Towards a More Age Friendly Galway City

Towards a more Age-friendly Galway City

A report on the views of older people on Galway as an age-friendly city

Evelyn Fanning, Lisa Corbett and Eileen Holland

Health Promotion Services HSE West, Galway

Table of Contents Page Acknowledgements i Executive Summary ii Introduction 1 Methodology 3 Results 5 A. Outdoor Spaces and Buildings 6 B. Transport 8 C. Housing 12 D. Social Participation 14 E. Respect and Social inclusion 16 F. Civic Participation and Employment 18 G. Communication and Information 20 H. Community Support and Health Services 22

Discussion and Recommendations 24

Conclusion 58

Next Steps 58

References and Bibliography 60

Appendix Checklist of Essential Features of Age-Friendly Cities 61

Acknowledgments

The Galway Healthy Cities Project1 wish to express their gratitude to all those who helped in any way with this research project.

In particular the group would like to thank:

- The ninety five older people who shared their views on their experience of Galway as an age-friendly city

- The organisations, agencies and individuals who disseminated information and promoted participation in the research particularly the Active Retirement Associations, Galway Contact, Knocknacarra Day Centre,

- Eithne Conway Mc Gee and Evelyn Moran members of Galway Healthy Cities Forum

- The staff of Health Promotion HSE West for leading on the project and assisting in putting the report together

1 Galway Healthy Cities project is a partnership initiative working to improve the health and wellbeing of people living and working in Galway City. It is part of the World Health Organization European Healthy Cities programme which is a formal network of nearly 80 cities that are committed to improve health and tackle inequalities. Its role is to test new approaches to improving health, develop and encourage joined up working between organisations and share experiences across Europe. It is led by Health Promotion Services HSE West and overseen by the Galway Healthy Cities Forum a multi agency group which includes: the Community Forum, HSE West, City of Galway VEC, An Garda Siobhan, GMIT, NUIG, Galway University Hospital, Galway City Council, Trade Union Sector and Galway Chamber. The Healthy Cities Forum is part of the Galway City Development Board. www.galwayhealthycities.ie

i Executive Summary

In our fast ageing world, older people are increasingly playing a crucial role through their participation in paid employment, voluntary work, transmitting their experience and knowledge, helping their families with caring responsibilities and in carrying out informal work in organisations and associations.

The World Health Organization (WHO) estimate that by 2025 about one-third of Europe’s population will be aged 60 years and over and there will be a particularly rapid increase in the number of people aged 80 years and older. Strategies to meet this challenge must be developed. Promoting good health and active societal participation among the older citizens will be crucial in these strategies.

Irish society has changed significantly and become more prosperous in recent years. Older people’s circumstances have changed too and they have shared, to varying degrees, in the prosperity. However, our society still has some serious questions to answer about the place it accords to its oldest citizens and how this place is determined. Like other countries around the world, we must face up to the ageing of our population and identify the strategies we need to adopt and the provisions we must make to create an age friendly society, both now and in the future.

The Galway Healthy Cities Forum has been working on the theme of Healthy Ageing as part of its involvement with the World Health Organizations Healthy Cities Programme. Towards the end of 2008 Galway Healthy Cities Forum invited older people to give their views on the strengths and weaknesses of Galway City using the WHO’s Age-Friendly checklist to identify where and how Galway city can become more age-friendly. This report is the voice of older people in Galway city who took part in that research. It identifies suggestions for change across the eight key areas identified by the World Health Organization as follows

A. Outdoor Spaces Older people in Galway City are concerned about many issues relating to outdoor spaces and buildings. Pavements are a major issue of concern as older people face problems with cars and bicycles parked on pavement. Cycling in pedestrian areas posed a particular problem as older people feared that they will be knocked down. In addition almost 3 out of 4 older people (73%) felt that pavements weren’t non slip, or wide enough and didn’t have

ii dropped kerb to road level. The lack of public seating was also a concern as some older people mentioned that they like to sit down at frequent intervals. In addition 69% felt that there were insufficient public toilet facilities available.

B. Transport Transport issues were a major concern for older people. Half of all respondents feel that taxis are not accessible or affordable and that drivers are discourteous and unhelpful. The lack of disability parking and insufficient disability access transport was a common concern. Over half of respondents (60%) felt that the traffic flow in Galway is poorly regulated. Older people highlighted their dissatisfaction with the lack of transport services in some instances, the unreliability of the service and the lack of seating and shelter at bus stops. Safety concerns were also mentioned. The vast majority of bus drivers stop beside kerb to facilitate boarding and wait for passengers to be seated. However a quarter of older people highlighted concerns in this area and cited examples relating to bus drivers not waiting for people to be seated, or fail to stop despite bell being pressed or don’t pull in fully to path. Parking and road works also caused obstruction to older people.

C. Housing The cost relating to maintenance of homes was a concern for older people coupled with the difficulty of finding suitable trades people. There was dissatisfaction with the level of social and sheltered housing available for older people. Almost half of participants (49%) felt that insufficient affordable housing for older people with a disability is provided locally. 42% felt there is insufficient affordable housing in safe areas close to services and community venues.

D. Social Participation Almost 2 out of 3 older people agreed that gatherings including older people are held in various local community places. Over half (58%) agree that events are held at times convenient for older people. However there are also many issues of concern in relation to social participation including the lack of affordable and accessible community facilities for older people to meet. A difficulty in accessing information on events, activities and services was also highlighted. Whilst 70% agreed that activities and events can be attended alone or with a companion, loneliness and isolation is an ongoing problem

iii that needs addressing. The need for a more varied range of activities was recommended.

E: Respect and social inclusion Older people report experiencing conflicting types of behaviour and attitudes towards them. On the one hand, some older people in Galway felt they are usually respected, recognised and included, while on the other, many experience lack of consideration in the community, in services and in the family. Almost ¾ of all respondents (74%) felt that older people in Galway were not consulted by public, voluntary and commercial services on how to serve them better, however almost two thirds (65%) felt that service staff were helpful and courteous. The extent to which older people participate in the social, civic and economic life of the city is also closely linked to their experience of inclusion. In Galway city 61% of older people feel that they are not recognised by the community for their past or present contributions and 62% felt that there is a lack of community events that attract all generations by accommodating age specific needs and preferences.

F: Civic Participation & Employment An age-friendly community provides options for older people to continue to contribute to their communities, through paid employment or voluntary work if they so choose, and to be engaged in the political process. However four out of every five of the older people who took part in this research felt that appropriate paid working opportunities for older people are not promoted in Galway and 42% were of the opinion that decision making bodies do not encourage and facilitate membership of older people. Almost a third (31%) of respondents believe that there is a lack of post retirement training opportunities for older people in Galway. Many respondents commented on the ongoing problem of ageism in the city.

G: Communication & Information Staying connected with events and people and getting timely, practical information to manage life and meet personal needs is vital for healthy ageing. Even though 63% of older people agreed that services provide friendly, person-to-person service on request, respondents expressed a fear of missing information and of being left out of the mainstream. Many older people (45%) are worried about those at risk of social isolation and whether they get information from trusted individuals. The main concern expressed by respondents is the availability of information that is readily accessible to older

iv people with varying capacities and resources. Seven out of every ten older people (69%) said that printed information didn’t have large lettering and with clear headings. Almost 2/3 of all respondents (65%) felt that telephone answering services give instructions too quickly and do not tell callers how to repeat the message.

H: Health and Community Health and support services are vital to maintaining health and independence in the community. Many of the concerns raised by older people in this study deal with the availability of sufficient good quality, appropriate and accessible care. In Galway, a basic shortage of necessary services and supports in the community was reported by 30% of respondents, with comments being made on waiting lists, queues at A&E and poor dissemination of information regarding services. However, 62% of respondents agreed that the health and social services that are available are conveniently located and accessible. Communication was an issue again in this section with many commenting on their lack of knowledge regarding the services that are available to them and 29% of respondents had difficulty with the administration of services and commented on the number of and type of forms that need to be completed to receive a service.

Moving Forward An age-friendly city maximises the potential of older people as a resource for their families, communities and economies. The WHO checklist highlights several factors that alone and together affect the quality of life of older people. In Galway City, older people have identified their issues, concerns and recommendations. This clearly shows that changing one aspect of a city can have a positive impact on another and the life of older people.

This report is relevant to all sectors. It provides a useful starting point for moving forward. However, it is important to acknowledge what is already there and how that can be built on. Older people have provided guidance on how services and agencies can be more age - friendly and see themselves from the perspective of older people. Collaboration and the support of key structures such as the Galway City Development Board is imperative in moving forward with this agenda. The development of an age-friendly network and the involvement of older people as equal partners is essential to advocate and advise on actions. An age friendly Galway City serves as one of the most effective approaches to maintaining quality of life and prosperity in an increasing older and more urban world.

v Introduction

A World Health Organization Healthy Life Survey (WHO 2001) on healthy ageing revealed that Ireland was ranked 22nd for males and 23rd for females out of a total of 23 countries surveyed.

