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There is extensive empirical literature that has sought to establish the prevalence of, and risk factors for, loneliness and social isolation in later life. Traditional empirical gerontological approaches have characterised loneliness as a linear experience that is both pathological and easily relieved with external intervention. The purpose of this paper is to explore the potential of qualitative interview data to reveal the possible complexities in understanding loneliness, including conceptual considerations for the dynamic and multi-dimensional aspects of loneliness.

The authors draw on two different studies where the purpose was to qualitatively examine the meaning of loneliness in the lives of older people and how they understood loneliness in the context of their daily life (n=37).

Interviews with “lonely” older people revealed that loneliness is a complex and dynamic experience. The authors also identified a range of internal and external factors that contribute to vulnerability for loneliness as well as resources to alleviate it.

The dynamic and multi-dimensional characteristics of loneliness in older people may help explain why community-based interventions to diminish it may be so challenging.

The purpose of this paper is to use theories of institutional logics and institutional entrepreneurship to examine how and why macro-, meso-, and micro-level influences inter-relate in the implementation of integrated transitional care out of hospital in the English National Health Service.

The authors conducted an ethnographic case study of a hospital and surrounding services within a large urban centre in England. Specific methods included qualitative interviews with patients/caregivers, health/social care providers, and organizational leaders; observations of hospital transition planning meetings, community “hub” meetings, and other instances of transition planning; reviews of patient records; and analysis of key policy documents. Analysis was iterative and informed by theory on institutional logics and institutional entrepreneurship.

Organizational leaders at the meso-level of health and social care promoted a partnership logic of integrated care in response to conflicting institutional ideas found within a key macro-level policy enacted in 2003 (The Community Care (Delayed Discharges) Act). Through institutional entrepreneurship at the micro-level, the partnership logic became manifest in the form of relationship work among health and social care providers; they sought to build strong interpersonal relationships to enact more integrated transitional care.

This study has three key implications. First, efforts to promote integrated care should strategically include institutional entrepreneurs at the organizational and clinical levels. Second, integrated care initiatives should emphasize relationship-building among health and social care providers. Finally, theoretical development on institutional logics should further examine the role of interpersonal relationships in facilitating the “spread” of logics between macro-, meso-, and micro-level influences on inter-organizational change.

Loneliness is consistently presumed to be a specific ‘social problem’, which accompanies old age and growing older. Ninety per cent of the general population of Britain feel that loneliness is particularly a problem associated with old age. Data concerning the prevalence of loneliness amongst the population aged 65 and over are provided from a quantitative survey of 999 people across Great Britain using a special module commissioned from the ONS Omnibus survey. The overall self‐reported prevalence of loneliness shows little change in the post‐war period and challenges the stereotype that the problem of loneliness and isolation has become more prevalent. Socio‐demographic and health factors were associated with loneliness but contact with family and friends was not. Both quantitative and qualitative data sets illustrate the importance of loss as a theme underpinning experiences of loneliness. Further analysis of these data offers the potential to develop a better understanding of what loneliness really is, what it means to those who experience it may offer the potential to develop interventions and strategies to ‘protect’ older people from this problem.

Despite the new ‘needs driven’ criteria for public funded admission to nursing homes, there remains concern that older people are entering such care inappropriately. However, neither previous research or policy makers have sub‐divided such inappropriate entries into their constituent groups: those who are inappropriate because they are too independent and those who are inappropriate because they are too dependent. The aims of this study were to determine the extent of inappropriate nursing home admission amongst older people in nursing homes in six areas of England and Wales between 1995‐96. This was done through a retrospective case‐note review using a structured data‐collection pro forma. Although the study found no evidence of extensive inappropriate placement, extrapolation of these data suggests that 6,750 of those admitted to nursing care could have coped in a more independent environment. The inappropriately admitted group were more likely to have lived alone, be female, elderly and not to have seen a geriatrician. It is concluded that the most effective way to prevent such admissions would be to ensure the involvement of specialist geriatricians in the multidisciplinary team involved in admission decisions.

This paper describes a study undertaken to explore how assistive technology in the form of a wrist‐worn device is perceived by older people for whom it has been devised.

The purpose of this paper is to offer some insight into how an individual enters a career as a gerontologist.

The paper is an invited opinion piece and comment based on the author's experience and career choices. It is a brief autobiographical account focused on occupational opportunities and the influence of family commitments.

Career choice can often be a mix of opportunity and chance. Having good colleagues and a supportive research community is the secret to success. Retirement for an active professional brings further opportunities to learn new skills and knowledge.

Personal insights from professionals at the height of their career can help young researchers understand what it means to take opportunities when they arise.

This paper aims to give an overview of the issue of loneliness, an update of issues heard of from across the country, as well as some positive stories and projects being delivered to alleviate loneliness in older age.

This paper describes the current research into loneliness in older age, including related health issues and anecdotal evidence from local groups linking reductions in services with increased levels of loneliness in older age.

Loneliness is a highly subjective emotion that is difficult and complex to measure. However, research has shown that men and women are affected differently. It has been shown to have strong links to health issues such as depression, Alzheimer's and heart disease as well as having been shown to be a bigger risk factor in early mortality than lifelong smoking and obesity.

This paper highlights the first steps being taken by organisations working, under the umbrella of a recently launched Campaign to End Loneliness, towards further reducing loneliness in older age.

The Engineering and Physical Sciences Research Council (EPSRC) extending quality life (EQUAL) initiative, specifically supports interdisciplinary user‐focused design, engineering and technology research concerned with enhancing the independence and quality of life of older and disabled people.As well as establishing a new UK community of researchers and a new scientific approach to ageing research the initiative has successfully contributed across a broad front to policy and practice. In a short time it has provided a much‐improved understanding of the potential contribution of new approaches to design, engineering and technology to enhancing the lives of older people and has engendered confidence in the potential of this type of ageing research.