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Harry Patch, Britain’s last surviving soldier of the Great War, dies at 111

It was only when he turned 100 that the veteran of Ypres began to speak about the horrors he had seen

It was just 11 years ago, when he turned 100, that Harry Patch first began to talk about his experiences fighting in the first world war.

It was a week ago that he became the last surviving soldier in the country who had seen at first hand the horror of the trenches.

Yesterday, Harry Patch died peacefully in his bed at his residential home in Wells, Somerset, a man who spent his last years urging his friends and many admirers never to forget the 9.7 million young men who perished during the 1914-18 war.

Last night, it was announced that a special commemoration service for the entire generation of British soldiers who died in the first world war will be held at Westminster Abbey, attended by the Queen and military and political dignitaries.

“War isn’t worth one life,” Patch, nicknamed “the last fighting Tommy”, would say. So traumatised was he by his experiences at the 1917 battle of Passchendaele – which claimed the lives of 70,000 men – that each year Patch locked himself away in a private vigil for his fallen friends.

It was seven days ago that Henry Allingham, 113, Britain’s oldest man and a fellow veteran of the trenches, died; with both men has gone Britain’s last living link to one of the most traumatic events in modern history. The prime minister said it was the passing of the “noblest of all the generations”.

“I had the honour of meeting Harry, and I share his family’s grief at the passing of a great man. The noblest of all the generations has left us, but they will never be forgotten,” said Gordon Brown. “We say today with still greater force, ‘We will remember them’.”

Harry Patch was born on 17 June 1898 in Combe Down, near Bath in Somerset. He left school at 15 to learn his trade as a plumber. He turned 18 just as conscription was brought in and, after six months’ training, he was on the frontline with the Duke of Cornwall’s Light Infantry. He was in the trenches at Ypres between June and September 1917, where he and his gang of five machine gunners made a pact not to kill an enemy soldier if they could help it: they would aim for the legs.

In September 1917, a shell exploded above Patch’s head, killing three of his comrades; he was hit by shrapnel in the lower abdomen, but survived. Every year since then Harry would remember that day.

“He would just lock himself away and remember his friends,” said author Max Arthur, whose 2005 book Last Post documented the words from the last 21 survivors of the war. “Last week, there was just one; now there is no one alive who has seen what Harry saw in the trenches. Harry said it was just the most depressing place on earth, hell with a lid on,” he said.

Arthur said the horrors of Passchendaele stayed with Patch throughout his life. Patch exhibited the signs of post-traumatic stress and even opening a fridge and being confronted by its interior light sometimes became a “traumatic experience, the light resembling an explosion”.

After the war, Patch returned to his trade as a plumber and married Ada, whom he had met while convalescing. They were married in 1919 and had two children, Dennis and Roy. His wife died in 1976 and his sons have also since died. Too old to fight in 1939, Patch became a maintenance manager at a US army camp and joined the Auxiliary Fire Service. He retired in 1963 and in 1980 married again, to Jean, only to be widowed a second time five years ago. His third partner, Doris, who lived in the same retirement home, died last year.

It was only on his 100th birthday that Patch came into the spotlight, when for the first time he allowed reporters to visit his care home. His autobiography, The Last Fighting Tommy, written with Richard van Emden, was published in 2007. “He was the last of that generation and the poignancy of that is almost overwhelming,” said van Emden yesterday. “He remembered all of those who died and suffered, and every time he was honoured he knew it was for all of those who fought.”

He said that his conversations with Patch were “a real education”. “He had a sparkle about him, a dry sense of humour. He was one of the most rewarding people to be with.”

As well as launching poppy appeals for the British Legion, Patch became an agony uncle columnist for men’s magazine FHM and he even had a cider named after him.

In 1999, he received the Légion d’honneur medal awarded by the French to 350 surviving veterans of the Western Front, dedicating it to his three fallen friends. He revisited the Ypres battlefield and British and German war cemeteries, placing a wreath on a German grave. Patch fervently believed war was “organised murder”. “It was not worth it,” he said. “It was not worth one, let alone all the millions.”

Prince Charles was among those to pay tribute yesterday. “Harry always cherished the extraordinary camaraderie that the appalling conditions engendered in the battalion and remained loyal to the end.”

Yesterday, the Chief of the General Staff, General Sir Richard Dannatt, said he spoke on behalf of all ranks of the army in expressing sadness at the news.

