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UK policy seeks to shift commissioning of services ‘closer to the people’ with a view to establishing shared visions of local care services grounded in the opinions and priorities of the public. The participation of older people with mental health problems and their carers in the strategic planning process has been patchy, however. This article compares practitioner and public perspectives of the services that should be provided for older people with mental health problems in an area of North West England. Significant differences were found in the services the various stakeholder groups prioritised for development, and in their views on how they should be organised. The implications for commissioning are discussed.

This paper describes a study that explored older people's views and priorities on what made for quality in home care services, ways of accessing these and enabling them to become part of mainstream service monitoring. It took place in a city in the north of England, in 2000. The research was funded by the Joseph Rowntree Foundation. Older people's definitions of a quality home care service go outside the service boundaries that are set by social service departments who define the quality specifications for home care services and commission them. Older people had a joined‐up perspective of what contributes to quality in a home care service including, for example, in their definitions of a quality service: access to transport to get out of the house, aids, adaptations and health care. They emphasised the importance of domestic help, which has been reported in other studies. To obtain information on their definitions of a quality service older people were offered the choice of a home‐based interview or participation in a focus group. Following the collection of the data on quality a round table discussion was arranged. The purpose of this was to explore how older people's views on the quality of home care services could become part of routine monitoring, to shape further development and assist in commissioning. Older people who had participated in the first part of the study were invited to attend this, as were local commissioners, service providers and elected members with executive responsibility for older people's services. The recommendations of this round table are discussed.

This article is the first of a series on older people's mental health services (OPMH Focus 2008‐09). It sets out some of the challenges facing commissioners, and uses recommendations from a recent inquiry to outline possible commissioning objectives.

Bus use in later life tends to increase, especially in countries where there is cheaper or free travel on buses for older people. That said, there are still many barriers to bus use. The most major barrier for older people is feeling unsafe on the bus, especially at night. Accessibility issues are also important, with concerns for step-free access and getting a seat. A bus driver driving off before the older person has sat down is another major concern for older people. The presence of a friendly helpful, understanding bus driver is seen as a huge benefit for older people. Training to support bus drivers in providing an age friendly service are therefore highly recommended. In many countries, public transport is supplemented by community transport offering a door-to-door on demand facility to help older people stay mobile where there is a lack of accessible public buses. There are real advantages for older people using such buses, especially creating a safe environment taking older people to important places, such as hospitals or shops. Such services can be supplemented by journeys for days out and these are very popular with users. Older people aren’t large users of railway services. Barriers include concerns over getting a seat, worry about what happens if connections are missed and services are disrupted. Older people are more likely to want staff to help them complete their journey and emphasise the need for seats, cleanliness and facilities over journey length and cost.

The life expectancy of people with learning disabilities has increased substantially. Services for older people with learning disabilities are provided by various sectors and practitioners (generic health and social care, or specialist learning disability or old age). The literature suggests that practitioners do not feel well‐equipped to support people with learning disabilities as they grow older, and older people's services do not always have the opportunity to share experiences and skills. This paper highlights areas such as dementia support, where the intersection between services is not clear, and explores what might help practitioners to meet the needs of people with learning disabilities as they grow older.

The importance of providing clear, relevant information and advice for older people has been recognised by health care professionals, politicians and policy makers. Key policies (Better Government for Older People, 1998; Better Care Higher Standards, 2000; National Service Framework for Older People, 2001) have restated the importance of such provision specifically in relation to older people. A literature search and an examination of local authority websites were key sources of information for the study designed to explore the elements of guidelines for good practice. In addition we examined the websites of three major providers of information and advice for older people. Older people's views as to what constitutes good quality information and advice were explored in three focus groups. These four sources of data are the basis for the findings reported in this paper. This paper reports the limitations in the existing provision of information and advice for older people. Key features emerging from the research were that the involvement of older people in every stage of the process of design, production, dissemination and monitoring of information and advice was necessary. Older people valued face‐to‐face contact in the provision of information and advice.

The purpose of this paper is to explore current provision of targeted social care services for the growing populations of Black and Minority Ethnic (BAME) older people in England and Wales.

This was a mixed study. Following a review of the policy and research literature, 12 semi-structured interviews were undertaken in 2013/2014. Most participants were recruited from BAME policy and service provider organisations and organisations focusing on older people.

There is some evidence that BAME voluntary organisations are experiencing disproportionately greater funding cuts than mainstream voluntary service providers: moreover some mainstream providers reported reducing services targeted at BAME older people, while others expressed the view that choices for BAME older people are likely to become more limited following recent health and equalities policy changes.

Practitioners should contribute to data collection about protected characteristics, such as race/ethnicity to establish if BAME older people’s needs are being assessed equitably, whether access to care and support is easy; and how market-shaping at local levels can ensure a range of providers.

This study provides an overview of voluntary sector provision for the growing numbers of BAME older people in need of care and support that should be useful to practitioners and service commissioners.

Domestic abuse continues to be largely hidden phenomenon. For older survivors this invisibility is further compounded by conceptual confusion surrounding domestic abuse and other forms of family violence. The purpose of this paper is to explore service responses to abuse among older people from across a range of sectors. Where possible the perspectives of older people themselves were explored.

A mixed methods approach incorporating postal questionnaires and semi-structured telephone interviews. Agencies and organizations from both the statutory and voluntary sector who provided specific domestic abuse support services or general services and support for older people (aged 59 years and over) and older people, either as survivors of abuse or with an interest in the development of services for older people within one region of the UK were invited to take part in the project. In total, 18 individuals from a range of agencies and three older women survivors agreed to take part in the study.

The findings highlighted three main themes, first, lack of conceptual clarity between domestic abuse and elder abuse, second, complexity of family dynamics and abusive relationships, and third, deficit in dedicated service provision for older survivors. The findings are discussed within the context of the existing literature and key recommendations include wider recognition of the significance of inter-professional education, training and working practices.

This paper identifies the complexities and challenges that continue to face organizations in terms of recognition and provision of services for older survivors of abuse.