Transforming the Future of healthy ageing: The Lisbon Outcome Statement 

A groundbreaking summit in Lisbon, focused on policy innovation for healthy ageing across the WHO European Region, led to a powerful declaration. The Lisbon Outcome Statement serves as a passionate appeal for action to ensure that all people can enjoy full and enriching lives as they age. 

"This Statement sets us on a clear path," affirmed Dr Hans Henri P. Kluge, WHO Regional Director for Europe. "It's not about simply living longer; it's about unlocking the potential for truly healthy ageing, where individuals and societies alike can flourish." 

This declaration directly supports the UN Decade of Healthy Ageing, outlining the need for a multifaceted approach to enable older adults to remain active, socially engaged, and empowered within supportive environments. Furthermore, it challenges outdated and harmful stereotypes about ageing. 

Robert Butler, an octogenarian triathlete, embodies this shift in perspective. "Healthy ageing isn't something reserved for the young," he proclaimed. "I'm deeply motivated by the UN Decade's mission; it validates the idea that wellbeing and a zest for life can flourish at any age." 

The Summit: Catalyzing Change 

Europe's ageing population presents unprecedented opportunities and challenges, prompting a much-needed focus on innovative policies. Currently, the WHO European Region holds the distinction of having one of the world's highest proportions of older adults, a trend set to accelerate in the coming years, particularly within the 80+ population. 

"We see this demographic shift as a mark of genuine progress," explained Dr Natasha Azzopardi Muscat, WHO/Europe’s Director of the Division of Country Health Policies and Systems. "Yet, it's imperative that we counterbalance negative societal views on ageing and fully recognize the unique value and unwavering resilience of our older generations." 

Furthermore, by 2024, experts anticipate a significant demographic milestone within the Region - the number of older adults is projected to exceed that of young people. In response, the Summit convened policymakers, influencers, experts, and community representatives to grapple with this shift and chart a future of proactive, innovative strategies for healthy ageing. 

Notably, the Portuguese government seized this opportunity to launch their new national program on age-friendly communities, developed with WHO/Europe's guidance. This initiative will bolster Portugal's commitment to a comprehensive healthy ageing strategy. 

A Collective Effort: Priorities for Healthy Ageing 

The Lisbon Outcome Statement represents a major stride in confronting the realities of Europe's ageing population and creating the conditions for future generations to thrive. Its success hinges on the combined dedication of governments, organizations, and individuals from every corner of society. 

The Statement spotlights five pillars of healthy ageing that demand urgent action: 

Prevention at the Core: A proactive approach to health must be prioritized across the lifespan. This involves fostering physical, mental, and social well-being from early childhood onwards, with the goal of preventing future health problems and maintaining optimal quality of life. 

Accessible Support Systems: As needs evolve with age, seamless access to high-quality, affordable care is paramount. This means tailoring services to individual requirements, spanning different care settings, including long-term care options, and ensuring responsiveness to changing circumstances. 

Designing for All Ages: Building truly inclusive and age-friendly environments is essential. Communities and cities must be reimagined to enable people of all ages, and with varying levels of ability, to fully participate in society and enjoy access to opportunities and essential services. 

Unlocking Potential: Older people possess a wealth of knowledge, skills, and experience. We must combat ageism and create avenues for older adults to remain active contributors to their families, workplaces, and communities. This benefits society while enhancing a sense of purpose and fulfillment for older individuals. 

Data-Driven Decisions: Reliable and up-to-date evidence is the foundation for effective policymaking. Investing in research and data collection on ageing will ensure interventions are well-targeted, impactful, and responsive to emerging needs and challenges. 

The Statement's adoption is just the beginning. Its impact depends on translating these broad principles into tangible actions at national and local levels. Portugal, for instance, is leading by example with its new national program and commitment to age-friendly design. 

