  • “Doctors appointments far shorter in the UK than France”
  • “Dementia drive create false alarms”

These headlines all relate to the increasingly pressured and progressively eroded GP service.  You can find many of my earlier posts on GP services by clicking on “GPs” in the TAG CLOUD.  Withdrawing GPs regular visits to care homes, which look after the frailest of older people, would be a very callous decision.  Having said that, it’s understandable that GPs may have a case for additional funding to provide this service.    Many elderly people have complex and multiple conditions which don’t limit themselves to a single short visit to their GP.

The latter headline related to dementia refers to an initiative taken to improve the diagnosis of dementia, but sadly its unintended and easily foreseen consequences, resulted in a significant increase in identification of dementia sufferers without any corresponding resources to offer better treatment of the condition.

Because my blog is about turning Grumbles into Smiles, I also managed to find a much more positive outlook about ageing:-

  • “Over 60s can look forward to longer life than ever”
  • “Once you hit 70 it’s booming marvellous”
  • “Sign up before it’s too late: clubs are key to a happy old age”
  • “A third of homes are mortgage free”

These headlines are all about the fact that we are living longer and in the early years of retirement, many older people have more disposable income.    With good health and a positive outlook, retirement can offer many new opportunities to older people.    I will write about this more in a blog about Baby Boomers in two weeks’ time.

  • “How do you feel? The answer will reveal how long you live”

This final headline is perhaps the most significant of all.    It is based on research from the University of Geneva, who studied the lives of 6,000 men and women from Newcastle and Manchester over a period of 29 years.    In essence it said that if you feel good about your health, you live longer.    This is not a reflection of their actual physical health, nor is it about positive thinking.    The key issue is their sense of wellbeing.

This echoes some work we did at the ExtraCare Charitable Trust when we opened our first retirement community at Berryhill in Stoke on Trent.    We commissioned Keele University to study the first intake of residents for three years after they moved in.    When they first moved in we asked them how old they felt and most felt three years younger than they actually were.    When asked the same question three years later, having participated in an active life in the village, most people said they felt 20 or 30 years younger than they actually were.    The researchers referred to this concept as “imagined age”.

That’s what ExtraCare was all about, making older people feel younger than they actually were!

Posted in HEALTH | Tagged , | 3 Comments

The £155 pension hardly anyone gets !

I have been writing about pensions almost from the start of my blog and a familiar theme in many of my posts is about the cynicism and duplicity of ‘ political speak’.   So many political announcements grab headlines on day one and then dissolve in a mist of limiting qualifications and ‘misspoken’ corrections almost immediatly after.

There is no better demonstration of this than the loudly heralded story of the big rise in state pensions first announced in 2011.    Five years later on 6th April this week it finally comes in to effect.    So you might expect to see pensioners dancing in the streets or celebrating in  the pub 😄.    Perhaps a few are at the local car dealership trading in their old banger for a Lamborghini ?    Or maybe they have all gone away on luxury Saga cruises to the Caribbean ?     All thanks to their new-found wealth and politicians seeking their votes in advance of the last two general elections.

Sadly, it will not be possible to thank the Government Ministers  responsible.   Steve Webb, the liberal democrat Pensions Minister, was kicked out of parliament at the last election and has managed to secure  a lucrative job in the pensions industry.    Ian Duncan Smith, the Secretary of State, resigned from the cabinet last month, just before his legislation came into being.     Such a shame that they are not around to see their bounteous generosity transform the lives of older people 😞

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Ah, but wait a minute !    It now appears that 8 out of 10 people who retire in the year ahead will not qualify for the full state pension.    Just as I predicted 5 years ago, when it was first announced.

Remember too, that none of this largess is granted to people who retired before April this year.    They still remain on the much lower original state pension of £119.30 per week.    Evidently they can get by on £2000 a year less than the new pensioners !     Presumably because of their experience of rationing and hardship during the Second World War they know how to live frugally.     No age discrimination there then and no compassionate Conservatism either.

                                           No street parties today !

In spite of the ‘life changing’ increase for the few, the UK still has one of the lowest state pensions in the developed world.    1.2 million  or 16% of pensioners, have no other income than their state pension and about 1 million live below the official poverty line.

