34 Questions
What do integrated care systems need to ensure that people receive coordinated services?
A sophisticated understanding of population needs based on evidence and analysis of joined-up datasets
What is expected to rise substantially in the next 20 years?
The number of older people, especially those aged 85 and older
What will national and local policymakers need to understand in order to plan future service delivery effectively?
How changes in population structure will impact overall demand
What would aid in projecting future need for services?
Projections of need informed by the latest, best available data and evidence
Why is it important for integrated care systems to have a sophisticated understanding of population needs?
To ensure that people receive coordinated services that meet their needs
What is crucial for national and local policymakers to project future need for services effectively?
Having the latest, best available data and evidence
What will be impacted by the substantial rise in the number of older people, particularly those aged 85 and older, in the next 20 years?
Overall demand for services
Why do national and local policymakers need to understand how changes in population structure will impact overall demand?
To plan future service delivery effectively
How can integrated care systems ensure that people receive coordinated services?
By having a sophisticated understanding of need based on evidence and joined-up datasets.
What is necessary for national and local policymakers to plan future service delivery effectively?
Understanding how changes in population structure will impact overall demand.
Which demographic change has not led to comparable increases in the number of people with social care needs?
The decrease in the number of older people with high social care need
What change has been observed in the proportion of people with no social care needs but multiple long-term conditions from 2006 to 2018?
It increased by around 430,000
Which long-term condition is most prevalent and associated with higher levels of social care need?
Dementia
What has been observed about the association between neurological conditions and social care need?
Up to 85% of people with neurological conditions have a social care need
What insight does the analysis provide for policymakers and system leaders?
People with the highest needs have seen their needs become less complex over time
What has been observed about the relationship between long-term conditions and ADL limitations?
A third of those with no ADL limitations have two or more long-term conditions
What does the text suggest about the relationship between age and social care needs?
Older people now have fewer social care needs than people of the same age 15 years ago
What trend has been observed for those aged 75 and older in relation to long-term conditions?
'Two or more long-term conditions' has increased for this age group
What does the text suggest about the impact of neurological conditions on people’s ability to live independently?
'Neurological conditions' are associated with higher levels of social care need due to their impact on people’s ability to live independently
What area would benefit from further research according to the text?
'Changes in diagnostic practices related to dementia'
Which factor contributes to the ageing population of England as mentioned in the text?
Improved living standards and medicine
What is expected to happen to the number of people older than 85 in the next 25 years according to the text?
It will double to 2.6 million
What is one of the ways in which older people contribute to society and the economy as mentioned in the text?
Informal care for grandchildren and other relatives
How does the text suggest that the relationship between age, health, and social care need is changing?
People are often able to remain healthy and independent much later into life
What is used as a proxy for health and health care service demand according to the text?
Long-term conditions drawn from primary care records
What does the text suggest about the impacts of an ageing population?
They can be offset by a cohort of older people who 'age' less quickly and remain healthier
What factor contributes to the increased need for health and social care as people age?
Risk of developing illnesses and becoming frail
How does the text describe the reality of the relationship between age, health, and social care need?
What is the key aim of the REAL Centre?
To understand the changing health and social care needs of the population
Why is understanding how health and care needs change with age crucial?
To plan for future funding, service delivery patterns, and workforce needs
What are limitations in the activities of daily living (ADLs) used as a proxy for?
Assessing social care need
How did the proportion of older people needing social care support at any given age change over time?
It changed differently for different age groups
What happened to the average age of people in care homes over time?
It increased
What is the implication of the increase in the share of older people with two or more long-term conditions?
Older people are managing an increased number of long-term conditions without needing more social care support on average
Explore the impact of funding sources and individual needs on access to social care, and how long-term conditions can interact with social care needs. Understand the influence of means testing and the disparities in social care access based on financial status.
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