“He was the last of a generation that in youth was steadfast in its duty in the face of cruel sacrifice and we give thanks for his life – as well as those of his comrades – for upholding the same values and freedom that we continue to cherish and fight for today.”

The funeral is in Wells Cathedral.

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Over-65s to outnumber under-fives worldwide

US census bureau report highlights shift in global population that may bring social and economic changes worldwide

The world is about to cross a demographic landmark of huge social and economic importance, with the proportion of the global population 65 and over set to outnumber children under five for the first time.

A new report by the US census bureau highlights a huge shift towards not just an ageing but an old population, with formidable consequences for rich and poor nations alike. The transformation carries with it challenges for families and policymakers, ranging from how to care for older people living alone to how to pay for unprecedented numbers of pensioners – more than 1 billion of them by 2040.

The report, An Ageing World: 2008, shows that within 10 years older people will outnumber children for the first time. It forecasts that over the next 30 years the number of over-65s is expected to almost double, from 506 million in 2008 to 1.3 billion – a leap from 7% of the world’s population to 14%. Already, the number of people in the world 65 and over is increasing at an average of 870,000 each month.

The rate of growth will shoot up in the next couple of years, with both overall numbers and proportions of older people rising rapidly.

The shift is due to a combination of the time-delayed impact of high fertility levels after the second world war and more recent improvements in health that are bringing down death rates at older ages. Separate UN forecasts predict that the global population will top 9 billion by 2050.

The US census bureau has led the way in sounding the alarm over the changes. This is its ninth report drawing together data from around the globe since it first focused on the trend in 1987.

Its latest projections warn governments and international bodies the tipping point will present widespread challenges at every level of human organisation, starting with the structure of the family, which will be transformed as people live longer.

That will in turn bring new burdens on carers and social services providers, while patterns of work and retirement will similarly have huge implications for health services and pensions systems.

“People are living longer, and in some parts of the world, healthier lives,” the authors conclude. “This represents one of the crowning achievements of the last century but also a significant challenge as proportions of older people increase in most countries.”

Europe is the greyest continent, with 23 of the world’s 25 oldest countries. Such dominance of the regional league table will continue. By 2040, more than one in four Europeans are expected to be at least 65, and one in seven at least 75.

The UK comes in at number 19 in the list of the world’s oldest countries. Top of the pile is Japan, which recently supplanted Italy as the world’s oldest big country. Its life expectancy at birth – 82 years – is matched only by Singapore, though in western Europe, France, Sweden and Italy all have life expectancies of more than 80 years (in the UK it is 78.8).

The contrast in life expectancy between rich and poor nations remains glaring. The report shows that a person born in a developed country can expect to outlive his or her counterpart in the developing world by 14 years. Zimbabwe holds the unfortunate record for the lowest life expectancy, which has been cut to 40 through a combination of Aids, famine and dictatorship.

But an important finding of the report is that the wave of ageing that has until recently been considered a phenomenon of the developed world is fast encroaching on poorer countries too. More than 80% of the increase in older people in the year up to July 2008 was seen in developing countries.

By 2040, the poor world is projected to be home to more than 1 billion people aged 65 and over – fully 76% of the world total.

Ageing will put pressure on societies at all levels. One way of measuring that is to look at the older dependency ratio, or ODR, which acts as an indicator of the balance between working-age people and the older population that must be supported by them.

The ODR is the number of people aged 65 and over for every 100 people aged 20 to 64. It varies widely, from just six in Kenya and seven in Bangladesh, to 33 in Italy and also Japan. The UK has an ODR of 26, and the US has 21.

From that ratio, a number of profound challenges flow. Countries with a high ODR are already creaking under the burden of funding prolonged retirement for their older population. Life expectancy after retirement has already reached 21 years for French men and 26 years for French women.

Though retirement ages have begun to rise in developed countries, partly through inducements from governments to continue working, this still puts an extreme burden on public pensions funds.

Socially, too, there are intense pressures on individuals and families.

With women living on average seven years longer than men, more older women are living alone. Around half of all women 65 and over in Germany, Denmark and Slovakia are on their own, with all the consequent issues of loneliness and access to care that ensue.

