In this webinar, we will be using the Healthy Ageing and Prevention Index to explore what health and wellbeing looks like in different European countries.

1. Healthy Ageing and Prevention in
Europe: How do European countries
compare?

2. Welcome
Patrick Swain, Research and
Development Manager, ILC-UK
Join the conversation: @ilcuk @ILC_Europe
#PreventionIndex

3. The ILC Europe Network
•Launched in December
2021 to address
longevity and
population ageing in
Europe.
•ILC-UK a founding
member; Network has
80+ members across 18
countries.
•www.ilc-europe.org
@ILC_Europe

4. Healthy Ageing and
Prevention Index
Arunima Himawan, Senior Health
Research Lead, ILC-UK
Join the conversation: @ilcuk @ILC_Europe
#PreventionIndex

5. @ilcuk
#PreventionIndex preventionindex.org
The six
metrics
comprising
the Index
1. Life span: The number of
years an individual can expect
to live.
2. Health span: The number of
years an individual can expect
to spend in good health.
3. Work span: The expected
number of years spent being
economically active between
ages 15-65.
4. Income: The measure
of GDP per capita, using
purchasing power parity
(ppp) ($ 000s).
5. Environmental performance:
This is measured using the Yale
Environmental Performance Index
(EPI) which positions countries on
a scale of 0 to 100 (100=best).
6. Happiness: Taken from the
annual Gallup World Poll,
happiness positions countries on
a scale of 0-10. Scores of 0-4 are
interpreted as “suffering”, 5-7 as
“struggling”, and 8-10 as
“thriving”.

6. @ilcuk
#PreventionIndex preventionindex.org
Our Index
shows that
the EU ranks
3rd across 9
political and
economic
country
blocs.
blocs

7. @ilcuk
#PreventionIndex preventionindex.org
The top 50
countries on
the Index:
64% are in
the WHO
Europe
region.

8. @ilcuk
#PreventionIndex preventionindex.org
Our Index
shows that
across the
EU, where
you live can
impact on
your health
and wealth.
There is an 8-year gap
in life span (life
expectancy) between
the best and worst
performing country.
This is the equivalent
of ranking 4th vs 57th
on the Index.
There is a 6-year gap in
health span (healthy life
expectancy) between the
best and worst
performing country.
This is the equivalent of
ranking 5th vs 53rd on
the Index.
There is a 7-year gap
in work span (working
life expectancy)
between the best and
worst performing
country. This is the
equivalent of ranking
39th vs 97th on the
Index.

9. @ilcuk
#PreventionIndex preventionindex.org
Life
expectancy
is lower in
East Europe
than in West
Europe.
Sweden
Greece
Czechia
Bulgaria

10. @ilcuk
#PreventionIndex preventionindex.org
The NCD
burden is
greater in
East Europe
than in West
Europe.
Sweden
Greece
Czechia
Bulgaria

11. @ilcuk
#PreventionIndex preventionindex.org
Spending
more on
prevention
and
immunisation
improves your
Index ranking.
EU 27 (plus UK/Israel)

12. Dr Daniela Weber
Research Scholar, International Institute
for Applied Systems Analysis
Join the conversation: @ilcuk @ILC_Europe
#PreventionIndex 15th

13. AUSTRIA – RANK 15 out of 121
Life span
Health span
Work span
Income
Environ.
Happiness

14. AUSTRIA – RANK 15 out of 121
Life span
Health span
Work span
Income 11 58.65
Environ. 6 79.6
Happiness 13 7.2

15. AUSTRIA – RANK 15 out of 121
Life span 21 81.6
Health span 21 70.9
Work span
Income 11 58.65
Environ. 6 79.6
Happiness 13 7.2

16. AUSTRIA – RANK 15 out of 121
Life span 21 81.6
Health span 21 70.9
Work span 64 30.4
Income 11 58.65
Environ. 6 79.6
Happiness 13 7.2