(see all my earlier posts on this subject by clicking on ‘pensions’ in the topics list or find ” the £140 pension” in the TagCloud)

Posted in Pensions | Tagged | 2 Comments

New Age Friendly Technology

Somewhere high up in the cloud, in my FlipBoard  magazines I found a really interesting article on simply designed tablet computer technology.    It was so interesting that I thought I would write a blog about it.   But you know what it is like trying to grab hold of a cloud😁

It was published in the Charlotte Times, reprinted from the New York Times.    Unfortunately you cannot get either one in Kilsby Village Shop on a Sunday morning.

All is not lost, I did manage to email a link  to myself.   Now I just need to figure out how to copy and paste it to this blog post 😩   That’s a bit beyond me this early in the morning.

Next I tapped another incomprehensible symbol or maybe it is an icon or an ikon.   Whichever!    It told me I could “reblog” the article directly from the cloud into my WordPress file.    Sounds easy  until you try to follow the instructions, then you realise every time you grab a cloud, it moves somewhere else 😁

It is tantalisingly close, but still out of reach.  Frustrating or what?

I remember the article was about GrandPad and Pilboxie.   So there is some point to this newspeak world of weird names, at least you can remember the names,  even if you have no idea what they mean.    You can Google the names and find out more, until I can complete my degree in WordPress and rescue them from the clouds

Soon the sun will come out and the clouds will disappear 😄😄😄😄  then I will reblog the original article.

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“Over the sea to Skye ?”

A small piece of research done at the University of Edinburgh found that people who can speak more than one language get dementia up to five years later than those who don’t.   It is thought that this is because their brains become more flexible, enabling them to get around damaging brain conditions at least for some time.

They studied a group of healthy retired people on the Isle of Skye, who did a week long, intensive course to learn Gaelic.      Afterwards they did better in cognitive tests than their peers.

So, as long as you don’t mind cold, wet and windy weather, you can live another five years without dementia.      Of course, you will have to move to Skye because there are not too many places where they speak Gaelic.

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Still, the whisky might be some compensation for losing all your friends who live elsewhere and can’t speak the language.

Posted in HEALTH, SMILES | Tagged , | 5 Comments

“Deaths up = Taxes up”

We have just this week heard the 2016 Budget announcement from the Chancellor —  George Osbourne.   Pensioners have once again been ‘protected’?   No cuts to benefits for older people  — not even to Winter Fuel Allowance.   However the Chancellor keeps reminding us he has a ‘long term plan’, so beware.

Buried in the myriad of supporting paperwork that goes behind the headlines there is a forecast about Inheritance Tax.    It was only paid by 4.8% of people who died in 2013/14, but, because of the increase in the ageing population and rising property values, this proportion will increase to 9.9% of people who die by 2018/19.

This is great news for the Chancellor because, without doing anything, his Inheritance Tax take will more than double.    The even better news  from last year was that thanks to a relatively ineffective flue vaccine, we had the highest number of deaths since 1999.

The total Inheritance Tax take this year is expected to be a coffin full of  £4.6 Billion.   Let’s hope they don’t cremate it!

So, in tax terms the older population can expect to well treated, at least while they are alive and voting.  Although disappointingly there was no mention of additional money for domicilliary care inspite of the big increase in the older elderly population.   However, don’t expect the Chancellor to spend more money on improving elderly care in Social Services or the NHS.    Keeping people alive longer will be more expensive than killing them off and collecting more tax.   God save us from the Taxman !

Fingers crossed for warm winters and Winter Fuel Allowances in the years to come.

Posted in Pensions | 4 Comments

“Age UK” – The Last Straw

Just as I predicted a few weeks ago in my blogs about Age UK’s commercial deals (see “Age UK” in the TAG CLOUD for the previous posts). The Charity Commission have been provoked into action.

The recent negative publicity about Age UK’s energy deal with EON has embarrassed the regulator into taking action to require all charities to “review their commercial arrangements” and to “ensure their commercial contracts reflect the values of the charity”.

This follows concerns about pressurised fundraising methods adopted by several large charities – accosting people in the street (chugging) or bombarding them with unsolicited junk mail and harassing them with unwanted phone calls.    All marketing techniques widely used in the commercial sector, but less acceptable when used by a charity.