Healthy ageing has been defined as ‘the process of optimising opportunities for physical, social and mental health to enable older people to take an active part in society without discrimination and to enjoy an independent and good quality of life’

The Galway Healthy Cities Forum has been working on the theme of Healthy Ageing as part of its involvement with the World Health Organizations Healthy Cities Programme. Through this, the group became aware of an Age- Friendly checklist developed by the World Health Organization (WHO) to help Cities to become more age friendly.

This checklist focuses on eight key areas which include: 1. Outdoor spaces and buildings 2. Transportation 3. Housing 4. Social participation 5. Respect and social inclusion 6. Civic participation and employment 7. Communication and information 8. Community support and health services

Towards the end of 2008 Galway Healthy Cities Forum invited older people to give their views on the strengths and weaknesses of Galway City in relation to this checklist and identify where and how Galway city can become more age-friendly. This report is the voice of ninety five older people in Galway city who took part in that research. It identifies suggestions for change across the eight key areas identified by the World Health Organization.

The aim of the research was to a. Identify the strengths and weaknesses of Galway City in relation to an age friendly checklist developed by the World Health Organization. b. Identify where and how Galway city can become more age-friendly.

1 This report is intended for state agencies, politicians, key decision makers in the city, as well as groups and individuals interested in making Galway City more age-friendly. It provides direction to agencies in Galway City and builds on the “Healthy Cities” approach which recognises that the issues which affect people’s health and wellbeing are not just the responsibility of health providers and professionals, as each agency has a role to play.

This research compliments and builds on the findings of other research undertaken by the Healthy Cities project1. It identifies suggestions for change across the eight key areas identified by the World Health Organization

In order for Galway city to become more age-friendly the whole community needs to be involved including older people. Partnership working is needed and a commitment to address the issues outlined in this report. An age friendly-city benefits people of all ages.

1 Galway Healthy Cities Project: Galway City Health & Wellbeing Survey (2009); Developing Actions & Priorities to enhance Health and Quality of Life for people in Galway City (2007); Healthy Ageing Conference Report and Action Plan(2006)

2 Methodology

The Checklist This checklist used for this study (see appendix 1) was one which was developed by the World Health Organization outlining the essential features of an age friendly city.

This tool enables a city to assess itself on a range of age friendly features which include • Outdoor spaces and buildings • Transportation • Housing • Social participation • Respect and social inclusion • Civic participation and employment • Communication and information and • Community support and health services

Respondents were asked to tick one answer regarding each of the checklist statements. An opportunity was also given to include relevant examples. See excerpt from checklist below.

A. Outdoor spaces and buildings Please tick one box for each question

A1. Public areas are clean and pleasant.

Strongly Neither Strongly Agree Disagree Agree agree/disagree Disagree

Please give examples if possible based on your selection ______

The sample population Older people and groups/organisations representing older people were invited to give their views on the strengths and weaknesses of Galway City in relation to this age friendly checklist.

This invitation was circulated to the population of Galway City using the following mediums;

• Galway Healthy Cities Forum scheduled a meeting during Positive Ageing Week 2008. An invitation letter was posted to relevant groups and individuals in Galway city to attend this meeting, where the checklist was discussed and circulated • An invitation to take part this research was published in a number of local newspapers • All information regarding this meeting was available on the Galway Healthy Cities website www.galwayhealthycities.ie

Organisations working with older people were asked to bring the checklist to the attention of any older people who they are in contact with and encourage or assist them where necessary with its completion.

Analysis All Checklist responses were coded, input and analysed. Frequencies and percentages were obtained.

4 Results

A total of 71 completed checklist questionnaires were returned. One of these represented a group response from 25 older people.

The overall strengths, weaknesses and recommendations for each category are outlined in the discussion section of this report. Recommendations reflect in part the suggestions of participants and the author’s interpretation.

The following is a breakdown of the results and the issues most frequently highlighted by older people in Galway in relation to each of the eight “age friendly” categories.

5 * The bold coloured % represents the highest % response to each statement A. Outdoor spaces in Galway city Respondents were asked to tick one answer regarding each of the checklist statements No. of Strongly Strongly Checklist statement Agree Neither Disagree replies Agree Disagree

1. Public areas clean & pleasant 66 6% *50% 15% 21% 8% 2. Green spaces & outdoor seating are sufficient in number, well 66 1% 32% 11% 47% 9% maintained and safe 3. Pavements are well maintained, free of obstruction and reserved 92 1% 43% 4% 39% 13% for pedestrians 4. Pavements are non-slip, wide enough for wheelchairs and have 89 0% 19% 8% 63% 10% dropped curbs to road level 5. Pedestrian crossings sufficient in number, and safe for people with different levels and types of disability with non slip 88 0% 52% 6% 35% 7% markings, visual and audio cues and adequate crossing times

6. Drivers give way to pedestrians 81 1% 68% 9% 17% 5% 7. Cycle paths are separate from pavements and other pedestrian 57 0% 19% 7% 51% 23% walkways 8. Outdoor safety is promoted by good street lighting, police 83 0% 48% 10% 32% 10% patrols and community education

9. Services are situated together and are accessible 72 0% 57% 12% 24% 7% 10. Special customer service arrangements are provided such as 80 4% 4% 6% 65% 21% separate cues or service counters for older people 11. Buildings are well signed outside and inside with sufficient heating and toilets, accessible elevators, ramps, railings, stairs 57 7% 23% 23% 30% 17% and non slip floors 12. Public toilets outdoors and indoors are sufficient in number, 57 0% 17% 16% 42% 25% clean, well maintained and accessible 6 A. Outdoor Spaces - Issues most frequently highlighted

No. of times Issue Comments mentioned Pavements 90 • Cars parked on pavements • Slippery with no grip • Broken/uneven pavements • Not wide enough • Not enough dropped kerbs • Wheelchair access issues • Bicycles parked or cycling on pavements • Not enough white lines • Seating /display boards obstructing • Too narrow Bicycles 32 • Cycling in pedestrian areas • Tied to poles • Not enough cycle paths • Not enough cycle racks Seating 32 • Not enough seating • Poor quality and damaged seating Toilets 32 • Too few toilets Pedestrian 29 • Motorists not waiting for pedestrians to cross crossings • Not enough pedestrian crossings • Not enough time for pedestrians to cross • Audio and visual cues lacking • Slippery Safety 24 • Garda patrols lacking Green 19 • Not enough green spaces Spaces • Dirty and not maintained • Loitering Litter 7 • Not enough litter bins Lighting 7 • Not enough lighting

7 B. Transport in Galway city Respondents were asked to tick one answer regarding each of the checklist statements No. of Strongly Strongly Checklist statement Agree Neither Disagree replies Agree Disagree 1. Public transport costs are consistent, clearly displayed and 48 6% 46% 27% 17% 4% affordable 2. Public transportation is reliable and frequent including at night, 52 4% 29% 25% 31% 11% at weekends and on holidays 3. All city areas and services are accessible by public transport 73 3% 22% 11% 56% 8% with good connections and well marked routes and vehicles 4. Vehicles are clean, well maintained, accessible, not 51 4% 41% 12% 37% 6% overcrowded and have priority seating that is respected

5. Specialised transportation is available for disabled people 46 0% 20% 39% 26% 15% 6. Drivers stop at designated stops and beside kerb to facilitate 76 3% 70% 1% 18% 8% boarding and wait for passengers to be seated before driving off 7. Transport stops and stations are conveniently located, accessible, safe, clean, well lit and well marked with adequate 78 4% 28% 9% 21% 38% seating and shelter 8. Complete and accessible information is provided to users about 78 35% 22% 18% 23% 2% routes, schedules, special needs and facilities 9. A voluntary transport service is available where public transport 49 0% 16% 27% 39% 18% is too limited 10. Taxis are accessible and affordable and drivers are courteous 80 5% 26% 11% 50% 8% and helpful

8 B. Transport contd. Respondents were asked to tick one answer regarding each of the checklist statements

No. of Strongly Strongly Checklist statement Agree Neither Disagree replies Agree Disagree 11. Roads are well maintained with covered drains and good 56 0% 20% 17% 43% 20% lighting

12. Traffic flow is well regulated 76 3% 12% 3% 60% 22%

13. Roads ways are free of obstructions that block drivers vision 74 4% 20% 41% 24% 11%

14. Traffic signs and intersections are visible and well placed 50 6% 42% 30% 14% 8% 15. Driver education and refresher courses are promoted for all 47 0% 21% 30% 34% 15% drivers 16. Parking and drop off areas are safe sufficient in number and 50 2% 20% 18% 40% 20% conveniently located 17. Priority parking and drop off spots for people with special 49 0% 29% 27% 22% 22% needs are available and respected