17. AUSTRIA – CHALLENGES
• increasing population (9.3m by 2050)
2025: 2 million 65+
2050: 2.9 million 65+
• increasing health expenditures
• decline of some vaccination rates

18. AUSTRIA – partial LEs 60-70
year
2
4
6
8
10
2
0
0
4
2
0
0
6
2
0
0
8
2
0
1
0
2
0
1
2
2
0
1
4
2
0
1
6
2
0
1
8
female
2
0
0
4
2
0
0
6
2
0
0
8
2
0
1
0
2
0
1
2
2
0
1
4
2
0
1
6
2
0
1
8
male
WLE HLE CLE LE
WLE increases
WLE
HLE
CLE
LE
Source: Weber & Loichinger, Eur. J. Ageing 2022

19. Dr Kateřina Macháčová
Director, ILC-Czech Republic
Join the conversation: @ilcuk @ILC_Europe
#PreventionIndex 29th

20. Healthy Ageing and Prevention Index
29 (20 – 65)
The Czech Republic
– CHALLENGES – ACTIONS – GOOD PRACTISE –

21. CHALLENGES
• Demographical changes (over 65: now 1/5, 2030 1/4 and
2050 1/3 + triple of over 85)
• Sustainability of health and social care and its quality
• Separation of the two care systems
• Insufficient long-term care system
• Insufficient support for rehabilitation and aftercare
• Insufficient development of assistive technologies
• Sustainability of labor market (65. – 30,3 years)
• Retirement age and working ability
• Promotion of prevention and personal responsibility

22. accesible care vs. personal responsibility

23. ACTIONS
• Political level
• The Strategic Framework for Preparing for an Ageing Society of the Ministry
of Labour and Social Affairs for 2021 - 2025 (in progress)
- Earnings
- Human rights
- Education and employment
- Health and care
- Housing
• Personal level
• Support of engagement of older adults

