Among adults aged 65 and over in England:


  • 24% of men and 31% of women needed help with at least one Activity of Daily Living (ADL), and 22% and 32% respectively needed help with at least one Instrumental Activity of Daily Living (IADL).
  • 20% of men and 27% of women had some unmet need with at least one ADL, and 12% and 16% respectively had some unmet need with at least one IADL.
  • Men (33%) and women (42%) in the most deprived areas were around twice as likely to have unmet need for at least one ADL compared with men and women in the least deprived areas (15% of men and 22% of women).
  • Most adults who had received help for ADLs in the past month, had received this from unpaid helpers only (65%). Three quarters of adults had received help with IADLs from unpaid helpers only (74%).
  • Among adults with some need for help and support with ADLs and/or IADLs, a minority (19%) had received a local authority assessment of care needs in the last 12 months.

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