“Age Friendly City Centres”

This is a sequel to the last post “Age Unfriendly Cities”.

An Age Friendly City Centre would start from a different place. It would recognise that many older people have more disposable income and could be the big spenders of the Shirley Bassey years.

They would collect all the would be ” Miss Bassey’s ” in a chauffeur driven limousine directly from her front door. Or at least in an age friendly low step, slow stopping, conductor assisted, luxury seated senior citizen coach.

When she gets to the town centre, Miss Bassey’s first stop is at the senior accredited café, where all the ground floor and pavement front seat and tables are reserved for senior citizens and mothers, babies and very well behaved children.   All other adults unaccompanied by a senior citizen must make their way upstairs.    Children with attention deficit disorder have to play in the cage full of multi coloured plastic balls in the courtyard at the rear of the café.

The luxury toilets are spacious, staffed, clean as a whistle and perfumed with Chanel No 5, not disinfectant.

There is not time limit on how long you can stay in the café and drink refills are free.   A meeter and greeter will introduce you to new friends if you have come alone and don’t want to sit on your own.

When you venture out to browse or buy something, you can ride free on the courtesy golf carts that will stop at any shop you like. All the age friendly shops have special easy to see illuminated signs to show they offer 10% discount to senior citizens.   Mature shop assistants will also sit you down and explain things slowly, repeat things several times if necessary.

If you decide to buy something it can be delivered to the luxury coach pick up point or sent directly to your home.

If it is good enough for Shirley Bassey it’s good enough for me.

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Internet Lifts Depression

Very interesting research  from the U.S.A.  related to the internets impact on loneliness and depression amongst the elderly.   It is often suggested that computers increase isolation, but this research contradicts that.

A study at Michigan State University of 3000 Americans over retirement age who spend time online, found that they were 30% less likely to suffer from depression.   Using the internet enabled them to stay in touch with social networks and not be left feeling lonely.

Quite a powerful endorsement  of how computers can help older people stay connected.  Now the challenge is to make it easier for all older people to use computers without having to take a 10 week Digital Inclusion course.   Touch screen barrier free, jargon free technology must be the next big step.    No keyboards, no gigabytes, no passwords, no crashes —– just talk to the screen and hey presto !

A whole new connected world for older people to explore and enjoy.

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“Age Unfriendly Cities”

Transport planners at Leeds University asked 60 and 70 year olds about their experience of visiting the city centre. They came up with some simple but fairly obvious answers.

Not enough public toilets was a common cry. Did they mention the poor reputation public toilets have these days? Lack of seats and benches was another. No mention of the chewing gum and empty lager cans though?

Important as these things are, I doubt they tell the whole story. There are plenty of Starbucks, Costa Coffee, Café Nero, Cappuccino Heaven Coffee Bars with seats and toilets if all you want is a sit-down and a …………

It is the image of many city centres that has changed. Hustle and bustle; get in, buy one get one free and get out; clothes shops full of clothes for the young; technology shops with assistants whose sales patter about gigabytes will lose you in a nanosecond.

Then there are the pick-pockets and street muggers – real or imagined – who will be off with your handbag in a heartbeat.

Oh and of course there is the problem of getting there in the first place. Even with the free bus pass – will the bus stop be long enough for me to get on and get sat down. If I manage to get on, will I manage to get off? Bus drivers’ timetables were not scheduled by an old person and there are no conductors to help you on and off any more.

If you still have your own car, you have to negotiate multi-storey car packs with endless wind ramps, tight turns, tiny parking spaces, and finally incomprehensible ticket machines.

Now they wonder why older people don’t go into town centres so much any more!

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My Garden Age – Apple Tree

Not to be outdone by the spring flowers, (see my last post) the cox’s apple tree is just breaking into bloom , waking from its winter slumber.    How many more years will this grandfather of the garden continue to deliver his bounteous harvest ?    “At least one” says the white/pink blossom.  Soon to be confetti at the new garden year wedding.

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But look more closely and another old friend is back again 🙂   Mr Robin is home again in the apple- flowered branches, singing his early morning call before starting to build another years nest.

Welcome back, you ever cheerful garden companion.  That bright red breast is the final colour confirmation that spring has surely arrived.