24. GOOD PRACTICE
SCIENTIFIC AND CONSULTANCY WORKPLACE
- education
- research
- community outreach
- care

25. RESPECT AND UNDERSTANDING
the memory of a nation

26. ACCESIBLE INFORMATION
i60 on-line portal

27. ACTIVE LIVING
activity programs for older adults across CZE

28. BETWEEN GENERATIONS
Grandmas and Grandpas Fairy Tale Reading Club

29. UNIQUENESS
Santa's grandchildren

30. AGEING is NoT about them, it is abOut us
thank you for the attention
Katerina Machacova
CELLO ILC CZ

31. Sophie Schmitt
Director General, Seniosphère Conseil
Join the conversation: @ilcuk @ILC_Europe
#PreventionIndex 19th

32. Ageing well in France
Juillet 2023

33. Countr
y
Life span Health span Work span Income
Environmental
performance Happiness
Rankin
g
Switzerland 83,4 72,5 34,0 73,11 81,5 7,7 1
Iceland 82,3 72 37,2 60,08 72,3 7,5 2
Norway 82,6 71,4 32,0 68,35 77,7 7,4 3
Sweden 82,4 71,9 32,2 55,07 78,7 7,4 4
Netherlands 81,8 71,4 32,1 59,47 75,3 7,4 6
Luxembourg 82,4 71,6 30,0 120,96 82,3 7,4 6
Australia 83 70,9 33,0 52,20 74,9 7,2 6
Denmark 81,3 71 31,1 60,33 82,5 7,7 9
Ireland 81,8 71,1 31,2 89,43 72,8 7,3 10
New Zealand 82 70,2 34,8 45,07 71,3 7,2 11
Canada 82,2 71,3 32,8 50,66 71,0 7,1 11
Israel 82,6 72,4 31,9 41,95 65,8 7,3 13
Finland 81,6 71 29,6 51,56 78,9 7,8 14
Austria 81,6 70,9 30,4 58,65 79,6 7,2 15
United Kingdom 81,4 70,1 31,5 48,51 81,3 7,2 16
Germany 81,7 70,9 30,6 55,89 77,2 7,0 17
Japan 84,3 74,1 31,2 42,20 75,1 5,9 17
France 82,5 72,1 27,5 49,38 80,0 6,7 19
ranking 9th 6th 34th 16th 5th 20th
Spain 83,2 72,1 28,8 42,19 74,3 6,5 21
South Korea 83,3 73,1 31,6 42,73 66,5 5,9 23
Italy 83 71,9 24,9 44,85 71,0 6,4 24
Belgium 81,4 70,6 27,0 54,71 73,3 6,8 25
Slovenia 81,3 70,7 29,0 41,19 72,0 6,7 26
Costa Rica 80,8 70 32,2 21,79 52,5 7,0 27
Portugal 81,6 71 29,6 36,87 67,0 6,1 28
Czech Republic 79,1 68,8 30,3 43,01 71,0 6,1 29
Estonia 78,9 69,2 31,8 38,82 65,3 6,0 30
United States of
America
78,5 66,1 31,3 65,28 49,1 6,9 31
Colombia 79,3 69 33,9 15,62 52,9 6,4 32
Slovakia 78,2 68,5 29,8 32,56 68,3 6,4 33
Chile 80,7 70 31,2 25,97 55,3 5,9 35
ILC Healthy Ageing
and prevention
index
OECD countries

34. Ageing well, a strong
and growing
expectation...
Question: "Would you say that, for you personally, being
concerned about ageing well is...?"
2022 France N=500 55-75 ans _ 2023 France N=600 50-80 ans
6% 2%
55%
38%
39%
60%
2018 2023
Very important
Somewhat important
Not important
Seniosphere 2023 France N=600 50-80 ans

35. 1% 2% 2%
5%
12%
13%
22%
30%
9%
5%
1 2 3 4 5 6 7 8 9 10
…that seems difficult to meet
Average score: 6.9
Question: "On a scale of 1 to 10, how would you rate your ageing well?"
Seniosphere 2023 France N=600 50-80 ans
50-59 : 6.5
60-79 : 7.1

36. Question: When people talk to you about "ageing
well", do you think they mean above all...? (1st answer)
"Aging well" is first and
foremost synonymous with
good health
54%
9% 8% 7% 7% 6% 6%
3%
Seniosphere 2023 France N=600 50-80 ans

37. Question: When people talk to you about "ageing well", do you think
they mean above all...? (answer in 1st, 2nd, 3rd place)
83%
43% 41%
34%
31% 30% 28%
9%
To be in good
health
Continue to
be able to do
what you
enjoy in life
Feel good
about yourself
Make the
most out of
life
Being active Being
independent
Live normally Look younger
than your age
2023 France N=600 50-80 ans
Ageing well also means
being able to do what you like
and feeling good about yourself.
Seniosphere 2023 France N=600 50-80 ans

38. 2. A good
environment
3. Socialisation
1. Healthy living
4. Food
Ageing well has become a global lifestyle
5. Activities
Question
:
Pour
chacune
des
caractéristiques
ci-dessous,
préciser
si
selon
vous
elle
est
très
importante,
plutôt
importante,
plutôt
pas
importante
ou
pas
du
tout
importante
pour
bien
vieillir
?
Réponse
"très
importante"​
Seniosphere 2023 France N=600 50-80 ans

39. Continue to work in sharp decline since 2015
Continue to work
20%
2015
7%
2023
Top 3 « very important » to age well
Seniosphere 2023 France N=600 50-80 ans

40. Ageing Well, a growing concern and challenge for Baby Boomers who are
reaching 80, and a strong expectation for Generation X as they approach
retirement.
A common expectation among the over-50s in France, the UK and Germany,
with some common approaches between the three countries and some major
differences to be considered.

