Paper B2013 ANNUAL GENERAL MEETING

Minutes of the Annual General Meeting of Age UK Norfolk held at 10.40am on Tuesday 03 September 2013 in the Enterprise Suite,

South Green Park, Mattishall, Norfolk NR20 3JY

Age UK Norfolk is the operating name of Age Concern Norfolk, a Charitable Company limited by guarantee Registered in England No 03783205. Registered Charity No 1077097. The Registered Office is 300 St Faiths Road, Old Catton, Norwich, Norfolk NR6 7BJ

Members Present:

Emily Millington-Smith MBE (President in the Chair), Ann Baker (South Norfolk Older People’s Forum), Bett Barrett (Co-opted Member/Trustee of Age UK Norfolk), Maggie Beat (British Red Cross), Jonathan Bolton (Vice-Chair of Age UK Norfolk), Judith Brown (West Norfolk Carers), David Button (Age UK Norwich), John Carrick (Norfolk Rural Community Council), Chris Carter (NIC [Norfolk Independent Care]), Margaret Drury (Age UK North Norfolk), Dr Graeme Duncan (Co-opted Member), Dr Peter Forster (Chair of Age UK Norfolk), Andrew Halsey (Treasurer of Age UK Norfolk), Margaret Hardingham (Vice-President of Age UK Norfolk), Anni Hartley-Walder (Co-opted Member), Polly Hauxwell-Baldwin (Co-opted Member/Trustee of Age UK Norfolk), Joyce Hopwood (Norwich Older People’s Forum), Charles Ison (Broadland Older People’s Partnership), Peter Jarrold D.L. (Vice-President of Age UK Norfolk), Helen Jones (Co-opted Member/Trustee of Age UK Norfolk), Pat Kingerlee (U3A Wymondham Group), Aliona Laker (Norfolk Deaf Association), Ann Leigh (Co-opted Member/Trustee of Age UK Norfolk), Rachel McLean (Co-opted Member/Trustee of Age UK Norfolk), Jacqueline Middleton (Age UK Norwich), Chris Mowle (Co-opted Member/Trustee of Age UK Norfolk), Cllr Sue Whitaker (Norfolk County Council Adult Social Services Committee), Carole Williams (Co-opted Member/Trustee of Age UK Norfolk), Pat Wilson (Norfolk and Norwich Pensioners Association / Norfolk Older People’s Forum), Jean Wilson (Norfolk Federation of Women’s Institutes) and Dr Peter Woodhouse (Norfolk and Norwich University Hospitals NHS Foundation Trust)

In Attendance:

Jo Bailey, Julie Bell, Maria Black (Age UK Norfolk), Trevor Brown (Wymondham Dementia Support Group), Anne Bunting (The Norfolk and Norwich Association for the Blind), Ian Carter (Age UK Norfolk), James Church (Age UK Norfolk), Chris Coath (South Norfolk CCG [Clinical Commissioning Group]), Maddie Copley (Age UK Norfolk), Pauline Davies (Norfolk and Suffolk NHS Foundation Trust), Pat Dixon, Stephen Drake (Steeles Law), Lyn Fabre, Nicola Fowler, David Freezer (EDP), Celia Gale, Mrs Fair, Linda Gill (Age UK Norfolk), Andrena Griffith, Roger Hadingham (Norfolk County Council), David Hicks, Trish Hicks, Sally Hoare (Broadland District Council), Geri Hadman (Norfolk Carers Support), Kirsty Hirschle (Age UK Norfolk), Karen Knights (Age UK Norfolk), Mary Ledgard, Hilary MacDonald (Chief Executive of Age UK Norfolk), Dr Ian Mack (West Norfolk CCG), Dorothy MacKim, Simon Marshall (The Norfolk and Norwich Association for the Blind), Christina Martin (Tesco), Lin Mathews (Age UK Norfolk), Cllr Shirley Mathews (Breckland Older People’s Forum), Iain Mawson (M&A Partners), Terenia Morrison (Age UK Norfolk), Annie Moseley (Age UK Norfolk), Doreen Parker, Gemma Pendleton (Steeles Law), Margrethe Phillips, Dr Chris Price (Norwich CCG), June Pulgrave-Brown, Jan Rodda (Age UK Norfolk), Linda Rodgers (Voluntary Norfolk), Kate Rudkin (Age UK Norfolk), Mrs P Sayer, Chris Schofield (Age UK Norfolk), Michael Scott (Norfolk Community Health and Care NHS Trust), Zoe Shearing (Great Yarmouth Borough Council), Vernon Simmons (Breckland Older People’s Forum), Susan Simpson, Paula Skelton (Age UK