"The Statement offers invaluable guidance for policymakers looking to transform the experience of ageing," stated Dr Yongjie Yon, Technical Officer on Ageing and Health at WHO/Europe. "Its emphasis on evidence-based approaches gives us the tools to create lasting, positive change, ensuring that present and future generations enjoy lives characterized by well-being and dignity." 

Success Stories: Inspiration from Across Europe 

Inspiration can be found in the work already underway across the European Region. In Sweden, the groundbreaking "Esther Project" demonstrates the power of age-friendly communities. This initiative empowers older adults to lead the design of their neighbourhood environments, resulting in changes that improve accessibility, safety, and social connections. Meanwhile, Ireland has made commendable strides in combating ageism with its "Positive Ageing" program, which works to shift public perceptions and foster inclusive workplaces and communities. 

These examples, and many others, underscore the collective power to shape a better future for all. The Lisbon Outcome Statement stands as a testament to a shared determination to uphold the principles of healthy ageing, fostering a Europe where every individual has the opportunity to thrive. 

Beyond the Statement: Overcoming Challenges and Seizing Opportunities 

The path toward achieving the ambitious vision laid out in the Lisbon Outcome Statement is not without obstacles. However, by recognizing these challenges, we can devise targeted solutions and unlock the full potential of healthy ageing. 

Addressing Persistent Inequalities: Health disparities based on factors like socioeconomic status, gender, ethnicity, and geographic location remain a major concern across the European Region. For instance, those living in rural areas may face limited access to care and services. It's imperative that healthy ageing initiatives are grounded in principles of equity, leaving no one behind. 

The Caregiver Conundrum: Millions of dedicated individuals, often family members, provide informal care to older adults with health needs or disabilities. These caregivers deserve recognition and practical support, including respite services, financial assistance, and training. Failing to address this could lead to a caregiving crisis that places unsustainable burdens on families and healthcare systems. 

Financing Sustainable Care: As populations age, the demand for long-term care services is expected to surge. Finding innovative funding models that ensure affordability while guaranteeing quality care is essential. Exploration of public-private partnerships, social insurance schemes, and other financing mechanisms could offer solutions. 

The Mental Health Factor: Mental well-being is just as vital as physical health for older adults. Social isolation, loneliness, and age-related conditions like dementia present significant threats. Robust mental health services, accessible community support programs, and efforts to reduce stigma surrounding mental health are crucial for healthy ageing. 

Embracing Technology's Potential: The digital revolution holds tremendous promise for older adults. From telemedicine consultations to wearable devices that monitor health, technology can enhance independent living, improve access to care, and foster social connectedness. However, addressing the "digital divide" and providing tailored training are necessary to ensure inclusivity. 

The Benefits of Healthy Ageing 

The commitment to healthy ageing transcends individual well-being; it generates positive ripple effects throughout society: 

Stronger Economies: Healthy and engaged older adults can make lasting contributions to the workforce, volunteer sector, and their families. This boosts economic productivity and reduces dependency rates. Investments in proactive well-being policies are financially sound over the long term. 

Intergenerational Bonds: Fostering genuine connections between older and younger generations is a win-win scenario. Sharing wisdom, experience, and skills becomes a source of mutual enrichment, combating loneliness and promoting a richer sense of community. 

Vibrant, Inclusive Societies: When communities are designed to accommodate all ages, everyone benefits. Public spaces and services that are physically and cognitively accessible create a more welcoming environment where people with varied needs feel valued and empowered. 

A Call to Action 

The Lisbon Outcome Statement reminds us that the time for action is now. Governments, healthcare providers, urban planners, businesses, community organizations, and individuals all have a role to play. By working collaboratively, fostering innovation, and investing in proven strategies, we can build a world where healthy ageing is a reality for all. The choices we make today will fundamentally shape the society we grow old in. 

Voices from the Community: Stories of Resilience and Advocacy 

While policies and programs set the framework, real-life stories remind us of the people at the heart of the healthy ageing movement. Their experiences, challenges, and triumphs illuminate the path forward. 