9 B. Transport - Issues most frequently highlighted

No. times Issue Comments mentioned Accessibility 70 • Need more disability parking spaces and drop • Priority seating not always respected off points • Need to drop the steps on buses • Insufficient disability access transport Service 49 • Insufficient evening, weekend and bank • Should have some minibuses holiday service • Litter on bus • Need more routes e.g. to post office Tuam road, • Bus station is chaotic and unsafe Ballybane day hospital • Unreliable service Roads + signs 43 • Parking causes obstructions • Road works causing obstructions • Larger and higher signs would be helpful • Road signs too close together • Bushes and walls block drivers vision • Intersections badly placed Traffic flow 40 • Need traffic core to help with traffic flow • Need more bus lanes • Traffic very busy and fast • Need cycle lanes • City outer bypass • Road system should be changed Road 31 • Poor drainage, water on road, path and potholes • Inadequate lighting maintenance • Foot path badly maintained • Roadworks - ongoing Shelters/ 30 • Need more seating and shelter at stops • Bus shelter often broken seating at stop • More seating at bus/rail station

B. Transport - Issues most frequently highlighted

No. times Issue Comments mentioned Transport Cost 23 • Taxis are expensive • No reduction for return ticket on bus • Voluntary bus available Transport Staff 21 • Bus drivers don’t wait for people to be seated • Taxi drivers don’t help with luggage / • Drivers don’t stop despite bell being pressed or inconsiderate of needs of older people pull in fully to path Timetables 19 • Bigger print on timetables needed • No route maps at stops • More detail of times of intermediate stops • Public not made aware of timetable needed changes • Timetables are rarely at stops • Timetable too high up to read Accessibility 70 • Need more disability parking spaces and drop • Priority seating not always respected off points • Need to drop the steps on buses • Insufficient disability access transport

11 C. Housing in Galway city

Respondents were asked to tick one answer regarding each of the checklist statements

No. of Strongly Strongly Checklist statement Agree Neither Disagree replies Agree Disagree 1. Sufficient, affordable housing is available in areas that are safe 49 0% 27% 31% 30% 12% and close to services and the rest of the community. 2. Sufficient and affordable home maintenance and support 51 3% 29% 29% 29% 10% services are available. 3. Housing is well constructed and provides safe and comfortable 77 1% 32% 57% 9% 1% shelter from the weather. 4. Interior spaces and level surfaces allow freedom of movement in 48 4% 48% 33% 13% 2% all rooms and passageways. 5. Home modification options and supplies are available and 77 3% 16% 17% 54% 10% affordable, and providers understand the needs of older people. 6. Public and commercial rental housing is clean, well maintained 74 1% 53% 23% 22% 1% and safe. 7. Sufficient and affordable housing for frail and disabled older 55 0% 18% 31% 22% 29% people, with appropriate services, is provided locally.

12 C. Housing - Issues most frequently highlighted

No. times Issue Comments mentioned Maintenance 19 • Modification costs too expensive • No regulation on maintenance • Maintenance slow and no support charges • Old houses need constant repair • Scheme of affordable home maintenance for the elderly Rented 17 • Poor standards in private rented • HSE or City Council to inspect Accommodation accommodation accommodation • Regularise prices for rented • Make private houses rental public accommodation • Inspection needed of rental premises Long waiting Lists 17 • People with disabilities • Have shorter times for older • Housing grants people on waiting lists

Insufficient Social 14 • Insufficient social housing • Not enough housing available Housing • Insufficient social housing for the • Houses too expensive elderly Lack of Sheltered 12 • Lack of sheltered housing with • Provision of sheltered housing Housing caretaker, restaurant and washing schemes as in other areas facilities • Shelter for the needy Disabled Friendly 10 • Disability awareness training needed • Housing should be constructed for all taking into account we may all • Services for disabled people need disability services one day Suitable 8 • Hard to find suitable tradesmen • Conmen doing home renovations Tradesmen • Tradesmen expensive

D. Social Participation in Galway city

Respondents were asked to tick one answer regarding each of the checklist statements No. of Strongly Strongly Checklist statement Agree Neither Disagree replies Agree Disagree 1. Venues for events and activities are conveniently located, 56 4% 50% 19% 23% 4% accessible, well lit and easily reached by public transport 2. Events are held at times convenient for older people 56 4% 54% 21% 16% 5%

3. Activities and events can be attended alone or with a companion 57 2% 68% 16% 12% 2% 4. Activities and attractions are affordable with no hidden or 83 3% 39% 49% 6% 3% additional participation costs 5. Good information about activities and events is provided including details about accessibility of facilities and 81 3% 26% 49% 18% 4% transportation option for older people 6. A wide variety of activities is offered to appeal to a diverse 83 34% 25% 17% 20% 4% population of older people 7. Gatherings including older people are held in various local community spots such as recreation centres, schools, libraries, 57 5% 60% 10% 23% 2% community centres and parks 8. There is consistent outreach to include people at risk of social 83 1% 27% 13% 22% 37% isolation

14 D. Social Participation in Galway city - Issues most frequently highlighted

No. times Issue Comments mentioned Venues 10 • Lack of community centres and places • Expensive for older people to meet • Keep disability toilets and baby changing • Inaccessible e.g. hospital and town hall facilities separate • Poorly lit Information 9 • Events poorly advertised, need greater • Lack of information about venues and publicity transport • Lack of information about services • Information difficult to access for activities and events Activities for 8 • Have activities in the afternoon and • Events too expensive older people during holidays • More ideas e.g. Get to know a gran/grandad • Organise outdoor activities with indoor • Organise more gentle physical activities back up • More opportunities for older people to use • More inclusion in social events and their skills and knowledge outlets • More variety of activities for older people Transport 7 • More frequent public transport to and • Lack of benches at bus stops from City • Difficult to park • Lack of public transport for functions • Buses finish at 11.30 need more public • Lack of public transport especially to transport at night town hall and hospital • Taxis are expensive Loneliness & 6 • Many older people lonely and living • Greater liaison between Gardai, HSE, active isolation alone in isolation retired groups and carers • More outreach needed for those who are • More HSE community services like housebound and isolated Community Nurses to rule out social • Social need to visit people identified by isolation HSE • More unemployed visiting older people and doing odd jobs for them Times of events 5 • More day time activities • Some activities always on at night e.g. bingo Safety 2 • Not safe to travel alone 15

E. Respect and social inclusion in Galway city Respondents were asked to tick one answer regarding each of the checklist statements No. of Strongly Strongly Checklist statement Agree Neither Disagree replies Agree Disagree 1. Older people regularly consulted by public, voluntary and 72 1% 15% 10% 31% 43% commercial services on how to serve them better 2. Services and products to suit varying needs and preferences 71 0% 18% 58% 21% 3% are provided by public and commercial services

3. Service staff are courteous and helpful 46 4% 61% 18% 15% 2% 4. Older people are visible in media and are depicted positively 71 0% 18% 13% 63% 6% and without stereotyping 5. Community wide settings, activities and events attract all generations by accommodating age specific needs and 66 0% 21% 17% 20% 42% preferences 6. Older people are specifically included in community activities 49 2% 29% 26% 31% 12% for families 7. Schools provide opportunities to learn about ageing and older 49 0% 37% 22% 3% 8% people and involve older people in school activities 8. Older people recognised by the community for their past as 76 0% 26% 13% 54% 7% well as their present contributions 9. Older people who are less well off have good access to 77 1% 15% 18% 26% 40% public, voluntary and private services

16 E. Respect and social inclusion - Issues most frequently highlighted

No. times Issue Comments mentioned Consultation with 25 • Older people are not consulted with • Forgetfulness that old age is older people re and should be approaching everyone services • Sometimes consulted but not always listened to Involvement of 24 • Few schools involve older people • Children don’t respect older people older people in • Older people are forgotten, isolated • Only during Positive Ageing Week activities and undervalued Age specific needs 20 • No activities that include all ages • Parades in Galway don’t catered for events • Older people generally left out accommodate older people • Requirement for older people not • No venue suitable for all ages considered e.g. seating Services and 15 • More Gardai needed • More info needed on relevant products to suit • Commercial services are devoted to services varying needs young people • More services needed to assist older people to stay in their homes Access to services 12 • Long waiting lists • Lack of suitable services for less well off • Access to housing and transport very • Feel like we have to beg older people difficult Service staff 6 • Don’t help carry purchases • Many dismissive of older people • Many rude staff in shops and café’s • Impolite bus drivers • Letters sent to local authority are • Awareness training badly needed rarely acknowledged Visibility of older 6 • Only in advertising for older people • Ageism is rampant people in the • Depicted negatively in media media

17 F. Civic Participation & employment in Galway city Respondents were asked to tick one answer regarding each of the checklist statements

No. of Strongly Agree Neither Disagree Strongly Checklist statement replies Agree Disagree 1. A range of flexible options for older volunteers is available with training recognition, guidance and compensation for 66 0% 17% 64% 18% 1% personal costs

2. Qualities of older employees are well promoted 67 0% 12% 18% 31% 39% 3. A range of flexible and appropriately paid opportunities for 68 0% 6% 15% 34% 45% older people to work is promoted 4. Discrimination on the basis of age alone is forbidden in the 67 1% 24% 52% 18% 5% hiring, retention, promotion and training of employees