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My Garden Age – Spring Flowers

Spring just has to be one of the best times of the year in the garden.  After the hibernation of colour through the winter months the daffodils in February/March herald the beginning of a rainbow.  Now by April/May the picture of a new garden year really starts to unfold.

Starting out on retirement should not be a closing down.  We need to change the perception of later life  to set it as a new spring.  Building on the colour and experience of our earlier life.  Society needs to see it that way too —- a new garden age.

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Tulips in a shady corner saying “look at us” and an early hosta just ahead of the slugs.   Older people need to be allowed to bloom and be valued for the colour they bring to society.

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Then the unbeatable bluebells — a cacophony of SPRING !  It is also time for an orchestral celebration of age.  A era of opportunity and contribution  — mutual respect and support for each other.  We should be proud of our elders and see them as a resource not a burden.

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The pallet of tulip colour all prepared to paint the year ahead.  Anticipate a generation who can help transform society for the better with voluntary effort and ageful wisdom.

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“Finding Hidden Treasure”

This is a continuation of the series of blogs related to the Cheylesmore Good Neighbours Pilot Project and you can find all the posts on this project by clicking on Cheylesmore Good Neighbours in the  Tag Cloud.

This blog begins to describe the experience of getting together a group of older people in Coventry.

At the first full group meeting, there were 20 people sat in groups of six tables.  As a way of helping them to get to know each other better each group was asked to find an interesting fact about the people at their table.

This is what the very first person I talked to revealed:

She was in the RAF during the war in  — 617 Squadron — the Dambusters.   Her job was in signals and she decoded messages about all the bombing raids.   One of the most famous and daring raids carried out in the Second World War and yet modestly she did not want to have her name mentioned.

The second lady sitting at the table initially said there was nothing interesting about her, but with a little bit of coaxing, she said she had always enjoyed dancing.   Tap dancing, sequence dancing, ballroom dancing and line dancing.  Oh !  and she had now a lot of Gold, Silver and Bronze medals.   How’s that for nothing interesting?

Finally, at the first table was a lady whose son lives in Singapore.   Rather challenging the image of older people staying at home and seldom going out, she had been to Singapore 10 times!   She also Skype’s him regularly.

Not a bad start .

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Cheylesmore Good Neighbours – Survey

The first meetings of this newly formed group of older people in Coventry took place at the end of January 2014.  They were held in the Cheylesmore Community Centre and later in the Queens Road Baptist Church.  To invite the attendees we had earlier sent out an invitation which was delivered by a flyer to all 6,000 households in Cheylesmore.  About 60 people attended one or other of the events which is a 1% response rate to our flyer.

The survey was a shortened version of the previous research we had done with the Age Research Centre but questions focused more directly on the help and assistance people might need living independently in the community.

My thanks to Laura Cole at the University and Yvonne Robinson of the Cheylesmore Steering Group for collating the results of the survey.  We have a more detailed analysis of the survey results, but I have just listed below a broad summary of what our two initial groups of older people had to say:-

  • Coffee Mornings – three quarters of the people agreed they might use this service and just under a quarter were prepared to help.
  • Social Events – the response to this was similar to Coffee Mornings.
  • Talks – More than three quarters might attend, although this could depend on the subject and a few people offered to help.
  • Home Visits – Around a half of the people were interested in home visits and a quarter could help, but rather fewer specifically put forward their names.
  • Befriending – Just over half were prepared to be involved in befriending phone calls.
  • Escorting – Just over half might use this service and a quarter could help.
  • Newsletter – Nearly three quarters liked the idea of a newsletter and a few were prepared to help.
  • Handyman – Nearly three quarters might use this service and a few could help.
  • Home Safety – Around half might make use of this service, only a few could help.
  • Home Monitoring – Just over a quarter might use this service with a few offering to help.
  • Household Admin – Around a half might use the service and a quarter could also help.
  • Gadget Assistance – Around half might use this service and a few could help.
  • Computer – Slightly less than half might use this service and again only a few could help.
  • Transport – Just over half might use the service and very few could help.

