1. © 2015 ADL Smartcare Limited, all rights reserved Living better for longer Understanding how & when to intervene to maximise independence in older age

2. © 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 peter.gore@newcastle.ac.uk

3. © 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?

4. © 2015 ADL Smartcare Limited, all rights reserved Introducing the obvious: (Instrumental) Activities of Daily Living – ADL/IADL

5. © 2015 ADL Smartcare Limited, all rights reserved Introducing Emily and Jack What’s the difference? 2 yrs 8 yrs

6. © 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): 308-17. 3. 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): 378-83. 4. 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): 286-94. 5. 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): 404-9.

7. © 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 1950-60’s 1960-70’s 1990-00’s 2000-present 2006-present

8. © 2015 ADL Smartcare Limited, all rights reserved National Centre for Ageing Science & Innovation

9. © 2015 ADL Smartcare Limited, all rights reserved The conceptual approach functional cognitive risk care connections health

10. © 2015 ADL Smartcare Limited, all rights reserved At what age? functional cognitive risk care connections health 45100 65100 55100 Dick Stroud (LBS) – age is easy to measure… but predictive of little

11. © 2015 ADL Smartcare Limited, all rights reserved Making this knowledge accessible to the public

12. © 2015 ADL Smartcare Limited, all rights reserved ADL Smartcare Limited we help older people live better for longer

13. © 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*

14. © 2015 ADL Smartcare Limited, all rights reserved The ADL Smartcare Platform

15. © 2015 ADL Smartcare Limited, all rights reserved Thank you any questions?

16. © 2015 ADL Smartcare Limited, all rights reserved Prof Peter Gore CEng FIMechE Contact details: peter.gore@newcastle.ac.uk peter.gore@adlsmartcare.com