5. Workplaces are adapted to meet the needs of disabled people 69 0% 16% 59% 19% 6% 6. Self employed options for older people are promoted and 68 0% 0% 68% 28% 4% supported 7. Training in post retirement options is provided for older 68 0% 6% 63% 24% 7% workers 8. Decision-making bodies in public, private and voluntary 43 0% 16% 42% 37% 5% sectors encourage and facilitate membership of older people

18 F. Civic Participation & Employment - Issues most frequently highlighted

No. times Issue Comments mentioned Employment 25 • Don’t know enough about support • Employers should be encouraged in employment area to employ older people • Ageism rampant • No incentives for older people to • Getting better but current recession work e.g. in relation to non doesn’t help contributory pension • Companies very selective

Training 13 • Don’t know believe its limited • No new training opportunities for • Age Action provides training older people courses • Training in post retirement options • Haven’t seen any ads to accommodate older people

Disabled People 10 • Improvement has happened • Most places not disability friendly • Don’t know – disability act says as far as is • Not enough parking for disabled practicable employees

19 G. Communication & Information in Galway city Respondents were asked to tick one answer regarding each of the checklist statements No. of Strongly Strongly Checklist statement Agree Neither Disagree replies Agree Disagree 1. A basic, effective communication system reaches community 39 0% 23% 26% 44% 8% residents of all ages 2. Regular and widespread distribution of information is assured 62 0% 16% 55% 24% 5% and a co-ordinated, centralised access is provided 3. Regular information and broadcasts of interest to older people 37 8% 14% 38% 30% 11% are offered 4. Oral communication accessible to older people is promoted 62 2% 15% 63% 15% 6% 5. People at risk of social isolation get one–to-one information 38 0% 24% 32% 34% 11% from trusted individuals 6. Public and commercial services provide friendly, person-to- 67 0% 63% 16% 12% 9% person service on request 7. Printed information – including official forms, television captions and text on visual displays – has large lettering and the 63 2% 16% 14% 21% 48% main ideas are shown by clear headings and bold-face type 8. Print and spoken communication uses simple familiar words in 65 3% 14% 54% 26% 3% short straightforward sentences 9. Telephone answering services give instructions slowly and 68 1% 26% 7% 56% 9% clearly and tell callers how to repeat the message at any time 10. Electronic equipment such as mobile telephone, radios, television, and bank and ticket machines has large buttons and 66 5% 17% 3% 27% 48% big lettering 11. There is wide public access to computers and the internet, at no or minimal charge in public places such as government offices, 64 0% 31% 11% 14% 44% community centres and libraries

20 G. Communication & Information - Issues most frequently highlighted

No. times Issue Comments mentioned Electronic 16 • Answering machines too quick, • Mobiles and computers to be more Equipment indistinct and too many instructions older people friendly • Equipment: need for larger lettering • Make older people aware of free and buttons texts Language 9 • This has not changed despite older • Very difficult to read and people being asked for opinions. understand official documents. Older people should be consulted and their views taken on board Computers & 8 • Greater access to computer and the • More basic computer training Internet internet needed • More internet access points in City • Reduced cost of broadband and and County Council internet for older people Format 7 • Printed information with large lettering is lacking e.g. bus, cinema and theatre timetables, and even in social welfare offices Communication 7 • Lead in water not communicated well • A personal contact system of system • Written information is important as imparting information is vital, older people may forget caring for your neighbour policy • Greater use of free local papers • Not enough outreach Information 4 • Regular broadcasts for older people Galway Bay FM should have Broadcasts • Sunday Mass should be on Galway dedicated programme for older Bay FM people Service providers 4 • More training for staff in • Lack of public toilets communication skills • Ongoing information needed Facilities & 3 • Need special building for older • Have special area in the library services people to meet • Lack of public toilets 21 H. Health & Community in Galway city Respondents were asked to tick one answer regarding each of the checklist statements

No. of Strongly Strongly Checklist statement Agree Neither Disagree replies Agree Disagree 1. An adequate range of health and community support services 73 0% 21% 49% 19% 11% is offered for promoting maintaining and restoring health 2. Home care services include health and personal care and 44 2% 32% 20% 25% 20% housekeeping 3. Health and social services are conveniently located and 70 3% 59% 16% 17% 6% accessible by all means of transport 4. Residential care facilities and designated older people’s housing are located close to services and the rest of the 67 1% 12% 66% 12% 9% community 5. Health and community service facilities are safely constructed 67 1% 67% 21% 6% 4% and fully accessible 6. Clear and accessible information is provided about health and 68 3% 53% 24% 15% 6% social services for older people

7. Delivery of services is coordinated and administratively simple 66 2% 14% 56% 23% 6% 8. All staff are respectful, helpful and trained to serve older 44 9% 50% 18% 18% 5% people 9. Economic barriers impeding access to health and community 69 1% 17% 54% 20% 7% support services are minimised 10. Voluntary services by people of all ages are encouraged and 65 2% 72% 12% 9% 5% supported

11. There are sufficient and accessible burial sites 41 2% 32% 32% 27% 7% 12. Community Emergency planning takes into account the 68 1% 7% 32% 18% 41% vulnerabilities and capacities of older people

22 H. Health and Community - Issues most frequently highlighted

No. times Issue • Comments mentioned Inadequacies of 31 • Inadequate home care services • Queues at A & E health care • Waiting lists too long especially • Public health nurse never calls services for public patients • Insufficient services for older people Information re 14 • Lots of forms to fill out for services • Dissemination of information is health & social • Sometimes difficult to understand minimal and removal of services not services • Information on prescription tablets publicised very small Transport to 9 • Parking in UHG very difficult • Not on bus routes/ inadequate bus health services • Taxi’s expensive service Sufficient & 7 • No crematorium facilities accessible burial • City graveyards are almost full sites Residential care 5 • Insufficient designated housing for & housing older people • Nursing homes often in country areas Accessibility of 4 • Lifts not working facilities • Some facilities inaccessible

23 Discussion

The World Health Organization (WHO) estimate that by 2025 about one-third of Europe’s population will be aged 60 years and over and there will be a particularly rapid increase in the number of people aged 80 years and older. This coupled with the increase in the numbers of older people living in Galway City highlights the importance on making our city more age friendly. Most recent CSO statistics indicate that there are 11,600 people aged 55+ in Galway City which represents 16% of the overall population of the city.

This report highlights the importance of the local environment to older people’s quality of life and in addition draws attention to a range of issues that determine whether cities like Galway are age friendly or not. In this section of the report we highlight what older people see as the strengths and weaknesses of Galway City in terms of being age friendly and put forward some recommendations.

These findings build on the information already available locally from the Galway Healthy Cities project and more recently Galway City Partnerships Profile of Older People. Using the World Health Organization’s framework eight specific areas for action have been identified (see fig 1).

Figure 1: Age-friendly city topic areas (WHO, 2007)

The first three topics were outdoor spaces and buildings, transportation, and housing. As key features of a city’s physical environment, they have a strong

24 influence on personal mobility, safety from injury, security from crime, health behaviour and social participation. Another three topics reflect different aspects of the social environment and of culture that affect participation and mental wellbeing. Respect and social inclusion deals with the attitudes, behaviour and messages of other people and of the community as a whole towards older people. Social participation refers to the engagement of older people in recreation, socialization, and cultural, educational and spiritual activities. Civic participation and employment addresses opportunities for a sense of belonging, unpaid work and paid work; it is related to both the social environment and to the economic determinants of active ageing. The last two topic areas, communication and information and community support and health services, involve both social environments and health and social service determinants.

Because active ageing is a lifelong process, an age-friendly city is not just “elderly friendly”. Barrier-free buildings and streets enhance the mobility and independence of people with disabilities, young as well as old. Secure communities allow children, younger women and older people to venture outside in confidence to participate in physically active leisure and in social activities. Families experience less stress when their older members have the community support and health services they need. The whole community benefits from the participation of older people in volunteer or paid work. Finally, the local economy profits from the patronage of older adult consumers. The operative word in age-friendly social and physical urban settings is enablement

In assessing the city’s strengths and weaknesses, older people describe in this research how the checklist of features matches their own experiences. The following is an outline of their views and recommendations for making Galway more age friendly.

Outdoor Spaces and Buildings

A. Outdoor Spaces and Buildings

The outside environment and public buildings have a major impact on the mobility, independence and quality of life of older people. Environmental improvements have a direct impact on the quality of life of older people and their caregivers. A significant number of older people would like to be more mobile and more active. Older people with poor mobility and people with disabilities need recreation and recuperation facilities close to where they live; accessible green areas and being outside have been highlighted as important determinants of good health.

