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Future Landscapes of Ageing , BSG Scotland’s Conference, June 2008: a review
Susan Tester
BSG Scotland
Betty McIntosh and Claire Ballinger
Fiona Kelly
Alan Newell Professor
The conference was held at Glasgow Caledonian University (GCU), organised by BSG Scotland and GCU’s Centre for Gerontological Practice. Although most participants were from Central Scotland, others came from, for example, Orkney, London, Newcastle and Ireland. During the day, our keynote speakers considered the future of ageing from a range of different perspectives. The morning session was chaired by Professor Claire Ballinger and the afternoon session by Professor Debbie Tolson, both of GCU.

Professor Alison Bowes, University of Stirling, set the scene with The Ageing Population: Modelling some Policy Implications. Alison noted that recent developments in policy for older people focus on independence, the whole person and individual responsibility; that policy rhetoric suggests that older people are to be empowered; and that care professionals will work in new ways with us as we age. Drawing on several research projects, including work with David Bell, she explored the policy implications of developments in the future delivery of care and support for older people, adopting an approach which draws on evidence of what older people themselves prefer and the extent to which this is supported by the developing policy agenda. Alison discussed two key examples: the possible future of unpaid care (a critical element of the system of care and support) and the possible impact of telecare, which has been presented as a possible solution to limitations of carer support (both paid and unpaid) in the future. Alison raised questions about the realism of this scenario.

Betty McIntosh, Renfrewshire Seniors Forum, gave an Older Person’s Perspective. Beginning with the assertion: ‘I’m not an older person!’ she pointed out that we view age differently at different times. Betty gave her personal perspective on experiences of retirement, which she experienced as a void when it happened. She found that she had lost her status and identity, but was soon drawn into a ‘temporary’ job as secretary to the ‘Elderly Forum’ which lasted for ten years. Also involved in BGOP, and a governor at Paisley University, she was very busy and is now trying to divest herself of responsibilities. Betty spoke about what a pensioner can expect in future years. She thought that older people in Britain today have a raw deal and that nobody cares about them, even though they are providing much support for spouses, children and grandchildren. Betty ended with the motto: ‘Us today, you tomorrow!’ and warned that we need to think about these issues for the future. A lively discussion followed. 

Professor Sally Wyke, University of Stirling, gave the Tilda Gaskell Memorial Lecture, in memory of our colleague who had been an active member of BSG Scotland. Sally’s topic was Self Care and Ageing; noting that ‘self-care’ is a focus for health policies across the world, Sally posed the question: Why now? She traced the development of self-care as a policy solution and identified two underlying models. The first sees self-management as a shift in responsibilities for care from professional to patient and develops solutions based on ‘shifting the balance of care’. It is based on a deficit model of illness management that sees people as patients and patients as problems that can be solved through their education and technology. The second is concerned that current models of support for older or chronically ill people are inadequate. It is based on a self-determination model that sees people as utilising whatever resources they have as well as they can and argues for more resource to help them do so. Sally argued that both policy models have relevance in Scotland but that the main aims and likely resource implications of policy and practice innovations should be explicit. 

During the two hour lunch session, participants were able to network, look at exhibitions and view the posters displayed. There were presentations by each of the ten poster presenters, with a discussant session, chaired by Dr Pauline Banks. The session was well attended and presentations stimulated much interest and discussion. 

The afternoon session began with an address by Sandra White MSP, convener of the Cross Party Group in the Scottish Parliament on Older People, Age and Ageing. Sandra considered what will become of older people in the future and was disappointed that the media do not take up the positive contributions that older people make to society. Sandra outlined a wide range of policy issues and developments, stressing the importance of asking older people what they want. Suggestions included the introduction of phased retirement; a skills bank for workers aged 50+; a free financial MOT at different stages of life; and more intergenerational practices. She stressed the need to lobby the government to make sure that things happen. Sandra thought it important to start now to make sure that the future is secure for older people and to combat age discrimination. She offered to take up issues that participants wished to raise. Her final comment was: ‘Just because you are old doesn’t mean you are finished in society!’ 

Professor Alan Newell, University of Dundee, spoke on New Technologies and Older People. He thought that the majority of older people do not understand new technology and examined the question of why so many older people are being disenfranchised by technology. Alan considered that modern technology is significantly more difficult to use than before and that this is getting worse. The Queen Mother Research Centre is trying to convey to policy makers the difficulties that older people have with new technologies. They used theatre professionals to develop the video Relative Confusion (from Soundsmove Pictures in association with University of Dundee, 2007). Alan drew on scenes from the video to show some of the challenges provided by new technology to older users, illustrating the results of long-term research into these challenges. Alan asked participants to consider whether techniques of using theatre could be useful within their own profession. The concluding discussion focused both on the contents of the film and on the use of professional theatre to raise awareness. 

Dr Dawn Skelton, GCU, addressed the topic Healthy Active Ageing, exploring the role of exercise and physical activity in an ageing population. Dawn noted that health and leisure professionals are now commonly dealing with patients who have poor functional mobility and co-morbidities associated with an inactive lifestyle. She stressed that a healthier old age requires less risk of disease, better physical and mental function, richer opportunities for social interaction and a greater sense of control over one’s own health and well-being. Dawn showed that regular physical activity that includes specific balance, aerobic and strength exercises play an important part in enabling older people to remain above critical thresholds by preventing and managing disease, preserving and restoring function, reducing factors conducive to falling and maintaining an active, independent and functional later life. She invited the audience to stand up and participate in exercises showing the importance of balance and vision. She also explored the need to understand the barriers and motivators to undertaking physical activity and suggested work with peer mentors to encourage activity in less active groups.

Professor Chris Phillipson, Keele University, closed the session with a stimulating and wide ranging presentation on Globalisation and the Future of Old Age. He argued that globalisation, as a set of economic, cultural and social processes, is set to have a major influence on the future of growing old and the policies which shape the lives of older people. Population ageing has been relocated to a trans-national context, with international organizations and cross-border migrations creating new conditions and environments for older people and the nations to which they relate. Chris explored the extent to which globalisation has produced a distinctive stage in the social history of ageing and considered that ageing can no longer be viewed as a ‘national’ problem or issue but one that now affects, and is itself influenced, by trans-national agencies and communities. He identified three issues for the future: the impact of globalisation on issues of governance and citizenship; the likely emergence of a new ‘global geography of the life course’; and the role of migration and transnational communities.

Participants left the conference with much food for thought and further discussion on the future of ageing. Positive feedback suggests that the day was successful in meeting the expectations of the academics, professionals, practitioners and older people who attended and enjoyed the conference.

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