Over recent years, with the dramatic reduction in Government grants, many charities have sought to maximise their income elsewhere.  There is nothing wrong with that, providing they don’t forget their charitable purpose or lose the trust of their donors.   However, their charitable integrity should remain paramount and unquestionable.   If this is lost, all is lost.

The tax relief given to charities could be withdrawn if they are seen to be abusing the situation.    Charities are a much softer target for the tax inspector to take on  than Google, Amazon and Starbucks.

Age UK made more than £100 million in commercial income last year, but by doing so in a questionable and non-transparent way they may have done more damage to themselves and to other charities than they realise!

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“Age UK – Not So Cheap !”

Just as I predicted, Age UK is back in the news again with more bad news. (This follows on from the three previous blogs which you can see by clicking on “Age UK ” in the Tag Cloud).

After the Daily Mail questioning the value for money of their energy deal with EON, Money Mail has now done an investigation into more of their services.  This time they have focussed on insurance policies promoted in partnership with Ageas :-

  • Car insurance was found to be three times more expensive, £673 compared to £224 with LV=.
  • Home and contents insurance was double for a semi-detached house in Bristol, £161 compared to £88 offered by Halifax.
  • Travel insurance for a couples 8 day trip to Italy cost almost double, at£78 when compared to £45 with Saga.

These examples are all taken from an article written by James Burton.

As happened with the previous example, Age UK’s reaction was predictably defensive which is never very convincing.

If they are not a correct representation of Age UK’s product offers, Age UK should sue the Daily Mail for misrepresentation.   On the other hand if the criticisms are accurate and the scale of the differences in quotations is significant, then Age UK has inadvertently committed a major breach of trust with their elderly customers.

Age UK’s response was ‘Age UK will always offer good value products but cannot promise to be the cheapest for every customer’.

Age UK is in deep water with this issue and responses like the one above will just not do !   If they do not deal with it in a less defensive way they will find themselves being investigated by the Regulators or by an even more high profile Parliamentary Select Committee.

They sold 482,000 Ageas policies last year, worth £21.9 million.

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All sorts of companies sell products to older people – everything from double glazing to anti-ageing cosmetics to glasses and hearing aids.  Many of them use questionable sales techniques which fall within the law, but only just.  Sacks of junk mail, endless unsolicited phone calls are all designed to get a high pressure salesman’s foot through the door.  Many older people finding it difficult to cope with this.

Sadly these days you come to expect sharp practices from commercial companies, particularly when selling to older people, but Age UK is trading on it charitable reputation. It is close to abuse of vulnerable people to be taking advantage of their trust in this way.

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“Age UK – Cheap Products ?”

Almost five years ago I attended the Age UK Annual Conference and below I am publishing the blog I wrote after than meeting.  It’s relevant to the blog I posted on the 14th February 2016 about the Age UK brand.  You can see in the fourth paragraph the remarks made by the new Chief Executive – Tom Wright, setting out the direction in which he was intending to take Age UK.  He has the skills and experience to develop a more commercial and entrepreneurial side to this new charity for older people.  At a time when Government funding for social care was being dramatically reduced and fundraising donations were being restricted by the austere times, who could argue with that approach? 

Brand reputations are not easily built but can easily be damaged.  Trust takes a long time to develop, but Age UK was building on the foundations of its predecessors – Age Concern and Help the Aged which gave Age UK a strong footing at the outset.  Stepping in the direction of more commercial ventures was potentially rewarding but also carried some new risks.  So below is the blog I wrote after that conference five years ago.

“Age UK – Agenda for Later Life 2011” – reprinted from 10th March 2011

On Tuesday of this week I went to the Annual Conference of the two organisations that were formerly called “Help the Aged” and “Age Concern”.

It wasn’t long before I was thinking I had stepped into a parallel universe – the shiny new, new speak world of Age UK.  The world I had just come from only the day before seemed to be an era of neglect of older people and austerity cuts.  In the last few months, there has been so much talk of complaints about NHS care of the elderly, reports by Age UK themselves on malnutrition and 80% Government cuts in Supporting People funding mainly affecting voluntary organisations and charities.  Maybe my expectations were too high, but I had assumed I would see some of the forefathers of Dylan Thomas “raging against the dying of the light and old age burning and raving at the close of day”.

