The introduction of choice and consumer mechanisms in public services has been identified as a fundamental shift in welfare service provision internationally. Within the United Kingdom (UK), such mechanisms developed and integrated into English services have not been replicated in their entirety in Scotland and Wales. For the first time since the inception of the UK welfare state, there are now formal differences in entitlement for older people as a result of devolution. This paper uses comparative policy analysis to review a range of sources not hitherto brought together in order to explore how these concurrent developments – choice and devolution – impact on people over state retirement age. We also consider the extent to which a more consumerist approach to public services might redress or increase later-life inequalities. Drawing on theoretical research and policy evidence, we argue that for many people over state retirement age, the prospect of becoming a consumer in these varied contexts is difficult and unwelcome. We suggest that although it is too early in the devolutionary process for any significant impact of these divergent policies to materialise, continued policy divergence will lead to different experiences and outcomes for older people in Scotland, Wales and England. We conclude that these divergent social policies offer significant research opportunities, particularly concerning their impact on later-life inequalities.

Governments around the developed world are seeking to meet the challenges of the ageing population through strategies which promote a holistic approach to ageing, captured in catch-phrases such as ‘successful’, ‘active’, ‘positive’ and ‘healthy’ ageing. These strategies are supported by a growing body of research, with a particular emphasis on the prerequisites for health and quality of life. Drawing on that research, and using a methodology developed by the London School of Hygiene and Tropical Medicine, the ‘Minimum Income for Healthy Living (MIHL): Older New Zealanders’ study used a health lens to investigate the retirement income needs of older New Zealanders living independently in the community. The MIHL was estimated for people living alone, couples, renters and debt-free home owners. In each case, the MIHL estimates were appreciably higher than the universal state pension paid to older New Zealanders. People living alone and those renting their homes were shown to be worse off than couples and debt-free home owners, respectively. The results highlight that many older New Zealanders are living on an income which may not be enough to support a healthy life. This has important implications for the demand for health, residential and social services and brings life to the question of what level of income might be needed in retirement.

The purpose of this paper was to examine the association of modernisation and filial piety among adult children care-givers of elderly Arab parents in Israel, and to identify factors that mediate the association. Cross-sectional data were collected in 2006–07 through structured interviews with 250 randomly sampled Arab-Israeli adult children care-givers. Hierarchical regression was then applied to the study variables in the respondents’ scores on a culturally relevant filial piety scale. The results revealed a negative correlation between modernisation, as measured by individualistic lifestyle and level of urbanisation, and filial piety scores. The association between individualistic lifestyle and filial piety was partially mediated by perceived care-giver burden. Given the observed trends, programme and policy planners should establish more services that are uniquely suited to the needs of a changing Arab society, in order to provide culturally relevant long-term support for the family network in a period of accelerated modernisation.

The aim of this study was to explore aspects contributing to experiences of safety in everyday life for older adults who have received modification services. Qualitative interviews were conducted with eight people. Data were analysed using a comparative approach. Three main categories emanated in the analysis: prerequisites that enable a feeling of safety, strategies that enable safety in everyday life, and use of and reliance on technology impacts on safety. The findings revealed that to feel safe in everyday life was based on three prerequisites: feeling healthy, having someone to rely on and feeling at home. The fulfilment of these prerequisites further impacted on the participants' strategies for handling problems in everyday life but also on the ability to use and benefit from technology such as home modifications. In conclusion, the findings indicated that interventions provided to increase safety for older adults should primarily be focused on the presence and fulfilment of prerequisites and later on other interventions such as technology. Technology such as home modifications and assistive devices was not found in this study to facilitate the feeling of safety unless supported by the fulfilled prerequisites. Implications of these findings for clinical practice are discussed.