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£20,000 fee could fund elderly care

• Three options unveiled to bridge huge funding gap
• Overhaul will bring an end to the postcode lottery

Radical changes to the way care for elderly people is funded were outlined yesterday in a green paper that confronts the soaring costs of looking after an increasingly old and frail population.

Elderly people could be compelled to pay up to £20,000 to insure themselves against the cost of being cared for at the end of their lives. The proposals are designed to replace a system that the government describes as unjust with one that is “fair, simple and affordable for everyone”.

The health secretary, Andy Burnham, said there was an urgent need to reform the structure of funding that forces some people to pay up to £200,000 for care, while others receive it free. At the moment, 50% of people pay more than £25,000 for their end-of-life care, while 20% pay more than £50,000.

Reform is needed because healthy life expectancy is not keeping pace with life expectancy. By 2026, there will be an estimated 1.7 million more adults requiring care and support in England.

“More of us are living longer – life expectancy is going up and advances in medical science mean that people with a disability are living longer. This is worth celebrating but does mean we need to radically change the way care is provided and paid for,” Burnham said.

The green paper stresses that there is not enough money in the system to pay for the care people will need in the future. “If we want to meet the needs of all those who require care in the future then, as a society, we are going to need to pay more for care and support. The question is where this additional money is going to come from,” it says. Three possible funding options are set out in the Shaping the Future of Care Together document, all of them conceived as national proposals, which would bring an end to the postcode lottery that sees local authorities setting out different criteria for financial support. The three options are:

• A partnership approach, which proposes that the government and the individual who needs care share the costs, with the government paying between a quarter and a third or more for people on a low income.

• An optional insurance-based model, which would also see the government paying between a quarter and a third of the costs, but would allow individuals to pay £20,000 to £25,000 to cover themselves against the remaining costs of care.

• A compulsory state insurance scheme under which everyone who can afford it pays between £17,000 and £20,000 – and receives free care in return.

Two alternative ideas were rejected: a scheme whereby everyone pays for themselves (ruled out because it would leave too many unable to afford any care), and an entirely tax-funded scheme (rejected because it places too heavy a burden on people of working age).

The government is not proposing to make new public funding available, but has proposed to end the disability living allowance for elderly people – which is not a means-tested benefit – to free up about £6.1bn that would then be returned to the budget for means-tested social care.

The threshold of £23,000 of assets beneath which individuals might receive care paid for by the state would remain at about that level, said the care services minister, Phil Hope.

Government funding and insurance payments would go only towards the cost of care, while accommodation and food would have to be met separately by individuals – stripping accommodation out of the costs of residential care homes for elderly people, which are calculated together. These costs could be deferred and charged to the individual’s estate when they die.

The green paper proposes creating a national care service, which would emphasise preventing people having to go into care homes by keeping them active and offering home rehabilitation services.

Burnham appeared to apologise for the government’s failure to launch this debate earlier.

“It is a difficult debate that raises difficult questions about funding. Politicians have flinched from this debate because it is difficult. The way that we look after our old people defines what we are as a country and I believe that we could do better,” he said.

Age Concern and Help the Aged welcomed the green paper as an attempt to fix the “broken care system”.

Michelle Mitchell, director of Help the Aged, said: “All political parties and the public must now look beyond the short-term squeeze on our national finances to agree a fairer way to pay for care.”

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Retirement age review brought forward

Government brings forward plans to look again at what age employees will be forced to retire

A review of the default retirement age, which allows employers to force staff to retire at 65, is to be brought forward by a year, the government announced today.

Ministers had previously pledged to look again at the measure in 2011, but it will now be held next year to respond to “changing demographic and economic circumstances.”

Pensions minister Angela Eagle said most people retired before 65, but 1.3 million chose to work beyond state pension age and many more said they would work past 65 if their employer permitted it.

The minister said it was time to look again at the default retirement age: “Some people prefer to take early retirement, others prefer to keep working. We want to give older people flexible retirement options.

“The government is responding to the changed economic landscape. The different circumstances today – for businesses, and for individuals coming up to retirement – suggest that an earlier review is appropriate.

“As Britain’s demographics change it is sensible that we have the debate on what works for business and individuals. The retirement laws need to reflect modern social and economic circumstances.”

TUC general secretary Brendan Barber welcomed the announcement. He said: “It cannot be right that an employer can sack someone simply for being too old. Employees should have choice – neither forced by employers to give up work, nor forced by inadequate pensions into working longer than they should.

