The Freedom of Healthy Ageing Dr John Beard Director, Ageing and Life Course

Populations are getting older 2040 2045 2050 2035 2030 2015 2020 2025

Populations are getting older 2015 2050 We know that populations are getting older overall. The number of people aged 60 years or older will rise from 900 million to 2 billion between 2015 and 2050 (moving from 12% to 22% of the total global population). These two map shows how populations are changing in different countries around the world.

Better Starting Points for a Societal Response to Population Ageing 2015 2050 We know that populations are getting older overall. The number of people aged 60 years or older will rise from 900 million to 2 billion between 2015 and 2050 (moving from 12% to 22% of the total global population). These two map shows how populations are changing in different countries around the world.

Better Starting Points for a Societal Response to Population Ageing 1. Older people have rights enshrined in international law 2015 2050 We know that populations are getting older overall. The number of people aged 60 years or older will rise from 900 million to 2 billion between 2015 and 2050 (moving from 12% to 22% of the total global population). These two map shows how populations are changing in different countries around the world.

Better Starting Points for a Societal Response to Population Ageing 1. Older people have rights enshrined in international law 2. Sustainable development requires enabling the contributions of older people and ensuring they are not left behind 2015 2050 We know that populations are getting older overall. The number of people aged 60 years or older will rise from 900 million to 2 billion between 2015 and 2050 (moving from 12% to 22% of the total global population). These two map shows how populations are changing in different countries around the world.

Better Starting Points for a Societal Response to Population Ageing 1. Older people have rights enshrined in international law 2. Sustainable development requires enabling the contributions of older people and ensuring they are not left behind 2015 2050 3. Older populations are diverse We know that populations are getting older overall. The number of people aged 60 years or older will rise from 900 million to 2 billion between 2015 and 2050 (moving from 12% to 22% of the total global population). These two map shows how populations are changing in different countries around the world.

Physical capacity across the life course

What is Healthy Ageing? "Healthy ageing is the process of developing and maintaining the functional ability that enables wellbeing in older age."

Functional Ability

Functional Ability

Functional Ability Intrinsic Capacity

Functional Ability Intrinsic Capacity

Functional Ability Intrinsic Capacity

Functional Ability Intrinsic Capacity

Functional Ability Functional Ability = Intrinsic Capacity + Environment

Domains of Functional Ability Meet basic needs Learn, grow and make decisions Be mobile Build and maintain relationships Contribute

High and Stable Declining Significant loss Intrinsic Capacity Age

High and Stable Declining Significant loss Intrinsic Capacity Age

High and Stable Declining Significant loss Intrinsic Capacity Age

High and Stable Declining Significant loss Functional ability Age

High and Stable Declining Significant loss Functional ability Age

Global Strategy and Action Plan on Ageing and Health VISION A world in which everyone can live a long and healthy life GOALS Five years of evidence-based action to maximize functional ability that reaches every person. By 2020, establish evidence and partnerships necessary to support a Decade of Healthy Ageing from 2020 to 2030

Global Strategy and Action Plan on Ageing and Health Commitment Age-friendly environments Re-aligning health systems Developing systems for providing long-term care Better measurement, monitoring and research

Global Strategy and Action Plan on Ageing and Health Commitment Age-friendly environments Combat ageism and transform understanding of ageing and health Foster older people’s autonomy Enable older people’s engagement Promote multisectoral action Re-aligning health systems Developing systems for providing long-term care Better measurement, monitoring and research

Expenditure on ageing populations

Implications of Healthy Ageing for policy makers Shift from defining what an older person should do to enabling their ability Healthy Ageing is for everyone – even for long-term care Need to address, not reinforce inequity Fundamental need to overcome ageism Need for policy to be evidence based

Roles of the environment High and Stable Declining Significant loss Functional ability Age

Personal characteristics and the environment Fixed – ethnicity, sex Mobile – occupation, educational attainment, wealth, age These can influence how we see and interact with the environment, but also how it sees and interacts with us.

Resources Beard JR et al. The World Report on Ageing and Health: a policy framework for healthy ageing. The Lancet Published online October 29, 2015 doi:10.1016/S0140-6736(15)00516-4 The World report on ageing and health http://www.who.int/ageing/publications/world-report-2015/en/

These actions are likely to be a sound investment in society's future These actions are likely to be a sound investment in society's future. A future that gives older people the freedom to live lives that previous generations might never have imagined