This is a very small sample group and is quite probably not representative of the most isolated and possibly older and frailer residents in the community.  Nonetheless, it represents a significant interest in making use of a range of self-help services and to a lesser degree there is clearly some capacity to provide help for others.

Our first step was to look for some easy wins by providing an event in the form of an afternoon social gathering.  Between 20 and 30 people have been attending these events so far.

Our next step will be to explore in more detail with this group exactly what sort of individual services and help they could benefit from or provide for others.  Later posts will expand on our experiences with the first few meetings.

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“Cheylesmore Good Neighbours”

Almost a year ago we carried out a survey of a group of about 50 elderly people in Coventry working with the Coventry University Age Research Centre.  The results of that group were published in this blog in the summer of 2013.  They can be found by clicking on “CAFE PROJECT” in the TAG CLOUD.

After the initial meetings, we tried to get a group off the ground focused on gardening.  A smaller group of people met at Coventry’s Belgrade Theatre and our discussions have been summarised in a post called “BELGRADE PROJECT” dated 5th July 2013.  Although we had some very interesting discussions, it was too big an initial jump to try and establish a project on a city wide basis.

Our next step was to focus on a single district of Coventry with some of the people who had attended all the Belgrade meetings – Frances Fielding, who lives in Cheylesmore and Alex & Yvonne Robinson, who have been running computer courses in Coventry.  We initially set up a small localised survey in Cheylesmore with around 30 older people from the area.  That has become a regular group who meet fortnightly in the Cheylesmore Baptist Church.  This thread in the blog will follow our experiences as the group develops.  They have adopted the name:-

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“No more useful years”

Medication is becoming more and more expensive as new drugs are developed all the time.

The Government’s way of keeping the lid on the cost is to use the inappropriately named “National Institute for Clinical Excellence” – NICE – as the gatekeeper.  They are tasked with assessing the effectiveness of new drugs.  That’s a NICE thing to do, because nobody wants drugs that don’t work.

But increasingly NICE is not just a gatekeeper but also a ration book. Making decisions about whether a drug is not just effective but also cost effective and that is not so NICE.

The Government would like to see “wider social benefit” taken into account when considering whether to pay for a drug on the NHS.  This is just a back door way of making some drugs only available to people who are still economically active i.e. young enough to “contribute to society”.

Cold hearted economists in the treasury obviously didn’t take the Hippocratic oath.  You could certainly see how we will save a lot of money by not giving expensive drugs to older people who were no longer economically active.

This is a very slippery slope which is contrary to all the principles of the NHS by putting a price on useful years of life.   A harsh outcome of these times of austerity?

It has nothing to do with clinical excellence nor care excellence, but a lot to do with expedience.  Perhaps NICE should change its name.  How about:-

NASTY INSTITUTE FOR CARE EXPEDIENCE

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“Hayley Safe in NHS Hands?”

(Continued from “Hayley Home Alone”).

What if Hayley went into hospital?

Terminally ill plus a fall or a call and you’re back in hospital – i.e. any accident or call to your GP at an inconvenient hour like night-time or weekends and you are likely with a terminal diagnosis to be whisked off to hospital.

Now you can step on the Liverpool pathway to heaven.

If you don’t like hospital food, you won’t need to worry, because you won’t be getting any.  You may not even get a drink.  There is ample evidence of this neglect and a terminal illness is an express ticket to this non-care.  What started as a careful approach to end of life care, has become a horror movie in the NHS.

Now the name has been dropped but the beds are still blocked.

Lord Falconer is slowly, but surely, steering his proposals on assisted suicide through Parliament portrayed as a careful caring step.  A Hayley Cropper happy ending.

But reality TV is much more brutal.

  • Hayley had a grasping distant relative  – how many more people do?
  • Hayley had a loving husband and close friends near by but many lonely bereaved older people living alone do not.
  • Hayley had an attentive GP but her only home visit was to certify Hayley’s death.
  • Hayley’s end of life TV episodes certainly raised the issue of terminal illness and good for that.
  • But the reality of a lonely death at home alone or a neglectful nil by mouth, no care, rapid decline in hospital would have been too much like real life for a soap opera’s evening entertainment.

Good night and God bless Hayley

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