CONTENTS
Terms of Reference
Report
How will we support ourselves through later
life?
Later working
Reforming pensions and savings
Using the value in our homes
Living independently and well
Increasing pressures on health and social
care
Care at home—whenever possible
Personalised care
Housing and wider public services
Fairness
Are the Government ready for ageing?
Principal conclusions and recommendations
Annex 1: Overview of our work
Annex 2: Demographic changes (relevant throughout
the report)
Figure 1: Population aged under 16 and
65 and over, United Kingdom
Living longer
Confidence in projections
Healthy life expectancy and disability-free
life expectancy
Healthy life expectancy
Figure 2: Life expectancy and healthy life
expectancy at age 65 for males and females (for the period 2007-09)
with the UK's constituent countries
Disability-free life expectancy
Effect on length of working life and active
ageing
Past changes in fertility
Effect on the old age support ratio (OSR)
Figure 3: Estimated and projected age structure
of the United Kingdom population, mid-2010 and mid-2035
Policy implications of demographic shifts
Annex 3: Attitudes to ageing (see paragraph
8 of the report)
Annex 4: Economic and fiscal impacts of the
ageing population (see paragraphs 3 and 10 of the report)
Economic impacts of the ageing population
Fiscal impacts of the ageing population
Annex 5: Working for longer (see paragraphs
4 and 8-11 of the report)
Annex 6: Why individuals, markets and governments
fail to prepare adequately for ageing (relevant throughout the
report)
Individuals' lack of preparedness for
ageing
Market failures
Government progress
Government failure
Annex 7: Fairness between and within generations
(see paragraphs 16 and 17, and 39 to 43, of the report)
The need for a new deal
The need for a clear deal
A fair deal between generations
A fair deal between genders
A fair deal within generations
Annex 8: Pensions and savings (see paragraphs
8 and 12 to 15 of the report)
Reforming pensions and savings
Pension problems
Policy responses
Policy proposals
Annex 9: Increasing demand for health and
social care (see paragraphs 2, 19 and 20 of the report)
Box 1: Increasing pressures on health
and social care
Annex 10: Funding pressures on health and
social care (see paragraphs 21 to 23 of the report)
Annex 11: Changing how we pay for health
and social care? (see paragraphs 24 and 28 to 30 of the report)
Annex 12: Health and social care: structural
change? (see paragraphs 26 to 32 of the report)
What kind of health and social care do
older people want and need?
The fundamental problem: the split between
healthcare and social care
Encouraging innovation in the meantime
Annex 13: Health and social care: adjusting
to changing patterns of need (see paragraphs 26 to 32 of the report)
The current NHS model is outdated
Using financial incentives intelligently
Preventing unnecessary hospital admissions
of older people
The need for leadership
Annex 14: Health and social care: improving
local care in practice (see paragraphs 33 and 34 of the report)
Reducing duplication and improving service
Sharing data
Using technology
Improving standards in social care
Opening up the social care sector
Spreading good practice
Annex 15: Informal care (see paragraphs 35
and 36 of the report)
Annex 16: Housing provision (see paragraph
37 of the report)
Ensuring adequate housing provision
Stimulating the market in housing for older
people through better planning
Annex 17: Service design and delivery (see
paragraph 38 of the report)
Annex 18: Strategic planning, key choices
and political leadership (see paragraphs 44 to 46 of the report)
The current state of Government planning
Central and local leadership
Demonstrating political leadership
Appendix 1: List of members and declarations
of interest
Appendix 2: List of witnesses
Appendix 3: Call for evidence
Appendix 4: Abbreviations and acronyms
Evidence is published online at:www.parliament.uk/public-services-committee
and available for inspection at the Parliamentary Archives (020
7219 5314)
References in footnotes to the Report are as follows:
Q refers to a question in oral evidence
Witness names without a question reference refer
to written evidence
| 