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Norfolk) – minute taker, Mrs Skillman, Sue Spooner, Silvia Stefanoni (HelpAge International), Cllr Don Tyler (Borough Council of King’s Lynn and West Norfolk), Peter Walker, Alan Watling (The Geoffrey Watling Trust) and Lin Whitehead (QualitySolicitors Clapham & Collinge)

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Apologies:*Denotes Voting Member

Christine Allen (James Paget University Hospitals NHS Foundation Trust), John Archibald (Victory Housing Trust), Cllr Brenda Arthur (Patron of the Campaign for Later Life), Richard Bacon MP, Lorrayne Barrett (Norfolk County Council), Henry Bellingham MP, Alison Bertram (Lead Patron of the Campaign for Later Life), Marjorie Biggs, Mary-Jane Boden (Norfolk and Suffolk NHS Foundation Trust), Harold Bodmer (Norfolk County Council), Patricia Brooks* (Age UK North Norfolk), Roy Bussey (Age UK Norwich), Colin Chambers* (The Royal British Legion), Barbara Clarke (Age Concern Swaffham and District), Jo Cook (Norfolk County Council), Dr Sue Crossman (West Norfolk CCG), Mr & Mrs Daines, James Dean (Age Concern Swaffham and District), Barry Dennis (Wells Community Hospital), Sandra Dinneen (South Norfolk Council), Megan Dobney (SERTUC [Southern and Eastern Trades Union Congress]), Anna Dugdale (Norfolk and Norwich University Hospitals NHS Foundation Trust), Elizabeth Elburn, Jonathan Fagge (NHS Norwich CCG), Aileen Francis (Age UK Norfolk), John Fry (Norfolk and Norwich University Hospitals), Andrew Gardner (Age UK Essex), Sharon Gaul* (The Norfolk and Norwich Association for the Blind), Kate Gordon (The Queen Elizabeth Hospital NHS Foundation Trust), Beverly Hallpike (Norfolk and Suffolk NHS Foundation Trust), Doreen Harrison (Age UK Norfolk), Gary Hazelden (Norfolk and Suffolk NHS Foundation Trust), Trevor Holden (Breckland Council), Lord Iveagh (Patron of the Campaign for Later Life), Caroline Jarrold (Jarrold & Sons Limited), Norman Lamb MP, Dr Derek Land* (Civil Service Pensioners Association [Norfolk]), Brandon Lewis MP, Liz Humphrey, Rex Humphrey, Barbara Lock* (Age Concern Swaffham and District), Laura McGillivray (Norwich City Council), Eamon McGrath (Age UK Norfolk), Kate Money (Age UK Norwich), Andrew Morgan (East of England Ambulance Service NHS Trust), Roger Morgan (Norfolk County Council), Sam Morton* (Co-opted Member/Trustee of Age UK Norfolk), Tim O’Mullane (Norfolk County Council), John Needham (The Royal British Legion), Sheila Oxtoby (North Norfolk District Council), Gary Page (Norfolk and Suffolk NHS Foundation Trust), Margaret Plummer, Pamela Redwood (EXTEND), Jocelyn Rimmington, Richard Rimmington, Alison Rowland, Mary Rudd (Patron of Campaign for Later Life), Jack Sadler* (Norfolk Association of Local Councils), Dr Charlotte Salter* (Norwich Medical School, UEA [University of East Anglia]), Diane Sanderson (Age Concern Swaffham and District), Malca Schotten, Keith Simpson MP, Chloe Smith MP, Terry Staff (Barclays), Dr John Stammers (HealthEast, NHS Great Yarmouth and Waveney CCG), Mark Tayler (North Norfolk CCG), Jane Thompson, Stan Thompson, Elizabeth Truss MP, Graham Tuttle (Norfolk Community Foundation), Richard Watson* (Co-opted Member/Trustee of Age UK Norfolk), Laetitia Webb (Norwich Theatre Royal), Clare Wilkins (Barclays), Daniel Williams (Big C), Gwyneth Wilson* (The Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust), Judith Wood (Elmham Surgery), Sam Woods (Age UK Norfolk), David Wright (James Paget University Hospitals NHS Foundation Trust) and Simon Wright MP

