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Research into participative practice and well-being with older people has contributed directly to the development and application of an ethic of care in policy and service delivery, as well as to practices in older people's participation, locally, nationally and internationally. The research has directly impacted on practitioners and practice developments in services for older people, with learning resources (co-designed with practitioners and older people) being used in professional education and training across the UK and in New Zealand. An innovative participatory methodology has both enhanced older people's participation locally and been adopted more widely by university community research collaborators working to enhance older people's citizenship and well-being (eg in Netherlands). Research has directly informed policy concerning older people's needs assessments by recognising the centrality of relationships to well-being in older age. The well-being research involving collaboration with service users and providers has been described as `exemplary' by the leading national charity Age UK.
We have contributed, nationally and internationally, to a changing approach, content and implementation of planning policy by including the needs of our ageing society in streetscape design, to address the requirements of older people, benefitting their independence, welfare and quality of life. In the UK 23% of the population is projected to be aged over 65 by 2035, according to the Office of National Statistics (2010). Our focus upon the needs of an ageing society has been adopted as part of the skills and knowledge development agenda in sustainable planning through the Royal Town Planning Institute (RTPI). Tools have been developed, policy informed and reformed, and our findings included in a House of Lords report on assistive technology for older people.
The O4O action research project generated positive impacts for older people living in some of Europe's most remote and rural areas. It helped to shift perceptions of older people as a burden on society and towards recognition of the value they can bring to their communities as well as their potential to be involved in services design and delivery. The project underpinned the development of several older people's services that have generated employment opportunities and health/wellbeing improvement. The project challenged some of the assumptions in social enterprise/co-production policy and helped to identify the types of support that older people, and rural communities more widely, may need in order to develop their own service delivery organisations. O4O was recognised by the European Commission (EC) for its contribution to addressing the challenge of demographic change and supporting active aging.
Research on telehealthcare at the University of Stirling has guided the delivery of telehealthcare at home in West Lothian Scotland in the first instance, subsequently influencing decisions to adopt and implement telehealthcare in communities in Norway, Greenland, the Faroe Islands, Sweden, the Western Isles and Shetland. Research was translated into the MAST (Methodology for the ASessment of Telemedicine) manual, a practical tool which has been used across Europe by decision makers considering telehealthcare implementation. Through the DSDC (Dementia Services Development Centre) at the University, telehealthcare information and guidance has been provided to thousands of service providers and family care givers.
Research undertaken at Keele has made the social exclusion of older people visible to opinion- leaders and policy makers, helping to shape their perceptions of ageing. These changes in attitude have contributed to transforming provision for older people and promoting inter-generational interaction within local communities through both policy and practice, in both national and local government. The research has had a direct impact on national government policies, and has also coalesced into national campaigns to improve older people's lives. Regional impacts initially focussed on making Manchester an `age-friendly city' which has subsequently been used as a model for other local councils across the country.
Research on residential care- and extracare-supported housing conducted by Swansea's Centre for Innovative Ageing (CIA) has impacted on the development and reconfiguration of supported housing services in Wales. Our research on care home closures has directly led to Welsh Government (WG) consultation on guidance regarding `escalating concerns' for care home closures, and the Independent Advisory Group on Local Authority Closure of Care Homes has recommended that our amendments to escalating concerns should be adopted in relation to care home closures due to strategic/policy reasons. Work is now underway by the WG to publish revised guidance in relation to care home closures based on our research. Three local authorities (Swansea, Vale of Glamorgan and Wrexham) have used our research on the challenges associated with extracare provision to inform the development of future services.
This research into what is believed to be one of the largest care home closures programmes in Europe had three key impacts in terms of:
The Personal Social Services Research Unit (PSSRU) at the University of Manchester (UoM) has run a programme of research examining community care of older people since 1996. The findings have informed key government decision-making around two important national policy initiatives between 2008 and 2013: (1) the development and implementation of Personal Budgets in Social and Health Care and (2) National Strategies to improve Dementia Services. This has affected the national provision of social care for older people and other adult social care users. In 2011-12, there were over 1.2 million people in England receiving social care affected by these policy changes (over 800,000 aged 65+), with a cost of £6,600m spent on their care (NHS and Social Care Information Centre).
This case study demonstrates how programmes of research led by the University of Sheffield since 1995 have generated theoretical models and implementation tools that have had considerable significance and reach in a diverse number of areas.
There have been impacts on:
By 2050, there will be 2 billion people in the world aged 60 or over. Award-winning research has provided new evidence that maintaining health and mobility in this ageing population is related to easy and enjoyable access to outdoor environments. This is crucial for combatting social isolation and physical inactivity, the latter being the fourth greatest risk to global mortality. Described by [text removed for publication] the All-Party Group on Intergenerational Futures as "phenomenally exciting", the research has stimulated better planning for healthy environments, using a network of c.40 non-academic partners to influence policy within the Scottish, UK and Japanese governments and in the European parliament. It has been used in training for over 1,000 industry professionals, in campaigns by major charities and in guidance by the World Health Organization.