The WHO identified the following checklist as a core feature of Outdoor Spaces and Buildings category 1. Importance of green spaces 2. Somewhere to rest 3. Age friendly pavements 4. Safe pedestrian crossings 5. Accessibility 6. A secure environment 7. Walkways and cycle paths 8. Age friendly buildings 9. Adequate public toilets 10. Appreciation of older customers

In Galway City older people valued the green spaces however there were some barriers in relation to issues such as maintenance. The lack of public seating was highlighted, as many find it difficult to walk around without somewhere to rest. The most frequent issue highlighted was pavements - narrow, uneven, cracked, have high curbs, congested or have obstructions thus presenting potential hazards and affecting the ability of older people to walk around. The ability to cross the road safely was also a concern as pedestrian crossing lights change too quickly and drivers fail to follow traffic signals and give way to pedestrians.

Some quotes from respondents ….

“Im provements have been made especially in Eyre Square and the Millennium Playground. Litter and graffiti still a problem”

“It seems that the seats provided are very few and far between. Also, the seats are for designer’s satisfaction rather than comfort for users”

“Bags of rubbish and bins are blocking pavements, cyclists use them, paving is loose, motorists parked on pavements”

“Some streets have no accessible footpaths- poles, bollards, too narrow with no dropped areas to gain access either side of offending obstacles” 28 “There are not enough public toilets in town. I have to queue and pay in the Eyre Square Centre if caught short”

A. Outdoor Spaces and Buildings

Strengths

Participants commented positively on the following: • Eyre Square, Salthill prom, Canal Walk, Barna New Park • General feeling that green spaces well maintained • In general drivers give way to pedestrians

Weaknesses

Participants highlighted a number of issues in relation to Outdoor spaces and buildings: • A recurring theme was pavements – broken, uneven pavements, slippery, not wide enough and not enough white lines • Bicycles and cars parked on pavements • Not enough public seating • State of green areas in some areas • Too few public toilet facilities • Motorists not giving pedestrians enough time to cross • Safety concerns due to lack of Garda patrols and insufficient street lighting • Not enough litter bins • Some buildings are inaccessible

Recommendations

1. Implementation of parking regulations 2. Maintenance and improvement to paths, pavements and kerbs 3. Enforcement of planning for signs to ensure no obstruction 4. Buildings should be accessible and older people consulted when constructing or renovating buildings and facilities 5. Increase and maintain public seating 6. Improve cycle parking and ensure bikes are not causing obstruction 7. Improve access to toilet facilities 8. A campaign to promote driver courtesy and awareness of people at pedestrian crossing 9. Link with Transportation Office in relation to pedestrian crossings e.g. availability and time to cross 10. Increase Garda presence 11. Improved access and maintenance of green spaces and facilities 12. Improved lighting in the city 13. Promotion of existing facilities

Transport

B. Transport

Transportation including accessible and affordable public transport is a key factor influencing active ageing. Being able to move about the city determines social and civic participation and access to community and health services. In contrast to cars, which insulate people from each other, cycling, walking and public transport stimulate social interaction on the streets. Social isolation and lack of community interaction are strongly associated with poorer health.

The WHO identified the following checklist as a core feature of Transport 1. Affordability of public transport 2. Reliability and frequency of public transport 3. Travel destinations – being able to get to where you want to go 4. Age friendly vehicles – easy access in terms of boarding/ disembarking 5. Specialised services for older people – (specially adapted means of transport particularly for people with disabilities) 6. Priority seating and passenger courtesy on transport for older people 7. Courteous Transport drivers e.g. drivers waiting for people to be seated 8. Safety and comfort 9. Transport stops and stations – design, location and condition 10. Taxi services 11. Community Transport Services 12. Information on transport options, how to use services and timetables 13. Driving conditions – easiness to which people can drive around the city 14. Courtesy towards older drivers – respect for older drivers 15. Parking – priority parking bays and drop off and pick-up bays

Transport was ranked as one of the top priorities by older people. This is also echoed in a recent Galway City Health and Wellbeing Survey (2009) which identified transport as the number one priority to make Galway City a better place to live. Older people in Galway City highlighted particular concerns with existing public transport services namely buses ranging from issues related to frequency and reliability, accessibility and safety. Other difficulties related to parking for people with disabilities, safety, and cost of taxis. Some quotes from respondents ….

“Bus service too infrequent on weekends and holidays” “I have often been stranded by bus service in City” “Unreliable” “No displays at stops”

“Buses overcrowded and not always clean” “Not suitable for wheelchairs” “Buses all big, should have some minibuses”

“Bus does not pull in fully to path so difficulty in getting in and out” “Lack of simple bench to enable the elderly to be seated whilst waiting for a

busB. Transportmakes public transport inaccessible to some elderly people” “Most frustrating to see designated blue painted areas and not accessible 32 because it’s too small or it’s encroached by another driver”

Strengths

Participants commented positively on the following • The Red buses

• On some routes people were satisfied as it got them into town

Weaknesses

Participants highlighted a number of issues in relation to Transport: • Priority seating not respected • Lack of disability parking spaces and drop off points, where they exist not

respected

• Not enough disability friendly transport

• Bus drivers not parking close to kerb, not dropping step and not waiting for

passengers to get on and off the bus • Unreliable and insufficient service especially evenings, weekends, holidays • Need to extend routes e.g. post office on Tuam road • Overcrowding and litter on bus • Safety concerns at bus station • Traffic congestion, road work and parking causing obstructions • Lack of seating and shelter at bus stops • Insufficient information at bus stops e.g. timetable, route and print too small • Cost of taxis expensive Recommendations

1. Liaise with Galway Transportation Unit to work on the specific issues highlighted in this report 2. Enforce parking regulations 3. Improve public transport options and ensure that routes consider the needs of older people 4. Consider providing minibuses 5. Work on access issues 6. Increasing number of parking spaces for people with disabilities following consultation with users 7. Improving service provided for passengers by giving adequate time to get on and off the bus, get seated and drop step when required 8. Provide age friendly bus stops by improving seating and shelter at bus stops, lighting, timetable and route legible 9. Improve cycling facilities 10. Work with transport providers to make information more accessible and legible 11. Improve traffic flow e.g. student Garda or Garda reserve could perhaps assist with this

Housing

C. Housing

Housing is essential to safety and well-being. There is a link between appropriate housing and access to community and social services in influencing the independence and quality of life of older people. The cost of housing is a major factor influencing where older people live and their quality of life. The design of housing and the ability to maintain it affects the ability of older people to live comfortably at home. Having options to accommodate varying needs and living close to services and facilities are important factors for older people.

The WHO identified the following checklist as a core feature of the Housing category 1. Affordability of housing 2. Essential services are provided that are affordable e.g. heating, electricity, gas, water 3. Appropriate Design – structure, materials, layout, facilities, equipment, space, adaptability 4. Home modifications options are available as needed 5. Housing is well maintenance - affordable, suitably qualified reliable providers 6. Housing is close to service and facilities 7. Housing that facilitates community and family connections 8. A range of appropriate and affordable housing options is available 9. Having a suitable living environment – sufficient space, privacy and safety Some quotes from respondents ….

“Housing grants are at a stand still and there is a huge waiting time”

“Private house owners have to rely on services provided by workmen often at exorbitant prices” “There are a lot of conmen” “We need a lot more housing like Sue Ryders and Cluid Housing development in Clifden”

“There is still insufficient social housing with long waiting lists”

“There should be more affordable homes available for low income”

“Most suppliers know very little about disability friendly housing and do not understand the needs of older people” “Doors frequently too narrow for wheelchairs”

“Insufficient home helps available” “Not enough insulation for noise” 36

C. Housing

Strengths Participants commented positively on the following: • Age Actions Care and Repair programme • Sue Ryders housing development and Cluid housing development in Clifden were given as good examples of sheltered housing for older people that should be followed

Weaknesses Participants highlighted a number of issues in relation to Housing; • Lack of sheltered housing with caretaker, restaurants, laundry in proximity to services • Waiting list for social housing • High cost of repairs and modifications to their existing home • Concerns about finding suitable tradesmen and not a “conman” • Lack of regulations on maintenance charges • Poor standards in private rented accommodation • Houses not disability friendly

Recommendations 1. Promotion of maintenance programmes such as Age Action Care and Repair Programme 2. Develop housing plan for older people in Galway City which considers options such as sheltered housing and social housing as well as options for smaller houses 3. Greater enforcement of planning regulation in terms of disability legislation for housing 4. New housing development and adaptations should make provision for lifetime adaptability, greater energy efficiency and take account of the needs of older people e.g. wider doorways 5. Develop a campaign regarding promoting safety for old people in the home which includes issues such as employment of tradesmen 6. Older people awareness training for relevant organisations 7. Disability awareness training for relevant organisations

Social Participation

D. Social Participation

Social participation and social support are strongly connected to good health and well-being throughout life. Participating in leisure, social, cultural and spiritual activities in the community, as well as with the family, allows older people to continue to exercise their competence, to enjoy respect and esteem, and to maintain or establish supportive and caring relationships. It fosters social integration and is the key to staying informed. Whilst having activities is important access to transportation and facilities and getting information about activities is important.