Maria, an 85-year-old grandmother from Spain, describes the transformation she felt after joining a walking group for older adults in her neighborhood. "At first, I wasn't sure if I'd fit in. But everyone was so kind, and the walks helped me get stronger and more confident. Now, I have new friends, and I feel more connected to my community." Her story highlights the positive impact of age-friendly initiatives on physical health, social engagement, and a sense of belonging. 

Ahmed, a retired social worker in Germany, has become a tireless advocate for raising awareness about dementia. After his mother's diagnosis, he realized the lack of accessible information and support services available to families. He now volunteers with an organization providing resources and training for caregivers of people with cognitive decline. "We need to remove the stigma and fear around dementia," he asserts. "By creating dementia-friendly communities, we can improve quality of life for those with the condition and those who care for them." 

Stories like Maria's and Ahmed's remind us that healthy ageing isn't a solely a matter of individual choices. Supportive environments, inclusive services, and a change in attitudes toward ageing have the power to unlock potential and enhance lived experiences for older individuals. 

The Role of Civil Society: Amplifying Voices and Driving Progress 

Across the European Region, individuals and communities are taking the initiative to foster healthy ageing from the ground up. Grassroots organizations, advocacy groups, and volunteer networks are driving awareness, influencing policy, and creating innovative solutions tailored to local needs. 

Age UK, for example, is a prominent advocacy organization that supports older adults, their families, and caregivers. Through research, campaigns, and the provision of local services, Age UK aims to make later life a fulfilling and positive experience. Meanwhile, organizations like the European Network on Age-Friendly Cities and Communities play a vital role in knowledge sharing and supporting cities in adopting age-friendly principles. 

The collaboration between governments, civil society organizations, and the private sector is indispensable. These partnerships are key to tackling complex problems and building comprehensive systems that foster healthy ageing at all levels of society. 

Global Solidarity: Sharing Lessons and Building a Shared Future 

Ageing is a universal experience; however, the challenges and opportunities vary across cultures and countries. The WHO European Region can be a leader in advancing healthy ageing worldwide, while also learning from the successes and innovations within other regions. 

Sharing best practices, building research networks, and promoting international collaboration can accelerate progress globally. The UN Decade of Healthy Ageing provides a crucial platform for fostering this type of cooperation. 

A Vision for the Future: Leaving No One Behind 

The Lisbon Outcome Statement charts a path towards a future where ageing is not seen as a burden or a source of fear, but instead as a time of opportunity, dignity, and continued contribution to society. However, turning this vision into a reality will require sustained effort, unwavering commitment, and a collective determination to address the unique challenges of an ageing world. 

It's a journey that demands a whole-of-society approach. National policies, local initiatives, and community-driven efforts must interlock to create the foundation for healthy ageing. We must prioritize prevention, ensure seamless access to care, design inclusive communities, harness the potential of technology, and address persisting disparities. 

Moreover, a shift in our collective mindset is essential. Ageism and negative stereotypes about ageing are detrimental to both individual and societal well-being. It's time to celebrate the value and contributions of older adults, recognizing the resilience, experience, and wisdom they embody. By fostering intergenerational understanding and solidarity, we create a richer and more vibrant social fabric for all. 

The actions we take today will not only determine the trajectory of our own ageing, but also that of generations to come. As policymakers, healthcare providers, educators, business leaders, and caring citizens, we each have a role to play. This is an opportunity to reimagine ageing and create a more equitable and inclusive world where everyone has the chance to live a long, healthy, and fulfilling life. 

The Lisbon Outcome Statement represents a milestone, not the final destination. It's a call to embrace innovation, leverage partnerships, and continually refine our approaches as we learn and adapt. Building on its legacy will demand ongoing research, monitoring progress, and unwavering political will. 

Ultimately, the quest for healthy ageing is about creating a world we all want to grow old in. A world where age is not a barrier to opportunity, where communities are welcoming for all, and where every individual feels respected, valued, and supported throughout the course of their life. Through shared purpose and unwavering commitment, we can make this vision a reality.