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Action

1. Welcome by the President of Age UK Norfolk, Emily Millington-Smith MBE

The President welcomed everyone to the 66 th AGM of Age UK Norfolk including Dorothy MacKim and her daughter, Susan Simpson, and the key note speaker, Silvia Stefanoni.

The President read out a number of items relating to housekeeping.

The President explained that only voting members of the NCoA were entitled to take part in items requiring a vote and they had been issued with a yellow voting card for this purpose.

2. Apologies for Absence

The Chief Executive reported that 80 apologies had been received. Apologies received included Mr Morton (Trustee), Mr Watson (Trustee) and Mr Bodmer (Norfolk County Council [NCC]).

3. Norfolk Council on Ageing Membership until 2014 Annual General Meeting

3.1 Declaration of Results of Uncontested Election for Honorary Officers

The Chief Executive reported that following a nomination process, one nomination had been received for each of the Honorary Officers positions and the nominees were therefore elected unopposed:

Chair: Dr Peter Forster. Vice-Chair: Jonathan Bolton. Treasurer: Andrew Halsey.

3.2 Declaration of Results of Uncontested Election for Elected Trustees

The Chief Executive reported that following a nomination process, three nominations had been received for the three elected Trustees positions and the nominees were therefore elected unopposed:

Helen Jones. Ann Leigh. Carole Williams.

3.3 Confirmation of the NCoA: 03 September 2013 to the 2014 AGM (Revised Paper A)

The Chief Executive reported that a revised paper A was available on chairs following late receipt of a number of appointed representatives.

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The Chief Executive reported on several changes to the membership of NCoA which had taken place during the year and more recently:

Age Concern Thetford and District had closed. Two Crossroad organisations had merged and the current

member was Crossroads Care East Anglia. Norfolk Health Sector category had been changed and now

included the three acute hospitals in Norfolk. Norfolk Local Government Association had been disbanded. Norfolk Coalition of Disabled People had changed its name to

Equal Lives. Norwich and District Carers Forum had changed its name to

Norfolk Carers Support.

The Chief Executive reported that the following had been welcomed into membership during the year:

Norwich Medical School, UEA. School of Allied Health Professionals, UEA. School of Social Work, UEA. The Queen Elizabeth Hospital King’s Lynn NHS Foundation

Trust.

The President invited a proposer, Mrs J Wilson, and seconder, Mrs Hardingham, and the membership of the NCoA to the 2014 AGM was confirmed.

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4. Dr Graeme Duncan

The Chair recorded thanks to Dr Duncan who was standing down today as a Trustee after 10 years’ service on the Board of Trustees. The Chair reported that Dr Duncan would continue to be involved in Age UK Norfolk as a member of the NCoA.

5. Approval of the Minutes of the Annual General Meeting held on 04 September 2012 (Paper B)

The minutes of the AGM held on 04 September 2012 had been circulated prior to the meeting.

The President reported that there was one correction to the minutes in the list of apologies: to correct Cllr John Bracey’s representation from “Breckland District Council” to “Broadland District Council”.

The President invited a proposer, Ms Leigh, and seconder, Mrs Hardingham, and the minutes of the 2012 AGM were confirmed.

6. Annual Report of the Trustees 2012-2013

The President informed members that a copy of the Annual Review and Annual Accounts 2012-2013 had been left on their chairs.