The WHO identified the following checklist as a core feature of the Social participation category

1. Accessible of events and activities – location, timing, 2. Affordability of activities 3. Wide range of activities and events 4. Range of facilities 5. Promotion and awareness of activities and events 6. Encouraging participation and addressing isolation 7. Fostering community integration - intergenerations, cultures and communities

Some quotes from respondents ….

“Not everyone wants painting; many are adventurous, want to shoot the wind or rapids”

“Difficult to find space for senior meetings/events”. “…due to steps and expense”

“Private transport buses don’t always suit...taxis are too expensive”

“It is not safe to travel alone especially for older people” “Not safe to walk out alone, no community Garda”

“Most activities on at night too late for us” “All the time bingos are at night”

“Most events are very expensive”

“Lack of specific information ... causes isolation for older people” “Perhaps information could be available at post offices?”

“Create a friendlier atmosphere welcoming to new people…break from existing cliques and include new people” 40

D. Social Participation

Strengths

Participants commented positively on the following:

• Active Retirement groups, Sonas Mervue, Bohermore Community Hall, Galway Contact, Day Care Centres, Age Action, Libraries, Bingo Hall • Older people expressed a desire for involvement in the community

Weaknesses

Participants highlighted a number of issues in relation to Social Participation including: • Accessibility is seen as a barrier, some community centres still have steps • Lack of public transport • Lack of benches at bus stops • Venues poorly lit • Cost – most events very expensive • Concerns regarding safety • Lack of variety of activities • Timing – activities on at night not suitable for a lot of older people • Some activities and events poorly promoted • Some people feeling that very little on offer for older people

Recommendations

1. Greater promotion of existing events and activities for older people e.g. Positive Ageing week, Bealtaine Festival 2. Groups and events to be more welcoming of new people and being more inclusive 3. Improved information about all community activities and events 4. Increased opportunities for older people to socialise 5. Greater consideration to location and timing of events so that they are more suitable for older people in terms of time and transport 6. Initiative to promote safety for older people including increased community Garda presence 7. Recognise businesses for efforts to support age friendly environments 8. Increase and promote volunteer options that promote social contact with older people

Respect and Social Inclusion

E. Respect and Social Inclusion

Older people in Galway report experiencing conflicting types of behaviour and attitudes towards them. On the one hand, some respondents felt they are usually respected, recognised and included, while on the other, many experience lack of consideration in the community, in services and in the family. Almost ¾ of all respondents (74%) felt that older people in Galway were not consulted by public, voluntary and commercial services on how to serve them better, however almost two thirds (65%) felt that service staff were helpful and courteous.

The extent to which older people participate in the social, civic and economic life of the city is also closely linked to their experience of inclusion. Lack of contact between generations was highlighted in this research with 62% of older people feeling that there is a lack of community events that attract all generations by accommodating age specific needs and preferences.

The WHO identified the following checklist as a core feature of the Respect and Social Inclusion category; 1. Respectful and inclusive services which have consulted with and meet the needs of older people 2. The media include older people in public imagery, depicting them positively and without stereotypes. 3. Community wide Intergenerational and family interactions 4. Public education re ageing and older people 5. Older people are included as full partners in community decision-making affecting them. 6. Economically disadvantaged older people enjoy access to public, voluntary and private services and events. Some quotes from respondents ….

“No one asks for an older persons view” “Everything nowadays you feel you need to beg for”

“With increased population older people are forgotten and isolated” “Some older people who live alone never get people calling”

“Older people are stereotyped and ageism is rampant”

“Community events on whole don’t consider requirements of older people …e.g. Macnas parade, Arts festival or Cuirt” “Organised events lacking in seating for frail /disabled/older”

“Not many activities that include all ages in the community”

“Few schools involve older people but improving” “Access to transport difficult for older people who are less well off, voluntary transport would help” 44

E: Respect and Social Inclusion Strengths

Participants commented positively on the following: • Active retired groups • HSE staff are generally helpful • Desire for older people to be included and involved in community events

Weaknesses

Participants highlighted a number of issues in relation to Social Inclusion

including:

• Lack of consultation • Few schools involve older people

• Older people are forgotten, isolated and undervalued

• Access to housing and transport very difficult

• Needs of older people not considered e.g. seating

• Many rude staff in shops and café’s

• Letters sent to local authority are rarely acknowledged • Parades in Galway don’t accommodate older people • More services needed to assist older people to stay in their homes • Ongoing Ageism

Recommendations

1. Promote and celebrate the contribution that older people make to society e.g. Mayor Awards Positive Ageing Category 2. Increase communication regarding events, facilities and services such as Get to Know your Neighbour Weekend, Neighbourhood watch, Active Retirement 3. Develop structures to represent the views of older people in decision making in Galway City 4. Greater consultation with older people where they are not just listened to but that their views are taken on board 5. Community events to take account of the needs of older people 6. Increase opportunities for intergenerational connections though school and community programmes and activities 7. Provide ageism training that promotes awareness of services and best methods to assist older people in accessing services 8. Maximise the use of the media to promote positive ageing and age awareness in Galway City 45

Civic Participation and Employment

F. Civic Participation and Employment

Older people do not stop contributing to their communities on retirement. Many continue to provide unpaid and voluntary work for their families and communities. An age-friendly community provides options for older people to continue to contribute to their communities, through paid employment or voluntary work if they so choose, and to be engaged in the political process. Many older people would like to continue working, however four out of every five of the older who took part in this research felt that appropriate paid working opportunities for older people are not promoted in Galway. Older people would like to have more opportunities for employment, and would like to see current employment and volunteer opportunities better tailored to their needs and interests. Older people in Galway would also like to see more efforts made to encourage civic participation with two out of every five respondents of the opinion that decision making bodies do not encourage and facilitate membership of older people. The age discrimination which has been highlighted in this research was also reiterated in previous research carried out by the Galway Healthy Cities Project (2006 and 2007).

The WHO identified the following checklist as a core feature of the Civic Participation and Employment category;

1. There is a range of opportunities for older people to work and volunteer, and they are promoted 2. Training in post-retirement opportunities is provided for older workers. 3. Workplaces are accessible and adapted to meet the needs of older people 4. Support exists to enable older people to participate in meetings, civic events, advisory councils, boards of organisations, and to contribute to policies and programmes and plans for older people 5. Older people are respected and acknowledged for their contributions. 6. There is support for older entrepreneurs and opportunities for self- employment 7. Older workers are fairly remunerated for their work and earnings are not deducted from pensions and other forms of income support to which they are entitled. Some quotes from respondents ….

“Give an old geyser a chance! Many older people have a lifetime of experience, wealth (not €) and contribution to make” “Public bodies should seek the older persons experience” “Retirement seems to include a silence option with no opinions required” “Information re training could be more widely circulated” “No new training opportunities for older people” “I did back to work courses in 1993 then told too old as over 55” “No incentives to work for older people e.g. in relation to non contributory pension” 48 “On surface discrimination is forbidden but not always observed”

F: Civic Participation and Employment

Strengths

Participants commented positively on the following: • Age Action training courses • Improvement has happened in relation to workplaces becoming disability friendly • Older people expressed a desire for opportunities for meaningful involvement in their community

Weaknesses

Participants highlighted a number of issues in relation to Civic Participation and Em ployment including:

• No incentives for older people to work

• Lack of knowledge about support in employment

• Lack of training and information regarding training opportunities for

older people

• Not enough parking for disabled employees

Recommendations

1. Promote and celebrate the contribution that older people make to society and to the workforce 2. Increased volunteer options for older people to contribute 3. Greater consultation with older people where they are not just listened to but that their views are taken on board 4. Provide information and promote activities and education courses for older people 5. Raise awareness of ageism in employment through training and in the media 6. Enforcement of disability legislation

Communication & Information

G. Communication & Information

Staying connected with events and people and getting timely, practical information to manage life and meet personal needs is vital for healthy ageing. Even though 63% of older people agreed that services provide friendly, person-to-person service on request, respondents expressed a fear of missing information and of being left out of the mainstream. The issue with older people not being aware of services and entitlements was highlighted in this research which echoes previous findings of the Galway Healthy Cities project (2006, 2007). Because knowledge is key to empowerment, information about all aspects of city living must be accessible to everyone at all times.

Many older people (45%) are worried about those at risk of social isolation and whether they get information from trusted individuals. The main concern expressed by respondents is the availability of information that is readily accessible to older people with varying capacities and resources. Local radio, church newsletters and local papers were all highlighted as being very important sources of information for older people in Galway. Almost 2/3 of all respondents (65%) felt that telephone answering services give instructions too quickly and do not tell callers how to repeat the message.

