1. “Services for older people – does demand match need in Nottingham City?” September 2011

2. Older People in Nottingham City Only 11.5% of population compared to 16% nationally 37,000 people over 64 years; 5000 are 85 and over Increase by 6% by 2020; over 84’s by 17% 900 in carehomes, 50% age 85 and over 35% live alone; 54% for over 84’s 92% white compared to 81% general population

3. Where they live Lots of bungalows here

4. Groups M, O account for 30% of the older population – high welfare need Groups G, J, K and L account for 37% - relatively well off Mosaic Group Residents Age 65 and over % Residents All Ages %Index B Residents of small and mid-sized towns with strong local roots19565.378552.5215 C Wealthy people living in the most sought after neighbourhoods6261.731181174 D Successful professionals living in suburban or semi-rural homes13893.862442192 E Middle income families living in moderate suburban semis23326.3172735.4117 F Couples with young children in comfortable modern housing1690.518990.677 G Young, well-educated city dwellers35559.67066522.244 H Couples and young singles in small modern starter homes8742.493102.981 I Lower income workers in urban terraces in often diverse areas28707.83805811.965 J Owner occupiers in older-style housing in ex-industrial areas31738.6170505.4161 K Residents with sufficient incomes in right-to-buy social houses554615.13806511.9126 L Active elderly people living in pleasant retirement locations13883.827650.9434 M Elderly people reliant on state support546014.8111003.5425 N Young people renting flats in high density social housing20335.5260158.268 O Families in low-rise social housing with high levels of benefit need537114.66346319.973 U Unclassified1010.358101.815 36843100318690100

5. Income Deprivation affecting older peopleOlder population 20% of the older population live in most deprived quintile. 24% of the older population live in the most affluent quintile 40% Under 65 pop live in most deprived IMD quintile Inverse relationship -- % OP increases, IMD decreases

6. Health Need Care Need Weak correlation R 2 = 0.24

7. Service use – means tested Care Need Quite strong correlation R 2 = 0.45

8. Service use – means tested Health Need Correlation R 2 = 0.33

9. Service use – means tested OP Deprivation Correlation R2 = 0.34

10. Next steps Identify areas of high resource use – can services be better integrated for these people? Health resource –how much do OP cost? –model life cycle – are all costs associated with near death? Does increase in older population mean higher costs or deferred costs?