6.1 Highlights of the Year – Hilary MacDonald, Chief Executive

The Chief Executive reported that the year had been very challenging owing to the adverse economic climate, further cuts to public spending and changes to the way that services were being commissioned. There had also been an increase in the number of people using the services provided by the Charity.

The Chief Executive reported on the Charity’s highlights from the year:

The Advice Line had dealt with over 8,000 calls which was a 5% increase on the previous year.

The Money Matters Service provided financial advocacy support to 492 older people, which was a 4% increase on the previous year.

Staff and volunteers had made 1,058 home visits to assist the completion of 770 Attendance Allowance claims, 89 Disability Allowance claims, and checked the benefits received by 796 people. Also, 11 people were represented at Appeals and the Charity helped with 56 Carer Allowance applications and 52 pension credit applications. This work had raised the income of older people in Norfolk by £2,141,000, which was a 25% increase on the previous year.

The Lasting Power of Attorney (LPA) service assisted 184 Page 8 of 21

people with the completion of 366 LPA applications which was a 39% increase on the previous year. Age UK Norfolk was selected to contribute to a feasibility study of an online LPA version with the Office of the Public Guardian (OPG). The OPG had informed the Charity that Age UK Norfolk’s volunteer LPA Co-ordinator had completed more LPAs than anyone else in the UK.

The Chief Executive reported that tackling loneliness and isolation, and developing support to people with dementia were other key areas and during the year the Charity had:

Increased its telephone befriending support. Re-branded the Household Helpers Service as the Home

support and care and added a wide range of new activities into the Service including companionship elements.

Opened a new reminiscence based café at Hammerton Court on the Julian Hospital site, for people with dementia and their carers.

Signed up to the Dementia Pledge. With funding from the Norfolk and Suffolk Dementia Alliance,

the Charity had started working on developing dementia friendly communities.

The Chief Executive reported that significant work had been undertaken in order to ensure the future sustainability of the Charity. This work had presented some difficult choices, with the Board having to make the difficult decision to close the day service in Methwold. The Chief Executive paid tribute to the staff who had operated the Methwold Day Service.

The Chief Executive reported that the management team had been scaled back, the IT function had been outsourced and a number of cost saving ideas from staff and volunteers had been implemented. The Chief Executive also noted that no member of staff received a six-figure salary.

The Chief Executive reported that a new Sub-Committee of the Board - the Enterprise and Development Sub-Committee - had been formed and a consultant had provided advice on the integration of the sales and marketing team. The Home support and care Service had developed with the number of hours being provided increasing by 103%. A new Finance and Commercial Director, Ian Carter, had been recruited.

The Chief Executive thanked the corporates who had chosen to support Age UK Norfolk, with several choosing Age UK Norfolk as their Charity of the Year. The Chief Executive said that the donations the charity received were vital and she thanked all donors – individuals, businesses and grant-making trusts.

The Chief Executive concluded by saying that each year she was

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struck by the huge impact that the work of the Charity made on the lives of older people and their carers in Norfolk. She said that the case studies in the Annual Review illustrated the positive impact of the Charity’s work. She thanked the staff and volunteers for their commitment and hard work.

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6.2 Showcase Item: Project Transform – Age UK Norfolk at the forefront of later life: Linda Gill, Development Manager – Advice and Advocacy

Mrs Gill reported that Age UK Norfolk had been approached two years ago by CAF (Charities Aid Foundation) who represented an anonymous donor (Redwing Trust) who wished to fund the organisation through a programme of change to position itself for the future. This was against a background of an increasingly older population, most of whom wanted to remain at home. This was at a time when contract and grant funding was becoming more competitive.

The Redwing Trust had funded the organisation for a period of three years. The funds had been used to:

Support internal re-structuring. Resourcing fundraising. Develop publicity and marketing. Undertake co-production. Link the organisation’s information and advice services with

other services in the County. Make the Charity’s services more accessible to older people. Improve the delivery of the Charity’s services to older people.