The WHO identified the following checklist as a core feature of the Communication and Information category; 1. Regular, reliable and coordinated distribution of information to older people is assured 2. Oral communication accessible to older people is preferred 3. People at risk of social isolation get information from trusted individuals 4. Individuals in public offices/businesses provide friendly service 5. Printed information has large lettering and clear headings 6. Print and spoken communication uses simple, familiar words 7. Telephone answering services give instructions slowly and clearly and tell callers how to repeat the message at any time. Users have the choice of speaking to a real person 8. Electronic equipment has large buttons, big lettering, is well-illuminated and can be reached by people of different heights 9. There is wide public access to computers and internet, at no/minimal charge. Some quotes from respondents ….

“Good quality info on Galway Bay FM and parish newsletter and local paper”

“Galway Bay should have a designated programme for older people”

“Basic training in computer literacy would greatly assist”

“Bus timetables, medicine bottles, cinema times and TV captions should have larger

print” “Those at risk of social isolation do not always come to the attention of services, not enough outreach, advertising or directory of services” “Very difficult to read and understand official documents” “Som e answering services speak too quickly and indistinctly for those with hearing loss”G. “PersonalCommunication contact system & Informationof imparting information is vital” 52

G. Communication & Information

Strengths

Participants commented positively on the following: • Good quality information on Galway Bay FM and parish newsletter and local paper • Friends and Neighbours informing them of relevant information

Weaknesses

Participants highlighted a number of issues in relation to Communication and Information including: • Answering machines too quick, indistinct and too many instructions • Printed information and equipment with large lettering is lacking e.g. bus, cinema and theatre timetables, and even in social welfare offices • Difficulty in reading and understanding official documents • Sunday Mass should be on Galway Bay FM • Lack of dedicated programme for older people in the media

Recommendations

1. Greater use of existing channels to communicate with older people e.g. local radio, print media, waiting areas, churches. 2. Literacy proof printed material for the public, consideration to larger print and audio format 3. Ensure structures in place to represent views of older people in decision making in Galway City – consider developing Older People Network 4. Promote technology training for older people e.g. Age Action mobile phone training 5. Improve internet access for older people e.g. access to computer at public locations; 6. More training for staff of public service providers on communication skills 7. Promote Care for your Neighbour Policy 8. Promotion of services that provide information to older people on entitlement and supports e.g. Senior Help Line, Citizen Information Centre 9. Open House Days at public services to engage with older people and improve awareness of services 10. Work with existing groups working with older people to make information more accessible 53

Health and Community

H: Health and Community

Health and support services are vital to maintaining health and independence in the community. Many of the concerns raised by older people in this study deal with the availability of sufficient good quality, appropriate and accessible care. Reiterating the findings of previous Galway Healthy Cities research in 2006 and 2007, a basic shortage of necessary services and supports in the community was reported by 30% of respondents in this research, with comments being made on waiting lists, queues at A&E and poor dissemination of information regarding services available. However, 62% of respondents agreed that the health and social services that are available are conveniently located and accessible. Communication was an issue again in this section with many commenting on their lack of knowledge re the services that are available to them and 29% of respondents had difficulty with the administration of services and commented on the number of and type of forms that need to be completed to receive a service.

The WHO identified the following checklist as a core feature of the Health and Community category; 1. Health and social services are safely constructed, fully accessible, conveniently located, and can be reached readily by all means of transportation. 2. Economic barriers impeding access to health and community support services are minimal. 3. Clear and accessible information is provided about the health and social services for older people. 4. An adequate range of health and community support services is offered for promoting, maintaining and restoring health. 5. Service personnel have appropriate skills and training to communicate with and effectively serve older people with respect and sensitivity. 6. Volunteers of all ages are encouraged and supported to assist older people in a wide range of health and community settings. 7. Emergency planning includes older people, taking into account their needs and capacities in preparing for and responding to emergencies.

Some quotes from respondents ….

“Waiting lists are too long” “Too many cut back services insufficient for older peoples needs” “near impossible to get home help” “Home helps, community nurses and allied health care professionals needed to help us stay at home”

“Lifts in UCH numbers worn no idea which floor” “Try to park at UCH half dozen disabled spaces insufficient” “Some health services conveniently located but many not on bus routes”

“Dissemination of info (re Health services) is minimal and removal of services not publicised”

“(Health services information is) difficult sometimes to understand – when on radio programme it’s easier to understand” “Form filling and box ticking! - takes so long”

“Those who can afford to pay better are served” 56

H: Health and Community

Strengths

Participants commented positively on the following: • Just under two-thirds of respondents agreed that health and social services are conveniently located and accessible • Public health nurse very good despite scarce resources • HSE employees helpful and efficient

Weaknesses

Participants highlighted a number of issues in relation to Health and

Community including:

• Inadequate home care services

• Waiting lists too long especially for public patients

• Information on prescription tablets very small

• Insufficient designated housing

• Dissemination of information is minimal and removal of services not

publicised

• Health and Community services not on bus routes/ inadequate bus

service

• Difficulty of form filling for services

• Parking in UHG very difficult

Recommendations

1. Improve communication to older people regarding services and entitlements 2. Increase opportunities for older people to promote their own health and wellbeing including promoting a sense of self responsibility 3. Ensure that Health Service providers and older people have opportunity to share information on regular basis e.g. older representative consumer panel 4. Raise awareness of ageism through staff training 5. Work in partnership with other sectors in highlighting and addressing the wider issues affecting the health and wellbeing of older people e.g. transport, housing, 6. Examine ways to make information more legible and easier understood for older people including verbal and written and the use of technology 7. Health Services to work with older people group to identify how services can be more age friendly 57

Conclusion

This report is intended for state agencies, politicians, key decision makers in the city, as well as groups and individuals interested in making Galway City more age-friendly. It provides direction to agencies in Galway City and builds on the “Healthy Cities” approach which recognises that the issues which affect people’s health and wellbeing are not just the responsibility of health providers and professionals, as each agency has a role to play.

Regardless of Galway’s current level of age-friendliness, this checklist can be used to improve or monitor many aspects of urban life. It highlights easy ways to make a city more age-friendly through affordable measures that can quickly be implemented for example: making transport services more user friendly; providing special customer service arrangements, such as separate queues; holding public events at convenient times; having courteous and helpful service providers promoting and supporting job opportunities for older people; and providing clear information about health and social services

Not all issues raised by older people in this study can be addressed by policy alone. Changing attitudes in relation to ageing is fundamental in working to make Galway City more age friendly. It should not necessarily need a huge increase in expenditure; change can happen by using our existing resources more effectively, including the resources of older people themselves.

Next steps

Partnership working and the involvement of older people themselves are at the heart of an Age Friendly City. All relevant agencies and representatives from older people’s organisations in the city will be invited to come together to develop a local plan based on the finding of this and other relevant research. The Healthy Cities Forum in partnership with relevant stakeholders will lead out on the development of an action plan for Galway City. It is also planned to organise a network comprising of representatives from older people’s organisations.

It is also encouraging for the city that a national strategy for older people is being developed which will lend further support for promoting the health and wellbeing of older people in Galway City.

The world is ageing fast - The time to plan and to act is now, measures to help older people remain healthy and active are a necessity, not a luxury.

References and Bibliography

1. Galway City Partnership (2008) A Community Profile of Supports and Services to Older People in Galway City. Galway

2. Galway Healthy Cities Project (2009) Galway City Health and Wellbeing Survey. Galway

3. Galway Healthy Cities Project (2007) Developing Actions & Priorities to enhance Health and Quality of Life for people in Galway City- A consultation day report from Sept 26th, 2007 on maximising the potential of Galway city for all.

4. Galway Healthy Cities Project (2006) Healthy Ageing Conference Report and Action Plan

5. Health Service Executive (2007) Some Services for Older People: Galway City and County. Draft Document. Galway

6. World Health Organization (2007) Global Age-friendly Cities: A Guide. Geneva

7. World Health Organization (2007) Checklist of Essential Features of Age-friendly Cities. Geneva

Appendix

Checklist of Essential Features of Age-Friendly Cities

Towards a more age-friendly Galway City

Checklist of Essential Features of We are therefore inviting older people to give their views

Age-Friendly Cities on Galway City on a range of age friendly features which include:

a. Outdoor spaces and buildings (page 2– 12Qs) The Galway Healthy Cities Forum (which is b. Transportation (p5 – 17Qs) part of the Galway City Development Board) c. Housing (p9 – 7Qs) would like to get your views on how Galway d. Social participation (p11 – 8Qs) can become a more age friendly city. A e. Respect and social inclusion (p13 – 9Qs) ch ecklist of essential age-friendly features has f. Civic Participation and employment (p15 – 8Qs) been developed by the World Health g. Communication and information (p17 – 11Qs) Organization’s Global Age-Friendly Cities h. Community support & health services (p20 -12Qs) project.

The information will be used to identify specific actions The checklist is intended to be used by that need to be undertaken to make Galway a more age individuals and groups interested in making friendly city. their city more age friendly. For the checklist to be effective older people must be involved The information is confidential. as full partners. In assessing a city’s strengths . and gaps, older people will describe how the If you have any questions please contact: checklist of features matches their own Evelyn Fanning, Health Promotion Services, experience in Galway city. HSE West, West City Centre, Seamus Quirke Rd, Galway.

