1. Focus on the future: “A demographic transition” Prof. Erik Buskens, MD, PhD Professor of Medical Technological Assesment & Coordinator Healthy Ageing University Medical Center Groningen Partner in Healthy Ageing Network Northern Netherlands (HANNN)

2. 100% 0% 50% 100% Number of Regions Old - Age - Dependancy 50% OLD AGE DEPENDANCY (e.g. Drenthe: 28% (2006) -> 50% (2031))

3. 100% 0% 50% 100% Number of Regions Old - Age - Dependancy 50% Functional Reserves

4. WHY Invest and Innovate NOW? Regions: ageing and/or depopulation Demand for services increases High burden and costs for society Shortage labour force Social networks collapse Decreased level of well-being Challenge : improve (maintain) Quality of Life citizens

5. WHY Invest and Innovate NOW? Research agenda (Health) policy interventions required to face demographic challenges ECONOMIC and SCIENTIFIC OPPORTUNITIES Boost economy: innovative services, products, therapies, technologies and organisation Become world leader ageing-related research

6. Chronic disorder 1 Chronic disorder 2 Complication… Age Birth Health QoL Wellbeing etc. Goal Intervention Well-being perspective Participation Preconception Obstetrics CHC Prevention & cure Healthy Ageing

7. Key elements: demographic transition an integrative approach Research Education Innovation Care system Insurance Pensions Frail elderly Informal care Social inclusion Mobility Cognitive decline Independent Living Shrinking population Paid work IPR ICT Broadband Migration Involved stakeholders: -Regional & national authorities -Knowledge institutes -Businesses -NGO’s -Citizens! Lisbon Agenda! Valorisation Three priorities: HEALTHY AGEING ACCESS TO SERVICES LABOUR MARKET PARTICIPATION SUSTAINABILITY & SOLIDARITY Premiums Health and labour

8. Demographic Transition: a Complex Puzzle Examples: Depopulation: limited mobility in rural areas; social exclusion; depression; low food-intake … Early detection: e.g. cognitive decline; more alert response to care- need; coordination responsible actors… Social cohesion: solidarity principle; responsibility at all ages; young generations prepare, older generation accept … HEALTHY AGEING LABOUR MARKET PARTICIPATION ACCESS TO SERVICES Innovation Education Research WELL-BEING Recommendations for policy makers Open mind…

9. Multi-cluster network: platform together facing challenges of the demographic change Healthy Ageing Network European Union (HANEU): Platform for cooperation? -BioConValley (Rostock, Germany) -Biologue (Copenhagen, Denmark) -Tartu Biotechnology Park (Tartu, Estonia) -Norgenta (Hamburg, Germany) -UppsalaBio (Uppsala, Sweden) -Turku region (Turku, Finland) -Healthy Ageing Network Northern Netherlands -… Start to work on solutions! Healthy Ageing Life Sciences Medical Technology Care & Cure Healthy Lifestyle Food & Nutrition

10. Film

11. Thank you for your attention !

12. BIG questions! How to even out the burden across generations? How to improve well being and participation current and future generations? How to establish cohesion and solidarity across regions and generations Health & Healthy Ageing prerequisite?