Mrs Gill provided a number of examples around development of services such as Money School and Kitchen Kings.

Mrs Gill said that work was taking place to consider the benefits that the funding had brought, particularly for older people. Whilst much had been achieved, she said that there was still much to do, particularly whilst so much change was taking place in health and social care. Mrs Gill reported that it was evident from feedback received via staff and volunteers, that hardship and deprivation still existed amongst the older people in Norfolk.

In conclusion, Mrs Gill thanked the Redwing Trust for its financial support.

The President thanked Mrs Gill and suggested that any questions be put to her over lunch.

The President invited the Chair to speak.

6.3 Tribute to Alan MacKim (former Chairman and Trustee) and Muriel Yarnall (former Vice-Chair and Trustee) by Dr Peter Forster, Chair

The Chair started by paying tribute to Mrs Yarnall, saying that Page 11 of 21

although he had not met her, he understood from those who knew Mrs Yarnall, that she was tenacious. The Chair said that Mrs Yarnall had served on the Board of Trustees of Age Concern Norfolk for six years and was then elected as Vice-Chair for two years. Mrs Yarnall was an Original Subscriber and had served again as a Trustee for two years before retiring. Mrs Yarnall had died in May 2013.

The Chair paid tribute to Mr MacKim who had been co-opted onto the Age Concern Norfolk Board in 2002 before being elected as a Trustee for three years. Mr MacKim had served as Vice-Chair for one year before being elected as Chairman. He had served as Chairman for three and a half years. After retiring as Chairman, he continued to serve on the Board for two more years. Mr MacKim had died in February 2013.

The Chair said that Mr MacKim comported himself with great courage and dignity. He paid tribute to his spirit and great sense of humour.

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6.4 Looking to the Future – Dr Peter Forster, Chair

The Chair reported that looking to the future for the Charity was not an exact science, particularly in the adverse economic climate which was impacting on NCC.

The Chair referred to page 37 of the Annual Review 2012-2013, which showed a total income of £3,096,693. He said that whilst this was an improvement, efforts must continue to ensure savings were made and staff and volunteers worked efficiently.

The Chair said it was vital for the organisation to increase unrestricted income and work on developing income generation included:

Opening a shop in the County. Growing the charity’s social enterprise, the Home support and

care Service. Growing a fundraising team including legacies, communities,

corporates and individual giving.

Income generated would be used to support the Charity’s free of charge services such as its Pabulum cafés.

The Chair reported on plans for the forthcoming year:

On 10 September 2013, the Charity would be launching an information and advice hub at the NNUH.

On 12 September 2013, the Charity would be launching the first Dementia Friendly Community (DFC) in Wymondham. He said he hoped this would be the first of many DFCs in Norfolk.

The Chair said that this work was undertaken whilst working with a large number of partner organisations in both health and social care. This also included the network provided through the NCoA.

Looking to the future, the Chair said that the organisation was fortunate to have Trustees, staff and volunteers of a high calibre and it aimed to continue to attract individuals of the calibre of Mrs Yarnall and Mr MacKim.

The Chair paid tribute to the work of the Board’s three sub-committees (Governance Sub-Committee, Enterprise and Development Sub-Committee and Finance and General Purposes Sub-Committee) and welcomed the four new Trustees who had been recruited recently. He said the organisation was fortunate to have a dedicated Chief Executive and senior management team and thanked them for their hard work.

The Chair concluded by saying that with so many positives, he felt the Charity was right to be optimistic about the future.

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The Chair handed back to the President.

The President invited the Treasurer to propose the adoption of the Annual Report 2012-2013.

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6.5 Adoption of the Annual Report 2012-2013 – Proposed by Andrew Halsey, Treasurer

The Treasurer started by thanking Mr Carter, the finance team and the Charity’s auditors for their hard work in helping to prepare the annual accounts. The Treasurer welcomed Mr Mawson (M&A Partners) to the AGM.

The Treasurer reported that the Annual Review and Annual Accounts 2012-2013 would be available to download from the Charity’s website from 11.00am the following day.