“A key challenge as we live and stay active longer is developing the right kind of jobs, support and training for older workers.”

Michelle Mitchell, charity director for Age Concern and Help the Aged, described the move as a “step in the right direction,” but said it was not enough.

“The government should immediately put a stop to an arbitrary and unfair rule which stops people from working, simply because of their age.

“Older workers make a huge contribution to the economy and will have the skills and experience needed to boost recovery as we come out of recession.

“Many older people want to be able to continue to work beyond 65. For some this is because they need to boost their pensions or simply pay the bills, but for many it is because they love their jobs and see no need to stop working when they can still do them well.”

Legal challenges

Earlier, a panel of judges heard that a legal challenge by a solicitor forced to retire at 65 could affect every employee in the country.

The government has intervened in the case of Leslie Seldon, who claims he was discriminated against on grounds of age when his firm, Clarkson Wright Jakes, asked him to leave at the normal retirement age in line with his partnership agreement.

Dinah Rose QC, acting for the Department for Business, Innovation and Skills, said the case raised “important questions of policy and principle”.

The Equality and Human Rights Commission is intervening in a separate legal challenge next Thursday in the High Court over compulsory retirement in a case brought against the government by Age Concern and Help the Aged. It will decide if the UK’s default retirement age can be justified under EU law.

Scores of age discrimination claims are waiting in the pipeline for the outcome of these challenges. The judges will reserve their ruling tomorrow.

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A golden era for ageing policy?

As the baby boomer generation matures, a well-chosen ageing policy would improve the education, health and wealth of society as a whole

Demographic change is reshaping British society in an unprecedented way. There are now more people aged 65 and over in the UK than children under 16 which has never occurred before. Social change of this type and magnitude is difficult to comprehend, particularly because it is continuous rather than sudden. We see it in many of our own families, of course, with older relatives living until their late 80s and beyond, but extrapolating this to the whole of society is no easy task. Moreover, Britain has long emphasised youth over old age. Negative portrayals of ageing and older people are unfortunately familiar.

We need to foster a new idea of old age, as a time of opportunities, and to replace its current, largely passive, dependent and discriminatory associations.

To achieve this, we must first clear some barriers. Some believe the baby boomer generation, having pioneered the greatest social and sexual revolutions of the last two centuries and confounded countless prejudices, will transform later life in their own image. But waiting for the boomers to spring into action neglects all of those already in old age. It discounts the ageing process itself, which is likely to impinge on attitudes and capacity, and it ignores the huge diversity among the boomer generation – as in the current older generations – according to gender, race, ethnicity and social class.

Ageing diversity

Another popular myth is that an ageing society will vote as a block. There is no evidence to support this contention, which is an example of the general ageism rooted deeply in society. In political terms, old people are as heterogeneous as any other age group. This does not mean that their potential voting power can be ignored – far from it – but it is erroneous to stereotype the old as either set in their political ways or only interested in themselves. The media has an ill-informed tendency to focus on ageing in apocalyptic terms: the “rising tide of dependency”, “inter-generational war” and the “burden of pensions” are the sorts of headlines perpetuating the dependent stereotype of later life. There is a need for the media to act more responsibly and help in educating the public about what it means to be an ageing society.

We are all in the same boat, as far as ageing is concerned, and we share the same goal: to prevent or delay for as long as possible all of the negative associations with later life – physical, mental and financial. We all want to live longer, then decline and die faster.

What would a society more equal for all ages look and feel like? It would definitely not mean a regimented ageing process: diversity in both later life and the paths towards it would continue and be celebrated. Policy makers, practitioners and retailers would respond to the challenge of diversity and cater for it. Ageing would not be regarded as inevitable or immutable, rather, a malleable process. Both scientific research and direct engagement with older people would provide a constant flow of new ideas to improve the support necessary for active and independent ageing.

Transforming society

Age discrimination would be determinedly rooted out of all corners of society and school children would be taught about its damaging consequences. Job prospects for all ages would be enhanced by the universal availability of lifelong education and training for a working life with regularly changing skill requirements. Young people will realise the need to update their skills and knowledge and be aware of major health risks. Employers and service providers would emphasise age management, maximising wellbeing and reducing the incidence of disabling life events.

