Age without limits: South east London’s vision for ageing well
South east London (SEL) is taking bold steps to transform how we support older residents to live healthier, more connected lives. The SEL Ageing Well Framework is a system-wide initiative designed to promote independence, improve care, and celebrate ageing as a positive stage of life.
A shared vision for ageing well
Over 170 colleagues from across SEL, including health, care, voluntary sector, and community organisations, came together to shape this framework. Their work builds on successful local initiatives and aims to create a consistent offer across the region, while considering the unique needs of each borough. Residents voiced their needs through workshops and engagement. Older people told us they want to feel respected, listened to, and supported, not just medically, but in their everyday lives. They want to stay independent, connected, and valued. Carers also voiced their need for more flexible support and respite.
The framework focuses on people aged 65 and over, including those living with mild, moderate, or severe frailty. However, it is recognised that many elements included in the framework apply to younger people showing earlier signs of ageing or frailty. Crucially, it aims to go beyond healthcare, addressing wider determinants such as social isolation, age-friendly communities, and support for unpaid carers.
Why ageing well matters in SEL
The case for change is clear:
- 61% of non-elective hospital beds are occupied by people aged 65+, costing over £250 million in 2023/24.
- 12% of admissions are potentially avoidable with better community care.
- Half of frail patients stay in hospital for over 21 days, increasing the risk of hospital-acquired disability.
- SEL sees higher admission costs and A&E attendance rates for older people compared to the national average.
- By 2028, the over-65 population in SEL is expected to grow by 18%, which is likely to increase demand.
About the framework
At the heart of the framework are three interconnected zones, each designed to support people at different stages of ageing and frailty:
- Zone 1: Promoting Independence and Wellbeing – supporting people to stay active, socially engaged, and independent.
- Zone 2: Proactive Community Care via Integrated Neighbourhood Teams – early identification of frailty and coordinated community-based care.
- Zone 3: Holistic and Person-Centred Urgent Response and Intermediate Care Responsive – neighbourhood-based urgent care and hospital services tailored to frailty.
Each zone includes principles for mental health, dementia, delirium, and end-of-life care. A visual diagram summarises the framework.
Work is now underway to develop local road maps for implementation and delivery. Together, we’re building a future where residents are empowered to remain independent, are connected and valued.