The Treasurer said that the Charity had again been faced with a difficult economic climate with further cuts in public spending and continuing headwinds on pensions.

The Treasurer reminded members that with regard to pensions, he had the previous year highlighted the fact that, despite a significant increase in the Charity’s annual pension payments, there had been a substantial 'Actuarial Loss' on the Charity’s pension scheme where there were a number of members and pensioners in the Norfolk Pension Fund administered by NCC. Despite continuing the higher pension payments, Age UK Norfolk had suffered a further increase in the pension deficit of £146,000 in 2012-2013 as calculated in accordance with accounting standard FRS 17. The Treasurer said that unfortunately this trend was likely to continue whilst interest rates remained at their current very low level.

The Treasurer reported that despite the very challenging conditions, Age UK Norfolk had broadly broken even in the financial year 2012-2013. This was shown on page 10 of the Annual Accounts which showed the ‘Net Movement in Funds’ equating to a small surplus of £519. The Charity’s ‘Net Assets’ were shown on page 11 at £129,394 were little changed from the previous year. He said the results reflected tight cost control, a great emphasis on marketing of services and continuing focus on fundraising.

The Treasurer proposed the adoption of the Annual Report 2012-2013 and this was seconded by Ms Jones and confirmed by members.

7. Proposal for the Appointment of the President of Age UK Norfolk (Paper C)

A paper containing a proposal from the Board of Trustees meeting held on 31 July 2013 to appoint Mrs Millington-Smith as the President of Age UK Norfolk to serve to September 2014, had been circulated prior to the meeting.

As this item related to her, the President handed over the chairing of the meeting to the Chair.

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The Chair put the proposal to the meeting and it agreed by members.

The Chair congratulated Mrs Millington-Smith on her appointment and handed the chairing of the meeting back to her.

Mrs Millington-Smith thanked members for their support.

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8. Appointment of Auditors and the Fixing of Remuneration

The President invited Mr Mawson to say a few words and he thanked Mr Carter and the finance team for their help in undertaking the audit. He also complimented the Charity on the quality of its Annual Review.

The Treasurer proposed that M&A Partners be appointed as the Charity’s auditors and that the fixing of remuneration be delegated to the Board of Trustees. This was seconded by Ms Jones, and confirmed by the meeting.

HM

9. Agreed Proposed Schedule of Dates for NCoA meetings for 2013-2014 (Paper D).

The President handed over to the Chief Executive.

The Chief Executive explained that paper D, which had been circulated prior to the meeting, included dates for four ordinary meetings of the NCoA and the AGM. The proposal was to hold the AGM in the second week of September.

The Chief Executive handed back to the President.

The President invited a proposer, Ms Jones, and a seconder, Mrs J Wilson, and the 2013-2014 meeting schedule was agreed by members.

10. Any Other Business

10.1 Promotional Items

The President announced that a number of items had been left on members’ chairs:

a) A leaflet giving information about the Charity’s Home support and care Service.

b) A leaflet on volunteering for Age UK Norfolk.c) A flier promoting the “I’m Not Dead Yet” art exhibition which

would take place from 07 to 25 October 2013.d) A leaflet giving information on the play being performed by

Phoenix Opera, “Happy As A Sandbag”. Age UK Norfolk would be receiving all the profits from the matinee performance taking place on Saturday 12 October 2013.

e) A leaflet about an online fundraising initiative that Age UK Norfolk was participating in: “The Big Give Christmas Challenge”.

f) A leaflet about the CAP (Carers Agency Partnership) – the service for carers in Norfolk.

g) Literature about ACAN (Age Concern Across Norfolk).h) Spree Books were available to purchase at the reception

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11. Keynote Speaker: Silvia Stefanoni, Interim Chief Executive Officer of HelpAge International: “The global ageing century: challenges and opportunities”.

The President introduced Silvia Stefanoni, the interim Chief Executive Officer of HelpAge International, and invited her to give her speech.

