Travel and transport
July 2006
Living well in later life: A review of progress against the National Service Framework for Older People (2006) found that access to reliable transport was lacking in all communities inspected and concluded that older people continue to be disadvantaged in the area of transport.[see reference 1] While many older people still use their own cars, for those who wish to use public transport, there are cheaper ways to travel with a wide variety of fare reductions available for older people.
Buses
Most local authorities offer reduced fares or free travel on local buses for older people. The type of concessions offered vary from place to place.
Trains
A Senior Railcard is available to anyone over the age of 60. It gives reductions of one-third on most train journeys. The Disabled Persons Railcard also offers a reduction of 1/3 on most journeys but includes the option of taking a companion at the same reduced rate.
Coach
Many coach companies offer discounts to older people.
Door-to-Door Transport Schemes
For disabled people who are unable to use public transport, there may be a local door-to-door transport scheme.
Cars
There is no age limit on driving a car. After the age of 70, licences must be sent to the Driver and Vehicle Licensing Authority (DVLA) for renewal every three years. A new licence will be granted automatically, unless there has been a change in the driver’s medical circumstances. Sometimes, people are asked to take a further driving test, to check that they can drive safely. This test is free.
The proportion and number of older people holding licences has increased over time; although this has not been reflected in the number of serious accidents to older drivers. Older people, however, are more likely to be killed or be seriously injured as a result of a road accident compared with a younger person. It is estimated that this is between 2 and 5 times greater and due to increased frailty.[see reference 2]
The Mobility Advice and Vehicle Information Service helps disabled and elderly motorists make informed decisions about their own mobility needs. They can provide practical advice on driving, vehicle adaptation and suitable vehicle types for both drivers and passengers.
They offer assessments, advice and information on the following:
- driving ability assessment including advice on car adaptations and the opportunity to test drive a range of vehicles
- driving ability assessment (learner) for people who are concerned about learning to drive, who have problems with driving tuition or who have learning difficulties
- advice on van or car adaptations
- an opportunity to try out a specific adaptation
- advice on vehicle access.
The Disabled Drivers' Motor Club (DDMC) takes an active role, monitoring government changes in legislation that could affect the quality of life for disabled people and provides a number of other services to members including: ferry concessions, insurance discounts, cars discount, legal services, RAC membership and publishes a regular magazine.
Fitness to fly
International Air Transport Association member airlines require medical clearance by the medical department/advisor of the airline if there is an indication that a passenger may be suffering from any disease, physical or mental condition, which may:
- adversely affect the welfare and comfort of the other passengers and/or crew members
- be considered a potential hazard to the safety of the aircraft
- require medical attention and/or special equipment during the flight
- be aggravated by the flight.
In 2004, the BMA's Board of Science produced a report, The impact of flying on passengers health: a guide for healthcare professionals.
Holidays
There are a multitude of holiday options available now for older people ranging from special interest holidays covering a wide range of topics to adventure holidays for the over 50s.[4]
References:
[1] Commission for Healthcare Audit and Inspection (2006) Living well in later life: A review of progress against the National Service Framework for Older People. London: Commission for Healthcare Audit and Inspection.
[2] Holland C, Handley S & Feetam C (2003) Older drivers, illness and medication (Road Safety Research Report No. 39). London: Department for Transport.
[3] British Airways - Medical conditions and fitness to fly
[4] BBC Health - Health over 50
Further information:
- Department for Transport
- Department for Transport - Access for disabled people
- Department for Transport - Older people's transport issues
- NHS Direct online - Travel health