As they age, most people would have a choice about key aspects of their lives, which only a minority enjoy at present, such as retirement and full- or part-time working. The stigma of being an older jobseeker would be removed and a range of part-work part-pension options become available. Preventative health measures in employment would increase the job prospects and proportion of older workers.

A social pension would remove the risk of poverty, while individual pension savings would still afford higher levels of comfort. Advanced old age services would be individually customised and be available in people’s homes. A range of housing options would maximise independence and interdependence within the family and lifelong communities.

In short, this is an outline of the ideal ageing situation: free from discrimination and as full as possible with opportunities. While it cannot be delivered overnight, it is not a utopian dream, because many experience this in other European countries and in parts of the UK where it is affordable. Consequently the government’s forthcoming ageing strategy should seek to enable the majority to age in this way – actively and rewardingly.

• Alan Walker is professor of social policy and social gerontology at the University of Sheffield

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Expert advice for the digital tsar

If we are to create a truly inclusive digital society, Martha Lane Fox, the new tsar for digital inclusion, needs to widen the government’s view of the digitally disadvantaged

Martha Lane Fox, the UK’s new digital champion, and her taskforce have an uphill battle if they are to develop a truly inclusive digital society.

The Digital Britain report recognised that a “more concerted approach is now needed” and the government has committed itself to producing a national plan for digital participation. Yet the UK still maintains a narrow view of the digitally disadvantaged, which could lead to the exclusion of over a million illiterate people, as well as countless non-native speakers and technophobes.The national plan for digital participation must go further, to include those whose needs fall outside of the accepted definition of “disability”. It remains to be seen how the government will develop policies that simultaneously fulfil the needs of those with less severe, but more common, disabilities and other digitally disadvantaged groups. Lane Fox will therefore need to think carefully about these groups when she goes through her “to-do list”.

A to-do list for Martha

Legislation

• Don’t let the parliamentary draftsman create legislation that cannot be easily read. Legislation should be about inclusion, not exclusion.

• Make sure that the government works with manufacturers, retailers and digitally disadvantaged groups to enhance real people’s quality of life.

Access fund

• Make online retailers and internet service providers aware of the long-term benefits of digital inclusion. Then get them to put their money where their mouths are so that they can help digitally disadvantaged groups access computers and information about online services.

Get creative

• Think about alternative ways to engage with technophobes to help combat their indifference and lack of interest in the digital economy – seminars aren’t for everyone. Instead, community mentoring initiatives, which involve going to people’s houses to give one-to-one demonstrations, could take place.

Build public awareness

• Get the public on side. Create awareness campaigns that make it easier for older and disabled people to understand what the digital economy is and how they can participate.

What next?

It is economically, socially, and morally essential to lift the affordability, usability and accessibility barriers to provide a truly inclusive digital economy for all segments of the population. The government should take serious steps towards ensuring that, for the good of society, the digital economy is fully accessible to everyone.

• Dr Petros Iosifidis is a reader in media and communications at City University London and co-principal investigator for the Inclusive Digital Economy Network.

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It’s official: the heatwave is on

• Met Office triggers measures to help vulnerable and elderly
• Tomorrow could be hottest before weather cools at weekend

A heatwave has been declared in Britain, with temperatures in southern England expected to have hit a sweltering 32C (89.6F) – even hotter than yesterday.

The Met Office raised its heatwave plan to level three, or amber alert, in London and south-east England, triggering measures designed to help safeguard the welfare of thousands of elderly and other vulnerable people at risk from heat-related conditions.

Yesterday was the hottest day of the year to date, with temperatures reaching 31.8C (89.24F) in Wisley, Surrey, as June became the hottest month in three years.

The chief forecaster at the Met Office, Eddy Carroll, said: “Temperatures are likely to peak today and tomorrow, reaching 32C before becoming less hot by the weekend as noticeably fresher conditions with the risk of showers push east across the country.”

The Department of Health warned that temperatures could be higher tomorrow, touching 33C (91.4F), and advised people with respiratory problems to stay inside during the hottest parts of the day.

A heatwave is officially declared when the Met Office confirms that the threshold of an average temperature of 30C by day and 15C overnight for one or more regions has been met and there is a 90% risk that the daytime threshold temperature will be met the following day.

Parts of England have seen temperatures climb to highs of around 31C by day and in some areas they have not fallen below 18C at night.