41. Sophie Schmitt
+33 (0)6 85 68 01 25
s.schmitt@seniosphere-
conseil.com
Yasmine Djane
y.djane@seniosphere-conseil.com
www.seniosphere-
conseil.com
About Seniosphère Conseil :
As France's leading strategy and marketing consultancy,
Seniosphère Conseil has been developing strategic expertise in the
over-50s, Generation X, Baby-Boomers and Seniors markets since
2006.
The consultancy helps companies to assess the opportunities in
this market, develop their strategy, interpret market trends and
create new products or services.
As an innovation accelerator, Seniosphère Conseil helps you find
and develop opportunities in the growing and fast-changing senior
market.
Thanks to its international and multicultural team, the firm covers
most European countries and has developed a network of
international experts.
Contact us

42. Prof A. Mark Clarfield
President, ILC-Israel
Join the conversation: @ilcuk @ILC_Europe
#PreventionIndex 13th

43. Healthy Ageing and Prevention in Europe:
How does Israel compare?
A. Mark Clarfield MD FRCPC
Professor emeritus, Ben-Gurion University
President, ILC Israel
Chair, National Council on Geriatrics

44. I have no relevant financial relationship with any commercial interests
related to this presentation.
A. Mark Clarfield MD FRCPC

45. All comments today are ante-bellum
eg Kibbutz Nahal Oz on Gaza Border

46. My assignment
• Israel's ranking on the Index
• The challenges facing Israel when it comes to healthy ageing and
prevention.
• The opportunities to improve your country's Index score and any
examples of best practice from Israel

47. My assignment
• Chapeau to the ILC-UK!
• Israel’s ranking on the Index (13th)
• Overall, not bad at all – but where can we improve ?

48. Specific rubrics - in numeric order
• Health span 5
• Life span 9
• Happiness (!) 9
• Income (PPP) 28
• Environmental 28
• Work span 44

49. Specific rubrics - income
• Positive: - growing economy, mainly hi tech
- health care is (largely free)
- cohort effect: most older people are refugees, or Holocaust
survivors – this will change
- late pension age (67 men; 62 women [and rising])
• Negative: - see above
- small (“island”) country; inadequate competition
- high taxes (eg defense 4.5% of GDP; 10th highest in world)
- inadequate universal pension payment
- poorish older age employment rates

50. Specific rubrics - environmental
• Positive: - growing awareness
- recent legislation
- huge investment in desalination
- growing use of nat’l gas, solar power (and wind)
• Negative: - mostly a desert, Global Warming in the ME
- crowded on the coast/centre
- weak Ministry of Environment

51. Specific rubrics – work span
• Positive: - pension age relatively high and rising
• Negative: - cohort effect (low education attainment)
- hi tech economy attracts younger persons
- special populations: eg older Immigrants (FSU),
Arab-Israelis and Ultra-orthodox Jews

52. Intra-bellum comments:
eg Kibbutz Nahal Oz on Gaza Border - two weeks ago and now

53. In the meantime – the challenges of looking after
older vulnerable Israelis today during a war
See :
1) webinar “ War in Israel: one doctor’s perspective”
Update from Israel: One Doctors Perspective – YouTube
https://www.youtube.com/watch?v=KqA4PKYrCu0
2) The Lancet:
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)02291-2/fulltext

55. Radu Ganescu
President, Coalition of Patients’ Organizations with
Chronic Diseases in Romania
Join the conversation: @ilcuk @ILC_Europe
#PreventionIndex 48th

56. Reflections
Prof Norah Keating, Social Gerontologist,
University of Alberta
Join the conversation: @ilcuk @ILC_Europe
#PreventionIndex

57. Q&A
Please ask your questions below
Join the conversation: @ilcuk @ILC_Europe
#PreventionIndex

58. Closing remarks
Patrick Swain, Research and
Development Manager, ILC-UK
Join the conversation: @ilcuk @ILC_Europe
#PreventionIndex

59. Future of Ageing 2023:
An age of possibilities
Thursday, 7 December 2023
9.00am – 5.00pm (GMT)
Wellcome Collection, London, and virtual
futureofageing.org.uk

60. Thank you