Ms Stefanoni thanked the President for the invitation to speak at today’s AGM and explained that HelpAge International, which was based in London, worked across the world. Its network of supporters included Age UK and Age International. Ms Stefanoni said that the rise in the older population was a global one and it provided challenges and opportunities. Statistics on ageing showed:

• In 2009, the global number of older people passed 700 million. This was projected to be two billion by 2050. Already two-thirds lived in low and middle income countries.

• In the “more developed” regions, over 20% of the population was 60+. By 2050, nearly 33% of the population was projected to be in that age group.

• In the “less developed” regions, older people accounted today for 8% of the population; by 2050 they were expected to account for over 20%.

Ms Stefanoni said the pace of population ageing was fastest in low- and middle-income countries and that the population of older people was itself ageing. Among those aged 60 years or over, the fastest growing population was that of the “oldest-old”, those aged 80 years or over. Overall, Asia had the largest, faster growing older population.

Ms Stefanoni said it was important that work took place to prepare for issues affecting those who lived longer and could be affected by age-related illnesses.

Ms Stefanoni spoke about the priorities for older people in low and middle income countries:

• Many poor people entered old age in poor health – lifetimes of physical labour, poor diet and environments, and multiple pregnancies.

• Health services were rarely “age friendly”, with many physically inaccessible. Health providers sometimes had low levels of relevant knowledge and attitudinal barriers, especially where resource were scarce.

Ms Stefanoni spoke about the epidemiological transition in low-income countries:

• A shift from infectious diseases, poor nutrition and hygiene to chronic diseases.

• The rapid health gains of the 20th century due to new drugs and Page 18 of 21

technologies had been difficult to sustain in low-income countries.

• More limited progress in clean water supply, sanitation and basic education.

• Double burden” in many countries - both communicable and non-communicable disease.

Ms Stefanoni said that in low-income countries, there tended to be a focus on:

• Mother and child health.• Reproductive healthcare and concerns about HIV and AIDS.• Curative services which meant limited services for older

people.• MDGs (Millennium Development Goals) had been very

influential eg combating HIV, AIDS and other infectious diseases (eg TB and malaria).

Ms Stefanoni spoke about the high level of children who have been orphaned in Africa because of their parents dying from HIV and AIDS. Many of them were being brought up by their grandparents.

Ms Stefanoni said that there was a rising demand for care with a rapid growth in the number of the oldest-old, an increase in labour force participation by women and growing migration. In 2010 an estimated 35.6 million people were living with dementia and this was projected to double every 20 years, reaching 115.4 million in 2050.

Ms Stefanoni said that the rising demand for care impacted on long-term chronic illness and the need for long-term care producing stress on older people and their carers as well as producers becoming consumers of care. There was also a loss of productivity within society and the economy.

Ms Stefanoni gave a case study of a 68 year old male living in Cambodia, looking after five grandchildren. He provided the childcare while his wife worked near the Thai border, the only work available. He had continued farming and the children were able to continue going to school.

Ms Stefanoni said that the opportunities provided by the ageing population included:

• The world had never been more able to afford financing solutions.

• Health promotion and disease prevention at all ages.• Accessible and appropriate health and social care.• Social protection – the “social floor”.

Ms Stefanoni reported on work being undertaken by a UN (United Nations) working group to look into legal gaps currently in the Human Rights framework around older people. Three meetings had taken

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place so far to develop a convention for rights for older people.

Ms Stefanoni responded to a number of questions and comments around:

Inter-generational issues. Funding of HelpAge International’s work. Age discrimination within health services. Lack of medicine available for people diagnosed with HIV. The Global Age Index would be published on 01 October 2013

– Sweden was rated the best country to grow old in. The UK was rated 13th.

The President thanked Ms Stefanoni for attending today’s AGM and for her speech, saying that it had been interesting and informative.

The Chair thanked the President for chairing the meeting and presented her with a bouquet of flowers.

The President thanked everyone for attending and said she looked forward to the 2014 AGM.

There being no further business, the President closed the AGM at 12.20pm.

Signed …………………………………………….

Position ……………………………………………

Date ……………………………………………….

Circulation:

NCoA MembersNCoA Non-MembersAge UK Norfolk website

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