The head of health forecasting at the Met Office, Wayne Elliott, said: “There are four key things to try to remember during a heatwave. If possible stay out of the heat during the middle part of the day; cool yourself down; keep your environment cool; and look out for others, especially older people, those living alone and babies and young children.”

Yvonne Doyle, the director of public health in south-east England, said: “Everyone’s health can be affected by the heat, with greater risks of dehydration, sunburn, heat exhaustion and heatstroke. Those most at risk are the very young and the very old, and people who already have health conditions, especially heart and respiratory problems – the heat can make their symptoms worse.”

Temperatures in the capital have been higher than in Bangkok this week, and Trafalgar Square’s fountains turned green as algae spread.

There is an 80% risk of heatwave conditions in the East and West Midlands and a 70% chance in eastern England. Temperatures are cooler in the north of England, where the chance of heatwave conditions is just 40%. The areas least at risk are Wales, where there is a 20% risk, and south-west England, where there is only a 10% chance of heatwave conditions.

Only extreme coastal areas, Northern Ireland and the west coast of Scotland, where temperatures were hitting a more moderate 20C (68F), escaped today’s heat, said a Met Office spokeswoman. Average temperatures for the time of year, which normally hit about 20C, were being surpassed, with most places recording more than 25C (77F), she said.

The weather has prompted the government to set up a heatwave advice page on its Directgov website, while the NHS Direct helpline has received hundreds of calls from patients suffering symptoms related to the heat.

The London ambulance service said it been treating large numbers of patients for breathing problems, chest pains, loss of consciousness and fainting. The service received 4,765 calls yesterday – an increase of 21% on the previous Tuesday – and urged people to call only in a genuine emergency.

Staff should be encouraged to wear shorts during the sweltering heat to make work more bearable and prevent them “collapsing” at their desks, the TUC urged. The weather has sent sales of electrical fans and ice cream soaring, according to Tesco and Sainsbury’s.

Keepers at London zoo have been feeding gorillas ice blocks, while tapirs at Port Lympne wild animal park near Ashford, Kent, were daubed with suncream by staff yesterday.

A London zoo spokeswoman said: “In this really hot weather we give the gorillas ice lollies which we make in buckets. We put fruit inside the ice lollies which they try to get out by standing on the blocks. Our gorilla group also have air conditioning inside their enclosure so they can go inside and outside into the heat as they please.”

The highest level of Britain’s heatwave plan is level 4, the red or emergency alert, which is declared when a heatwave is so severe or prolonged that the general population, and not just vulnerable groups, is at risk from heat-related conditions.

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Mercury to hit 33C as Britain bakes

Social services and hospitals on alert for hot weather casualties, with no relief from heat expected until weekend

An official heatwave health warning will be issued tomorrow morning, meaning that schools, hospitals, local authorities and social services must take action to avoid casualties, unless temperatures plummet tonight.

London and much of the south-east has already sweltered through two days where temperatures topped 30C, and tonight temperatures in the low 20s are expected in many areas. The lowest temperature anywhere in the Greater London area on Monday night was 18C.

The temperature hit 31C today at Heathrow. The highest temperatures recorded so far this week were 31.4C at Wisley in Surrey, and 30.4C in St James’s Park, London, both on Monday.

The scorching end to the month made June the hottest, driest and sunniest month since July 2006. Ladbrokes has cut the odds on a record-breaking UK summer from 9-2 to 4-1.

According to climatologist Philip Eden, England and Wales had on average 222 hours of sunshine in June, 117% of the figure for 1971-2000, while rainfall was only 80% of the same period.

Already this week Tesco reports that sales of electrical fans are 20 times that of last week, and they expect to sell 100,000 before any relief from the heat is forecast at the weekend.

Tomorrow could be the hottest day of the year, with temperatures predicted to reach 33C.

The Met Office has issued a warning of heavy rain across most of Wales this evening, and advance warnings of thundery downpours in the west tomorrow which could cause localised flooding.

The hottest spell in three years is already leaving the elderly, very young, frail and those with breathing problems particularly vulnerable. Advice on health, travel, and how to manage the heat in homes, schools and workplaces is available on the government’s Directgov website, drawing together information from the Met Office, NHS, and the Highways Agency.

During record temperatures in 2003, an estimated 2,000 people died from heat-related conditions.

