© 2015 ADL Smartcare Limited, all rights reserved Living better for longer Understanding how & when to intervene to maximise independence in older age.

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© 2015 ADL Smartcare Limited, all rights reserved Living better for longer Understanding how & when to intervene to maximise independence in older age

© 2015 ADL Smartcare Limited, all rights reserved Prof Peter Gore CEng FIMechE Professor of Practice – Newcastle University Institute for Ageing National Centre for Ageing Science & Innovation Managing Director - ADL Smartcare

© 2015 ADL Smartcare Limited, all rights reserved What do the public think it means to grow old… I don’t want to grow old… What will happen, will happen…there’s nothing I can do about it… I want to stay at home, do I have to go into care? …what does it look like and can it change?

© 2015 ADL Smartcare Limited, all rights reserved Introducing the obvious: (Instrumental) Activities of Daily Living – ADL/IADL

© 2015 ADL Smartcare Limited, all rights reserved Introducing Emily and Jack What’s the difference? 2 yrs 8 yrs

© 2015 ADL Smartcare Limited, all rights reserved (Instrumental) Activities of Daily Living – ADL/IADL It’s all about the order (which is invariable) and the timing 20 years of research: Jagger, Kingston et al 1. Kingston A, Collerton J, Davies K, Bond J, Robinson L, Jagger C. Losing the ability in activities of daily living in the oldest old: A hierarchic disability scale from the Newcastle 85+ study. PLoS ONE. 2012; 7(2). 2. Barberger-Gateau P, Rainville C, Letenneur L, Dartigues JF. A hierarchical model of domains of disablement in the elderly: a longitudinal approach. Disability & Rehabilitation. 2000; 22(7): Dunlop DD, Hughes SL, Manheim LM. Disability in Activities of Daily Living: Patterns of Change and a Hierarchy of Disability. Am J Public Health. 1997; 87(3): Ferrucci L, Guralnik J, Cecchi F, Marchionni N, Salani B, Kasper JD, et al. Constant Hierarchic Patterns of Physical Functioning Across Seven Populations in Five Countries. The Gerontologist. 1998; 38(3): Jagger C, Arthur AJ, Spiers NA, Clarke M. Patterns of onset of disability in activities of daily living with age. Journal of the American Geriatrics Society. 2001; 49(4):

© 2015 ADL Smartcare Limited, all rights reserved Building a framework for maximising independence Guttman & Katz Lawton & Brody Groningen et al Jagger Newcastle ADLIADLGARSHierarchyCFD Compression of Functional Decline (CFD) Extended independence ’s ’s ’s 2000-present 2006-present

© 2015 ADL Smartcare Limited, all rights reserved National Centre for Ageing Science & Innovation

© 2015 ADL Smartcare Limited, all rights reserved The conceptual approach functional cognitive risk care connections health

© 2015 ADL Smartcare Limited, all rights reserved At what age? functional cognitive risk care connections health Dick Stroud (LBS) – age is easy to measure… but predictive of little

© 2015 ADL Smartcare Limited, all rights reserved Making this knowledge accessible to the public

© 2015 ADL Smartcare Limited, all rights reserved ADL Smartcare Limited we help older people live better for longer

© 2015 ADL Smartcare Limited, all rights reserved What we do Position in a framework Tailor plan to specific circumstances Direct to appropriate sources An expert system (unusually) carrying Professional Indemnity insurance*

© 2015 ADL Smartcare Limited, all rights reserved The ADL Smartcare Platform

© 2015 ADL Smartcare Limited, all rights reserved Thank you any questions?

© 2015 ADL Smartcare Limited, all rights reserved Prof Peter Gore CEng FIMechE Contact details: