www.jrf.org.uk Helen Bowers, Angela Clark, Gilly Crosby, Lorna Easterbrook, Alison Macadam, Rosemary MacDonald, Ann Macfarlane, Mairi Maclean, Meena Patel, Dorothy Runnicles, Tim Oshinaike and Cathy Smith 2009 November A research project exploring the voice, choice and control of older people with high support needs commissioned by the Joseph Rowntree Foundation’s Independent Living Committee. Older people with high support needs constitute a large and growing sector of our population. Recent developments in independent living, which enable people who need support to have choice and control in their lives, have been slow to respond to the varied needs and aspirations of older people. This report: • presents the results of a scoping study exploring the current role of long-term care and sets out the policy context; • summarises key messages from older people with high support needs and presents their vision for a good life; • highlights the need for radical change in long-term care policy and services to achieve this vision; • recommends a multifaceted change programme to enable this vision to be achieved for individuals and their families; for local populations; and at a national policy and societal level. Older people’s vision for long-term care