Making care fit for an older population

When the NHS was founded in 1948, 48 per cent of the population died before the age of 65; that figure has now fallen to 14 per cent. By 2030, one in five people in England will be over 65. This significant shift in society has transformed our health and care needs. And while many people are staying healthy and independent well into old age, as people age, they are progressively more likely to live with complex co-morbidities, disability and frailty.

Our health and care systems must transform to better manage this shift effectively. Here we bring together our recent analysis, work and commentary on providing high-quality health and care for our growing older population.

Related publications

Making our health and care systems fit for an ageing population

Making our health and care systems fit for an ageing population front cover

Making our health and care systems fit for an ageing population front cover
This report sets out a framework and tools to help local service leaders improve the care they provide for older people across nine key components.

Providing integrated care for older people with complex needs

Synthesising evidence from seven integrated care case studies, our paper identifies lessons for policy-makers and service providers to help with the challenges ahead.

Older people and emergency bed use

Front cover of Older people and emergency bed use

This paper explores a range of factors that might be driving the significant variation in use of hospital beds by patients over 65 admitted as an emergency.

The care of frail older people with complex needs: time for a revolution


This paper provides a summary of discussions from the Sir Roger Bannister Health Summit, held at Leeds Castle, which looked at the challenges of caring for frail older people.

Continuity of care for older hospital patients


This paper focuses on those aged 70 years and older with multiple health problems and explores how continuity of care affects them and the people closest to them.

Animation and projects

Co-ordinated care for people with complex chronic conditions

Integrated care animation thumbnail

A patient and a doctor
This project involved an in-depth examination of approaches to care co-ordination undertaken in a number of primary care settings in different parts of the country.

Integrated care: making it happen

Integrated care map teaser

Joined-up care map
See a range of integrated care resources and analysis, including an interactive map showing the location of a number of examples of best practice in the UK and around the world.

Relevant blogs

Improving hospital discharge and intermediate care

David Oliver

David Oliver
David Oliver reflects on how older people's care can be improved.

Care homes: coming out of the shadows?


Care homes have operated in the shadows of public and political awareness for too long, says Richard Humphries.

Enhancing health care in care homes: integration in practice

David Oliver

David Oliver
‘Enhanced care in care homes’, is one of the new care models set out in the NHS five year forward view.