NHS Direct and the London ambulance service, which will bear the brunt of pressure in the capital, are gearing up for a major demand on their services.

The UK’s heatwave plan remains at level two, but the Met Office believes it will be raised to level three.

Official advice says anyone who can should stay indoors from noon to 3pm, draw curtains to shade rooms, drink plenty of water and wear sunscreen while outdoors.

Many schools are already keeping children out of playgrounds during breaktimes.

Care homes have been advised to monitor indoor temperatures four times a day, identify high-risk residents and prepare a cool room.

Officials are urging people to identify the coolest room in their home, stock up on essential supplies to cut down on shopping trips and check on neighbours, relatives and friends, especially those with mobility problems.

The Department of Health and the lifeboat service have warned people to be careful if going swimming.

A teenage boy, who has not yet been formally identified, drowned while swimming with three friends in the river Severn yesterday.

Search teams using a helicopter and boat recovered the boy’s body. He was confirmed dead on arrival at Worcestershire Royal hospital.

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Pension warnings go unheeded

• Women fall further behind in providing for the future
• A quarter of Britons have no private pension plan

Worries about the recession are causing people to ignore warnings about the pensions gap, with the number of people saving enough for an adequate income in retirement remaining static in the past year, according to a pension report published on Tuesday.

While the percentage of those saving adequate amounts has increased in the past year from 51% to 54%, the Scottish Widows UK Pensions report found the gender gap has increased, with only 47% of women saving enough compared with 59% of men. Women over the age of 50 have been hit hardest, with 5% fewer likely to have an adequate pension.

Ian Naismith, head of pensions market development for Scottish Widows, attributed the decline in women’s savings to the effect of the recession on household incomes: he believes they may be using money that could otherwise be saved to ensure their children are not adversely affected by spending cuts.

“Retirement is way down in most women’s priorities compared to providing for their families,” he said.

The survey, conducted by YouGov for Scottish Widows, questioned 5,000 people in the UK over the age of 30 and earning £10,000 a year or more.

Despite the level of pension savings increasing steadily year on year, one quarter of Britons do not expect to receive any income from a private pension, rising to 31% among those in households with earnings between £10,000 and £30,000. Among the self-employed, the figure was even higher, at 35%.

Even among those entitled to join a defined contribution company pension – where payouts are based on stockmarket performance – one in five have failed to take advantage of the fact their employer is likely to cover the running costs and make contributions on their behalf.

These findings are backed by a similar survey from the employee benefits company Foster Denovo, which found that more than a third of adults in Britain who are not already retired have not joined a personal or company pension scheme.

More than a quarter of people aged between 25 and 44 did not have any provisions – such as property, inheritance or savings – in place for retirement, while 11% of this age group said that they had not yet considered how they would cope financially at the end of their working life.

The survey also found that more than two-thirds (68%) of non-retired men in Britain have a pension, compared with 60% of women. Ian Bird, senior partner at Foster Denovo, said: “This figure is likely to be representative of women’s childcare commitments, but it is clearly an issue that the pensions industry must address. It needs to look at what support it can provide to reverse this trend.”

The government aims to increase the number of people saving for their retirement with the introduction of the personal account, a simple self-enrolment pension scheme run by employers, in 2012. But critics say that those on low incomes will struggle to escape the effects of the pension credit, a means-tested benefit designed to top up pensioners’ incomes, to £130 a week in the current tax year. The benefit is reduced by a taper for those with private pension savings.

Their claims are supported by the Scottish Widows’ report, which found that 32% of those aged 65 to 69 had been personally affected by means tests in retirement.

Even those who are managing to save sufficient amounts now are likely to fall back in the future as companies cut back on or close final-salary schemes. Ian Naismith said: “Of the 54% who are saving adequate amounts, two-thirds are in final-salary pension schemes, so their future prospects might not be so good.”

Last week 96% of companies (out of a sample of 156 questioned by the accountancy PricewaterhouseCoopers) said they thought tax changes had made final-salary schemes unsustainable in the future.

Despite the low interest rates of the last nine months, most people questioned by Scottish Widows thought cash ISAs were the safest form of investment, with 72% saying they were very or quite safe.

The survey found that people below the age of 30 now see cash savings, including ISAs, as the main way to ensure a reasonable standard of living in retirement.

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