When I saw on the agenda that two of the speakers in a panel discussion on “Integrating Health and Social Care” were Jo Webber, the Deputy Director of the NHS Confederation and Dame Jo Williams, Chair of the Care Quality Commission, I at least hoped they would give the politely listening group of older people some rotten tomatoes for audience participation………………..sadly – no such luck.

The opening speech by Tom Wright, the new Chief Executive of Age UK, was all powerpoint and market speak.  The £100 billion grey market is forecast to grow by 81% between 2005 and 2030.   Tom seemed delighted by this, because it will guarantee that everyone in the years ahead is advised by Age UK, to get insured by Age UK, in case they fall out of their Age UK stair lift, on their way down from their Age UK bath and shower, to a breakfast provided by the Age UK sponsor – Sainsbury’s, who just love older people.

The new speak continued throughout the day.  Everything was “embedded” and definitely “sustainable”.  In this belated 1984 world, we are all “equal” and we all have “rights” – “equal rights”.  We are all “engaged” – presumably to each other? – and everything is “counter-intuitive” or it isn’t because it doesn’t make sense.  Oh! and in the Sainsbury’s bit of the world, the staff are all “colleagues” who intend to “shine their light” on their grey colleagues.  We just need a quick chorus of “Shiny Happy People” and all will be bliss.

Almost euphoric after this first session, I was really looking forward to the tomato throwing in the group therapy session on the NHS and Social Care.  Jo Webber came on and reassured that everything was wonderful in the NHS and there was no need to mention malnutrition (indeed nobody did).  It probably never happened and even if it did nobody was to blame, there was not enough money, the staff were too busy and “lessons would be learned”.

Tom Wright had already told us that 176,000 older people like the NHS so much that they go back into hospital within a month of being discharged.  What better endorsement of the service could a marketeer want than repeat customers!

Dame Jo Williams, the electric Chair of the Care Quality Commission, further reassured us that if anyone at all delivered poor care in future, they would be beaten remorselessly with a big stick.  The audience by this point was so comforted that they forget to throw the tomatoes and politely applauded instead.

The “final solution” in this session came from the new techno age, when Dr Petra Wilson of the American computer software company CISCO Systems told us that help was at hand (or mouse).  It is just a matter of time before all our care needs can be provided by Telecare kettles that report on our health to big brother in the “cloud” every time we have a cup of tea.  In this new world future if we want companionship we can have a digital cuddly toy instead of a pet.  Presumably if you don’t keep talking and stroking it, either you or the pet are dead!   We need never speak to a real person ever again.

Just when it looked like it could not get any better, the Secretary of State for Work and Pensions, Iain Duncan Smith was billed to speak about pensions.  An engineered leak in The Times, The Guardian and on BBC had rumoured that he was going to announce we will all get a £140 pension in future.  He is a very polished speaker which suited this, by now, shiny audience.

Strangely at an Age UK conference for older people, he talked mainly about children and the need to protect their futures in later life.  It was almost as though he was explaining that there wasn’t any money for the current generation of elderly people but that by 2050 everything would be alright.  Then came the crescendo of his speech – the big announcement – when he had raised all hope and expectation this “Quiet Man” lived up to his reputation and said………………. NOTHING!

 

There was lots of hope and aspiration in the 2011 conference but the recent adverse publicity I referred to in my blog two weeks ago, about Age UK’s recommended energy contracts with EON, illustrates how quickly a good brand reputation can be damaged.  Although the criticism may not have been entirely fair, the undesirable publicity will have done much to take the shine off Age UK’s new brand image.

Age UK Enterprises have also promoted many other suppliers and services and they should look carefully now to ensure there are no pitfalls in their offers, or more damage will be done.  It is only a matter of time before these are investigated.  It would be even more damaging if they are found to offer poor value.

I want to end on a positive note because I feel Age UK have done much over recent years to improve the reputation of the elderly sector.  They just need to be ultra careful in dealing with the sometimes “shady” area of services to older people. 

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I am looking forward to seeing Age UK kettles and cuddly toys for older people which still have to be brought to market.   I’m also still waiting for Ian Duncan Smith’s £140 pension for ALL pensioners to materialise, but that’s another story.

Posted in Grey Products | Tagged | 2 Comments