This paper examines population trends, age-specific death rates and causes of death for the elderly Sami and settlers during the colonisation era (between 1750 and 1900). The source material is a set of data files from the Demographic Data Base (DDB) at Umeå University that covers parish records from three different parishes. Early in the colonisation period (1750–1840) the Sami had a lower proportion of the elderly population (⩾60 years old), compared to the non-Sami and the rest of Sweden. At the end of the colonisation period (1841–1900), the proportion of elderly Sami increased and was above the proportion of elderly non-Sami and more similar to the rest of Sweden. The analysis also reveals that the differences in mortality rates among the elderly Sami and their non-Sami counterparts diminished during the entire colonisation era (1750–1900), mainly because of an increased infant mortality among the non-Sami. Rather than ethnic differences in causes of death, the results show larger differences between the parishes. The study can conclude that the Sami population's mortality declined, the health improved, and the Sami advanced more rapidly in the model of epidemiologic transition, a milestone not yet reached by other indigenous people around the world.

Techniques of possession research among older people tend to accentuate their prizing of things and their use of special dispositions to achieve the protection or ‘safe passage’ of things as they transfer to a new owner. Such efforts on behalf of possessions may also be undertaken to perpetuate the self. To study the care of things and self in a wider context, we examined older people's repertoire of disposition strategies during episodes of household relocation and downsizing. We analysed the narratives of persons in 75 households in the Midwestern United States of America. People indeed told stories about the safe passage of cherished possessions – their initiative to place things, appreciation by new owners, and attempts to project the values or memory of the giver. Such accounts of special placements, however, dotted rather than dominated recollections of the move. More commonly, large quantities of items were passed via non-specific offers of possessions to others who may volunteer to take them. This allowed people to nonetheless express satisfaction that their possessions had found appreciative owners. Even though our interviews did not disclose extensive attempts at self-transmission, whole-house downsizing may affirm the self in another way: as conscientious about the care of things. Such affirmation of the present self as accomplished and responsible can be seen as a positive adaptation to the narrowing life world.

There is increasing evidence in the international literature that engagement in the arts can enhance the physical and psychological wellbeing of older people. Such engagement can increase the self-confidence and morale of older people and provide opportunities for increased social connections, leading to higher levels of social cohesion. This article is based on an evaluation of a national arts festival in Ireland called Bealtaine that celebrates creativity in older people each year during the month of May. The festival is unique in the wide range of arts-related activities it includes and the different types of organisations involved, such as local authorities, libraries, educational institutions, health and social care organisations, and voluntary bodies for older people. It includes both long-standing professionally facilitated arts programmes and one-off events at local and national levels. The evaluation used quantitative and qualitative methods to analyse two major postal surveys with organisers and consumers of the festival and face-to-face interviews with older participants, artists and organisers. The findings are overwhelmingly positive in terms of the personal and social gains arising from participation in the festival. In this context, the study provides support for the provision of enhanced and sustained funding for creative programmes for older people and, more generally, for the development of an integrated policy for older people and the arts in the country.

Older people experiencing dementia are twice as likely to fall with consequences of serious injury, reduction in everyday activity, admission to long-term care and mortality. Carers of people with dementia are themselves at greater risk of physical and mental ill health, which increases as the dementia progresses. Unsurprisingly, carer burden also increases when a care-recipient falls. The aim of this study was to explore the experiences of falling of community-living older people with dementia and their carers. A qualitative approach was taken using interpretative phenomenological analysis. Nine older people with predominantly Alzheimer's disease and their ten carers were recruited from a large mental health National Health Service trust and participated in one-to-one and joint in-depth interviews. Three dyads participated in repeat interviews. Three focus groups were also carried out, with nine older people experiencing memory problems and 12 carers from a local Alzheimer's Society branch. The antecedents, falls events and consequences of falls were discussed. This paper reports specifically on the impact of falls on the caring relationship. Three themes emerged: ‘learning as you go’, ‘we're always together’, ‘nobody was interested’. The findings demonstrate how falling accentuates the impact of dementia on the dyad. Spouse-carers' discussion of their own falls emphasise the need for joint assessment of health and wellbeing to reduce carer burden and preserve the couplehood of the dyad.