I find the three wheel assist interesting as I have only seen four wheel versions here.
With the title telling us to concentrate of the 'old lady' I would turn it into a vertical image by cropping the youth and the left doorway .. plus a horizontal flip would aid the resulting composition .... placing the dark area on right of frame. But that depends on if you wish a documentary or artistic image.
Putting the background out of focus I think subdues the interference of the rope or whatever it is ..partly cloned out over the brickwork but really too hard and complex a job over the background. The original would be better titled 'Old and Young' or something along those lines?
Edit I think it needs a border