Ageing Well without family

This Healthwatch Lancashire report explores the experiences, concerns and priorities of people ageing without local family support. The research was prompted by public feedback and aimed to understand the challenges faced by individuals who do not have children nearby, close relatives, or other family members able to provide support as they get older. The study involved an online survey completed by 35 people and engagement with 60 individuals across Lancashire through interviews, focus groups and community events. 

The report found that the most important aspect of ageing well for participants was maintaining their independence. Nearly half of survey respondents (48%) described independence as a key priority, including being able to remain active, manage daily life, stay involved in their communities and avoid becoming a burden on others. A very large majority (97%) said they would prefer to remain in their own home rather than move into a care home, although some recognised that adaptations may be needed to make their homes suitable as they age. 

Three main themes emerged from the research: staying healthy, maintaining independence and financial security. Concerns about health were the most common, with 60% of respondents expressing worries about declining health, mobility, memory loss or developing long-term conditions. Many participants linked good health with their ability to remain independent and continue participating in community life.

Financial concerns were also significant, affecting 40% of respondents. Participants worried about the rising cost of living, retirement income, affordability of care services and care homes, and the cost of travelling to healthcare appointments. Several people expressed doubts about whether they would be able to afford appropriate care in later life. 

The report found mixed levels of confidence in navigating health and social care services. While 60% felt confident they could choose appropriate care if needed, many others said they would not know where to start. Barriers included changing eligibility criteria, the high cost of care, lack of information and difficulties obtaining advice from professionals. 

Research participants also highlighted concerns about future planning and legal arrangements. Around half had a Next of Kin or Power of Attorney in place, but many did not because they lacked someone they trusted or could nominate. This was identified as a particular challenge for people ageing without family support. 

Technology was another issue. Although just over half of respondents felt confident using digital tools or had someone to help them, many worried that increasing reliance on apps and online systems would make it harder for older people to access healthcare and other services. Some participants felt that digital-only approaches excluded those with limited technology skills. 

The report also highlighted concerns about loneliness, social isolation and dissatisfaction with some services. Case studies described experiences of struggling to find meaningful support, difficulties accessing GP appointments, poor continuity of care and frustration with services that only signpost rather than provide practical help. 

Healthwatch Lancashire concludes that people ageing without family face both practical and emotional challenges. While many are taking steps to prepare for later life, gaps remain in support, information, future planning and access to services. The report recommends greater support for social connections, non-digital access routes, improved local services, better awareness of Powers of Attorney and wills, stronger neighbourhood-based support and initiatives that help people remain independent at home for longer.

In response, Lancashire and South Cumbria Integrated Care Board welcomed the findings and said they align with its plans to develop neighbourhood-based care, support people to age well at home, strengthen community and voluntary sector involvement, and reduce loneliness through local initiatives and frailty improvement programmes