Tel 091 548318 or email [email protected]

A. Outdoor spaces and buildings Please tick one box for each question

A1. Public areas are clean and pleasant.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

A2. Green spaces and outdoor seating are sufficient in number, well maintained and safe.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

A3. Pavements are well-maintained, free of obstructions and reserved for pedestrians.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

A4. Pavements are non-slip, are wide enough for wheelchairs and have dropped curbs to road level.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

A5. Pedestrian crossings are sufficient in number and safe for people with different levels and types of disability, with non-slip markings, visual and audio cues and adequate crossing times.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

A6. Drivers give way to pedestrians at intersections and pedestrian crossings.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

A7. Cycle paths are separate from pavements and other pedestrian walkways.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

A8. Outdoor safety is promoted by good street lighting, police patrols and community education.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

A9. Services are situated together and are accessible.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

A10. Special customer service arrangements are provided, such as separate queues or service counters for older people.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

A11. Buildings are well-signed outside and inside, with sufficient seating and toilets, accessible elevators, ramps, railings and stairs, and non-slip floors.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

A12. Public toilets outdoors and indoors are sufficient in number, clean, well maintained and accessible.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

A13. What are your top three priorities in relation to outdoor spaces in Galway City that you think something realistic can be done about in the next 3-6 months?

1st priority ______

2nd priority ______

3rd priority ______

B. Transport Please tick one box for each question

B1. Public transportations costs are consistent, clearly displayed and affordable.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

B2. Public transportation is reliable and frequent, including at night and on weekends and holidays.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

B3. All city areas and services are accessible by public transport, with good connections and well-marked routes and vehicles.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

B4. Vehicles are clean, well-maintained, and accessible, not overcrowded and have priority seating that is respected.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

B5. Specialised transportation is available for disabled people.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

B6. Drivers stop at designated stops and beside the curb to facilitate boarding and wait for passengers to be seated before driving off.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

B7. Transport stops and stations are conveniently located, accessible, safe, clean, well-lit and well-marked, with adequate seating and shelter.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

B8. Complete and accessible information is provided to users about routes, schedules and special needs facilities.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

B9. A voluntary transport service is available where public transportation is too limited.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

B10. Taxis are accessible and affordable, and drivers are courteous and helpful.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

B11. Roads are well-maintained, with covered drains and good lighting.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______B12. Traffic flow is well-regulated.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

B13. Roadways are free of obstructions that block drivers’ vision.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

B14. Traffic signs and intersections are visible and well-placed.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

B15. Driver education and refresher courses are promoted for all drivers.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

B16. Parking and drop-off areas are safe, sufficient in number and conveniently located.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

B17. Priority parking and drop-off spots for people with special needs are available and respected.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

B18. What are your top three priorities in relation to transport in Galway City that you think something realistic can be done about in the next 3-6 months?

1st priority ______

2nd priority ______

3rd priority ______

C. Housing Please tick one box for each question

C1. Sufficient, affordable housing is available in areas that are safe and close to services and the rest of the community.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

C2. Sufficient and affordable home maintenance and support services are available.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

C3. Housing is well-constructed and provides safe and comfortable shelter from the weather

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

C4. Interior spaces and level surfaces allow freedom of movement in all rooms and passageways.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

C5. Home modification options and supplies are available and affordable, and providers understand the needs of older people.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

C6. Public and commercial rental housing is clean, well-maintained and safe.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

C7. Sufficient and affordable housing for frail and disabled older people, with appropriate services, is provided locally.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

C8. What are your top three priorities in relation to housing in Galway City that you think something realistic can be done about in the next 3-6 months?

1st priority ______

2nd priority ______

3rd priority ______

D. Social participation Please tick one box for each question

D1. Venues for events and activities are conveniently located, accessible, well-lit and easily reached by public transport.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

D2. Events are held at times convenient for older people.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

D3. Activities and events can be attended alone or with a companion.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

D4. Activities and attractions are affordable, with no hidden or additional participation costs.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

D5. Good information about activities and events is provided, including details about accessibility of facilities and transportation options for older people.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

D6. A wide variety of activities is offered to appeal to a diverse population of older people.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

D7. Gatherings including older people are held in various local community spots, such as recreation centres, schools, libraries, community centres and parks.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

D8. There is consistent outreach to include people at risk of social isolation.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

D9. What are your top three priorities in relation to social participation in Galway City that you think something realistic can be done about in the next 3-6 months?

1st priority ______

2nd priority ______

3rd priority ______

E. Respect and social inclusion Please tick one box for each question

E1. Older people are regularly consulted by public, voluntary and commercial services on how to serve them better.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

E2. Services and products to suit varying needs and preferences are provided by public and commercial services.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

E3. Service staff are courteous and helpful.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

E4. Older people are visible in the media, and are depicted positively and without stereotyping.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

E5. Community-wide settings, activities and events attract all generations by accommodating age-specific needs and preferences.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

E6. Older people are specifically included in community activities for “families”.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

E7. Schools provide opportunities to learn about ageing and older people, and involve older people in school activities.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

E8. Older people are recognised by the community for their past as well as their present contributions.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

E9. Older people who are less well-off have good access to public, voluntary and private services.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

E10. What are your top three priorities in relation to respect and social inclusion in Galway City that you think something realistic can be done about in the next 3-6 months?

1st priority ______

2nd priority ______

3rd priority ______

F. Civic participation and employment Please tick one box for each question

F1. A range of flexible options for older volunteers is available, with training, recognition, guidance and compensation for personal costs.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

F2. The qualities of older employees are well-promoted.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

F3. A range of flexible and appropriately paid opportunities for older people to work is promoted.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

F4. Discrimination on the basis of age alone is forbidden in the hiring, retention, promotion and training of employees.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

F5. Workplaces are adapted to meet the needs of disabled people.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

F6. Self-employment options for older people are promoted and supported.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

F7. Training in post-retirement options is provided for older workers.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

F8. Decision-making bodies in public, private and voluntary sectors encourage and facilitate membership of older people.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

F9. What are your top three priorities in relation to civic participation and employment in Galway City that you think something realistic can be done about in the next 3-6 months?

1st priority ______

2nd priority ______

3rd priority ______

G. Communication and information Please tick one box for each question

G1. A basic, effective communication system reaches community residents of all ages.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

G2. Regular and widespread distribution of information is assured and a co-ordinated, centralised access is provided.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

G3. Regular information and broadcasts of interest to older people are offered.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

G4. Oral communication accessible to older people is promoted.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

G5. People at risk of social isolation get one-to-one information from trusted individuals.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

G6. Public and commercial services provide friendly, person-to-person service on request.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

G7. Printed information – including official forms, television captions and text on visual displays – has large lettering and the main ideas are shown by clear headings and bold-face type.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

G8. Print and spoken communication uses simple, familiar words in short, straight-forward sentences.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

G9. Telephone answering services give instructions slowly and clearly and tell callers how to repeat the message at any time.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

G10. Electronic equipment, such as mobile telephones, radios, televisions, and bank and ticket machines, has large buttons and big lettering.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

G11. There is wide public access to computers and the Internet, at no or minimal charge, in public places such as government offices, community centres and libraries.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

G12. What are your top three priorities in relation to communication and information in Galway City that you think something realistic can be done about in the next 3-6 months?

1st priority ______

2nd priority ______

3rd priority ______

H. Community and health services Please tick one box for each question

H1. An adequate range of health and community support services is offered for promoting, maintaining and restoring health.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

H2. Home care services include health and personal care and housekeeping.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

H3. Health and social services are conveniently located and accessible by all means of transport.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

H4. Residential care facilities and designated older people’s housing are located close to services and the rest of the community.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

H5. Health and community service facilities are safely constructed and fully accessible.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______H6. Clear and accessible information is provided about health and social services for older people.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

H7. Delivery of services is co-ordinated and administratively simple.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

H8. All staff are respectful, helpful and trained to serve older people.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

H9. Economic barriers impeding access to health and community support services are minimised.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

H10. Voluntary services by people of all ages are encouraged and supported.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

H11. There are sufficient and accessible burial sites.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

H12. Community emergency planning takes into account the vulnerabilities and capacities of older people.

Strongly Agree Agree Neither Disagree Strongly Disagree agree/disagree

Please give examples if possible based on your selection ______

______

H13. What are your top three priorities in relation to community and health services in Galway City that you think something realistic can be done about in the next 3-6 months?

1st priority ______

2nd priority ______

3rd priority ______

I. Overall after looking at your priorities in each of the eight themes what are your top three priorities in Galway City that you think something realistic can be done about in the next 3-6 months?

1st priority ______

2nd priority ______

3rd priority ______

Please return completed questionnaires by November 30th to

Evelyn Fanning, Health Promotion, West City Centre Seamus Quirke, Rd, Galway

If you have any questions please telephone 091 548318

Thank you

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If you would like to be involved in any way following the results of this research you can contact us on 091 548318 or email [email protected]

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