N�l an leathanach seo ar f�il as Gaeilge f�s


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Contents

 

Minister's Foreword
Executive summary
Glossary of terms
1. Introduction
2. Context
3. Review of international approaches
4. Estimating long-term care needs
5. Needs assessment and benefit design
6. Financing options
7. Partnership options
8. Costings
9. Implementation issues
10. Pre-funding
Bibliography
Appendices
I. Assumptions underlying the population projections
II. Long-term care in other countries

Foreword

The Government is committed to ensuring that older people and people with disabilities can fulfil their potential and make their full contribution to the economic and social life of our country. In particular, we will build service provision and the legislative frameworks which enable this to happen.

We have already provided significant improvements in supports for carers which have resulted in more than doubling the number of people in receipt of Carer's Allowance. We intend to continue in this vein by further developing and co-ordinating our policies for carers and the people for whom they care.

Both the Government's Agreed Programme and the Health Strategy put emphasis on maximising support for community care. Fundamentally, this means achieving a more even balance between institutional care and home care and targeting resources in a way that provides the most appropriate care to those most in need.

This study examines the future financing of long-term care in Ireland including the best way to structure such support and the most effective and equitable methods of funding. I hope that this comprehensive report will facilitate discussion and debate on the many strategic issues relating to the further development of policy in this area.

These issues are of relevance to a broad range of interested parties including older people, people with disabilities, carers, the social partners and the relevant public and private service providers and organisations.

All these stakeholders have a significant part to play in the development of an adequate and sustainable longterm care system.

The issues involved are complex and will take time to address fully, bearing in mind the competing demands for resources in our society. Progress must, however, be made and must be co-ordinated across a broad range of Government departments and agencies. I look forward to working closely with my colleague, Miche�l Martin, T.D., the Minister for Health and Children to advance proposals in this area.

Mary Coughlan, T.D.
Minister for Social and Family Affairs
November 2002

R�amhr�

T� an Rialtas tiomanta do chinnti� gur f�idir le daoine aosta agus le daoine at� faoi mh�chumas a bpoit�inseal f�in a bhaint amach agus a gcion a dh�anamh do ch�rsa� eacnama�ochta agus s�isialta na t�re seo. T�gaimid sol�thar seirbh�se agus creata reachta�ochta, go h�irithe, a �asca�onn � sin.

T� feabhs�ch�in shuntasacha d�anta againn, cheana f�in, ar thaca�ocht do ghairmeacha beatha, rud a d�fh�g dh� oireadh daoine ag f�il li�ntais do ch�ram�ir�. T� s� i gceist againn lean�int ar aghaidh ar an gcaoi ch�anna tr�n�r gcuid beartas do ch�ram�ir�, agus do na daoine sin a nd�anann siad c�ram d�ibh, a fhorbairt tuilleadh agus a chomhord�.

Leagann Cl�r Comhaontaithe an Rialtais agus an Strait�is Sl�inte araon b�im ar uasmh�id taca�ochta a chur ar f�il do ch�ram pobail. Go bun�sach, is �ard a chialla�onn s� sin n� c�imhe� n�os cothroime a bhaint amach idir c�ram institi�ideach agus c�ram baile agus spriocdh�ri� ar acmhainn� ar bhealach a shol�thra�onn an c�ram is oiri�na� d�ibh si�d is m� a bhfuil g� acu leis.

D�anann an staid�ar seo scr�d� ar mhaoini� amach anseo don ch�ram fadtr�imhseach in �irinn lena n-�ir�tear an bealach is fearr leis an taca�ocht sin a strucht�r� agus na modhanna maoini�ch�in is �ifeachta� agus is f�ar�ilte. T� s�il agam go n-�asc�idh an tuarasc�il chuimsitheach seo d�osp�ireacht agus pl� faoi go leor de na saincheisteanna strait�iseacha a bhaineann le forbairt bhreise an bheartais sa r�imse seo.

Baineann na saincheisteanna sin le raon leathan p�irtithe leasmhara lena n-�ir�tear daoine aosta, daoine at� faoi mh�chumas, c�ram�ir�, na comhph�irtithe s�isialta agus na heagra�ochta� agus sol�thraithe seirbh�se �bharthacha poibl� agus pr�obh�ideacha. T� r�l nach beag le himirt ag na p�irtithe leasmhara sin maidir le c�ras inmharthana agus leordh�thanach c�raim fhadtr�imhsigh a fhorbairt.

T� sa saincheisteanna at� i gceist casta agus glacfaidh s� tamall aghaidh a thabhairt orthu ina n-ioml�ine, go h�irithe i bhfianaise �ilimh ioma�ocha ar acmhainn� sa tsocha�. Caithfear dul chun cinn a dh�anamh, �fach, agus n� m�r an dul chun cinn sin a chomhord� i raon leathan gn�omhaireachta� agus ranna Rialtais. T�im ag s�il le hoibri� go dl�th le mo chomhghleaca�, Miche�l � M�irt�n, T.D., an tAire Sl�inte agus Leana�, chun molta� sa r�imse seo a chur chun cinn.

M�ire N� Chochl�in, T.D.
An tAire Gn�tha� S�isialacha agus Teaghlaigh
Samhain 2002

Last modified:29/09/2008
 

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