As winter draws in, concerns are rising for millions of older people across the UK. But for many older Black Britons—who already face higher health risks, lower incomes in later life, and persistent inequalities—the months ahead could prove especially challenging. Charities and health organisations are urging renewed attention to the needs of older people as cold weather, rising bills and stretched NHS services combine to create a difficult winter.
New research from Age UK shows the scale of worry among older communities. Nearly 8 million older people say they feel anxious about the coming months. Forty per cent are concerned they may not be able to heat their home properly. Over half worry the NHS will struggle to cope, and almost one in five fear they may not have enough to eat.
These pressures fall unevenly. Black households remain statistically more likely to live in colder homes, face fuel poverty, and experience health inequalities. For older Black people who already deal with long-standing barriers in healthcare, winter can deepen existing challenges.
Increased Health Risks During Winter
Older adults face a higher risk of health complications as temperatures fall. Long-term conditions such as diabetes, cardiovascular disease and high blood pressure—conditions disproportionately affecting Black communities—often worsen in cold weather. As people age, it also becomes harder to regulate body temperature, increasing the risk of hypothermia, heart attacks and strokes.
Seasonal illnesses such as flu, coronavirus and RSV circulate more widely in winter and can be particularly dangerous for older people. These infections contribute significantly to winter pressures on the NHS, with older adults making up a large proportion of those needing hospital treatment.
Reduced physical activity is another concern. As daylight hours shorten and pavements become wet or icy, many older people choose to stay indoors. This can quickly lead to a loss of strength and balance, making falls more likely.
Dr. Helen Spencer, a GP specialising in elderly care, explains:
“Winter is a tough season for our older population, and pre-existing health conditions add layers of vulnerability. Preventative steps, early support and staying connected are crucial.”
Loneliness and Isolation: A Hidden Winter Challenge
Winter often brings emotional challenges as well as physical ones. Loneliness affects many older people across the UK, but older Black Britons may feel its impact more strongly due to cultural or geographical separation from family, or long-standing mistrust of health and social services.
Bad weather and mobility issues make it harder to stay socially connected. For older people who live alone, this can lead to long periods without conversation, community support or reassurance.
Age UK’s national advice line sees a surge in calls during winter, often from older adults seeking information or just a friendly voice.
Financial Pressures Remain a Major Concern
Rising energy costs continue to affect people living on fixed incomes, many of whom are still feeling the after-effects of the cost-of-living crisis. While Black households overall are more likely to be in fuel poverty and to live in less energy-efficient homes, older Black people can face particularly high heating costs, especially in properties with outdated or inefficient heating systems.
Age UK is urging older people not to cut back on heating or food to save money. The Winter Fuel Payment remains available to those of State Pension age, providing £200 or £300 depending on individual circumstances. The charity also helps older people access other financial support, including Pension Credit.
Practical tips such as batch cooking, using frozen ingredients and seeking help early can help with budgeting, but structural financial inequality means many older Black people continue to face additional pressures.
Caroline Abrahams, Charity Director at Age UK, said:
“Older people should not have to choose between heating and eating. Winter can be unforgiving, and targeted support is essential to help older people stay well.”
Understanding Vaccine Eligibility
Vaccinations remain one of the most effective ways to prevent severe illness in winter. However, recent changes to coronavirus vaccine eligibility have caused confusion, with some older people reporting they were turned away from appointments.
Age UK encourages people to check the latest NHS guidance before booking. Vaccinations for flu, coronavirus, pneumonia and shingles continue to offer crucial protection for older adults.
All NHS vaccines have undergone extensive safety testing and monitoring. It is also safe to receive more than one vaccine at the same time. Experts remind the public that the flu vaccine must be renewed annually due to changes in circulating strains.
Tackling Misinformation and Building Trust
Misinformation about vaccines remains widespread online, and Black communities have historically faced targeted misinformation campaigns. Age UK stresses the importance of relying on trusted sources such as the NHS, the World Health Organisation and reputable charities.
Families, faith groups, community leaders and healthcare professionals all have a key role in helping older people access reliable information and feel confident making decisions about their health.
Community Support Can Make a Real Difference
With further pressure on the NHS expected this winter, Age UK is calling on communities to support older people wherever possible. Checking in on neighbours, offering lifts to appointments, helping with shopping, and making sure people know where to get reliable advice can all make a real difference.
Local Age UK branches, Black-led community organisations, churches and social groups are preparing for increased demand, offering warm hubs, social events, befriending services and practical guidance.
A spokesperson for Age UK said:
“This winter will be challenging for many older people, but with good information, community support and access to the right services, we can help people stay safe and well. No one should face winter alone.”
Further Support and Resources
Winter wellbeing article:
https://www.ageuk.org.uk/discover/2025/october/supporting-older-people-to-stay-well-this-winter/
Winter hub for professionals:
https://www.ageuk.org.uk/information-advice/for-professionals/winter-hub-for-professionals/
Winter Wrapped Up information guide:
https://www.ageuk.org.uk/information-advice/health-wellbeing/keep-well-this-winter/winter-guide/
Managing money in winter:
https://www.ageuk.org.uk/information-advice/money-legal/manage-your-money/
Vaccines guidance:
https://www.ageuk.org.uk/information-advice/health-wellbeing/health-services/vaccines/