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This article looks at the importance of community‐based organisations in delivering culturally sensitive services, and how the pressures of efficiency may challenge this approach and the viability of small providers. It explores some ways in which providers and commissioners are trying to meet this challenge. It examines the developing local government framework in providing a way forward.

Ageing populations are national and global phenomena. These older residents are likely to be among the most disadvantaged nationally and in comparison with younger neighbours. The benefits of active ageing are attracting attention from policy makers globally, as it is increasingly recognised that age‐friendly cities encourage active ageing. Resources to sustain active ageing are becoming scarce. Older people's health, social activity, needs, aspirations and the barriers to realising them are at the centre of this investigation. The purpose of this paper is to explore inclusion and exclusion within some of England's most deprived areas.

Between 2002‐2007, over 600 older Liverpool people, key informants and policy makers in five of Liverpool's poorest electoral wards were consulted via semi‐structured questionnaires, key informant interviews and focus groups about their needs and aspirations.

Barriers to active ageing arose primarily from participants' poverty, ill‐health and deprivation, poor neighbourhoods, ageism, and insecure, gendered, racialised and sectarian space.

This in‐depth investigation into active ageing consulted over 600 older people in some of Liverpool's poorest neighbourhoods. In disseminating knowledge of Liverpool's situation, the paper adds significantly to knowledge around the severe challenges to active ageing in localities characterised by multiple deprivation.