Background 

People in the UK are living longer than ever before, which is good news. But for some people, these extra years may not always be matched with good health. Increasing numbers of people may experience conditions which could be preventable, or they may notice changes in their movement, their strength and in their ability to do everyday activities. Understanding what people know about ageing, and how early in life they think about age‑related changes, is essential for supporting healthier, more independent later lives. 

Government policy emphasises prevention, we need clear evidence about public understanding of ageing, particularly among younger and middle-aged adults who can benefit most from early action.  UK research in this area is limited. Most studies focus on older adults reflecting on their past experiences, rather than when people first become aware of changes or what they know about changes that may happen to them in the future.  

To build this understanding, we are launching a national survey exploring what different generations know and do not know about age-related changes in health and functional abilities. This project will provide the first national picture of how people understand age-related changes and what they believe they can do to stay well. 

Aims and Objectives 

We will co-design and deliver a large, representative survey of around 3,000 adults aged 18 and above. The survey will ask people about: 

• Their understanding of how health and functional abilities change with age 

• When they think these changes typically happen 

• What actions they believe can help them stay well for longer 

• How they feel about preparing for later life 

• How views differ between younger, middle-aged and older adults 

Initial workshops with our community collaboration partners along with further sessions with younger age groups will shape the development and design of the survey.  

Policy Relevance 

The findings will give policymakers and public health teams practical insights into: 

• Where public knowledge is strong and where there are misunderstandings. 

• The best times in life to deliver messages about preventing age-related changes. 

• How to communicate these messages in ways that are suitable for different age groups. 

• What support might encourage people to take early action to protect their health 

This evidence will support wider government efforts to focus more on prevention, improve how long people stay healthy, and ease pressure on health and care services in the future. It will also be relevant to national discussions about how prevention can help people stay active and independent for longer.  

Delivery dates 

April 2026 to March 2027

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