Preventing malnutrition in later life

More than 46,000 older people stripped of their Meals on Wheels service

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More than 46,000 older people have been stripped of their ‘Meals on Wheels’ service in the past three years, according to The Malnutrition Task Force.(i)

The findings, released to mark Meals on Wheels Week, show that in just three years spending on ‘Meals on Wheels’ for older people aged 65 and over has fallen by 47 per cent, from £42.1m in 2010/11 to £22.3m in 2013/14.(ii)  Public spending on this vital service has been slashed at the same time as cuts to adult social care services, needed to help older people lead more independent and healthier lives.

In less than 10 years, the number of people receiving ‘Meals on Wheels’ has tumbled by over 80 per cent – equal to 125,000 older people missing out on ‘Meals on Wheels’.(iii)

The introduction of Direct Payments will have, in some cases, given older people the option of purchasing from alternative ‘Meals on Wheels’ providers. However, cuts to local authority budgets and in turn a tightening of the eligibility criteria for receiving help from social services has meant that the option of Direct Payments is not open to everyone who may need them. Indeed, Age UK’s recent analysis shows that 300,000 older people in England have difficulty preparing eating unaided.(iv)

We can further reveal that older people are losing their ‘Meals on Wheels’ provision either because of aforementioned local authority budget cuts or because of extremely steep price increases, which can make the ‘Meals on Wheels’(v) service unaffordable for pensioners living on a low fixed income.

The decline of the ‘Meals on Wheels’ service has happened at the same time as a significant increase in the number of hospital admissions for malnutrition.(vi) This mainstay of community care not only provides a nutritious hot meal, but it is often the only social contact a vulnerable older person has during the day. Meals on wheels staff are also well placed to be able to keep a watchful eye and raise any concerns about a person’s health or their ability to cope at home, before a crisis is reached.

Diane Jeffrey, Chair of The Malnutrition Task Force and Chairman of Age UK said: “Ensuring older people are well nourished is essential if they are to stay fit and well, and Meals on Wheels have traditionally played an important role in this. It is dismaying to see this former mainstay of community care for older people being allowed to shrivel away because of Government cuts. At this rate of decline there won’t be any Meals on Wheels provision left at all in a few years’ time.

 

“An important preventive service for older people is well on the way to becoming extinct. This seems a terrible false economy, since the Meals on Wheels service helps to prevent malnutrition, which makes older people more vulnerable to illness and disease and piles cost onto the NHS, as well as spelling misery for the individuals concerned. Meals on Wheels also provide essential social contact for those pensioners who are otherwise entirely alone, an important indirect benefit.”

Older people are particularly vulnerable to malnutrition, with estimates suggesting 1.3 million aged 65(vii) and over suffer from it.  More than nine in ten of them are living in their own homes in the community.(viii)

The Malnutrition Task Force was set up in 2012 to raise awareness of malnutrition and dehydration among older people and to develop solutions for preventing and tackling these often overlooked problems.

Other information 

To discover more about ‘Meals on Wheels’ Week and why ‘Meals on Wheels’ is so crucial to many older people, read this blog from the National Association of Care Catering’s Chair, Neel Radia. The National Association of Care Catering is behind the week.

Click ‘About us‘ to find out more about the Malnutrition Task Force in general.

Media contacts

Media only: If you would like more information on this article, please contact Liz Fairweather on 020 3033 1718 or email liz.fairweather@ageuk.org.uk.

Footnotes

[i] Health and Social Care Information Centre (HSCIC) Community Care Social Services  Activity Statistics 2010/11 http://www.hscic.gov.uk/catalogue/PUB05264/comm-care-soci-serv-act-eng-10-11-fin-anx.xls and for 2013/14 http://www.hscic.gov.uk/catalogue/PUB16133/comm-care-stat-act-eng-2013-14-fin-anxe.xls
[ii] Health and Social Care Information Centre; “Personal social services expenditure and unit costs, England – 2010-11, final release,” Health and Social Care Information Centre (2012)http://www.hscic.gov.uk/catalogue/PUB05794/pers-soci-serv-expe-unit-cost-10-11-deta.xls
[iii] HSCIC Community Care Activity Social Services Activity Statistics for 2005/6 http://www.hscic.gov.uk/catalogue/PUB01561/comm-care-ref-eng-06-asse-pack-tab.xls
[iv] English longitudinal study of ageing – Wave 5 & ONS mid 2014 population projection 2015
[v] Meals on Wheels are programmes that deliver meals to individuals at home who are unable to purchase or prepare their own meals.
[vi] Health and Social Care Information Centre (2015); “Hospital Episode Statistics, Admitted Patient Care, England – 2013-14,” – http://www.hscic.gov.uk/catalogue/PUB16719/hosp-epis-stat-admi-diag-2013-14-tab.xlsx and Health and Social Care Information Centre (2006);  “Hospital Episode Statistics, Admitted Patient Care – England, 2005-06,” – http://www.hscic.gov.uk/catalogue/PUB03588/hosp-epis-stat-admi-prim-diag-3cha-05-06-tab.xls.
[vii] http://www.bapen.org.uk/about-malnutrition/introduction-to-malnutrition?showall=&start=4
[viii] http://www.bapen.org.uk/about-malnutrition/introduction-to-malnutrition?showall=&start=4

 UPDATED AT 14:52 ON NOV 13TH WITH INFO ON DIRECT PAYMENTS

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