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Campaigners call for more home care investment in Budget 2017

Published 27/09/2016

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A group of Ireland’s leading not for profit organisations and campaigners came together today to call for increased investment in home care in Budget 2017. 

The majority of people coping with the effects of ill health and disability, which includes a large number of older people and people with chronic and long-term progressive illnesses, want to remain living in their own homes, and to die at home if that is their wish. As a society we are failing to provide these people with the support they need.

Home care is often seen and used as a solution to the hospital crises, but it should be seen as an integral part of long-term care in its own right.

The difference that appropriate home care can make to a family cannot be underestimated -- it can support people to live well in the community, to stay out of hospital and long-term residential care, and to remain in their own homes with their families throughout their lives. 

Launch of the Age Action General Election manifesto
Age Action's election manifesto called for more resources for home care.

Home care is also vital in supporting Ireland’s 200,000 family carers, who provide the vast majority of care for people at home. The system relies heavily on these carers who provide nearly €4bn worth of care every year and who need our support.

Research recently published by the School of Social Policy, Social Work and Social Justice in UCD, Age Action, The Alzheimer Society of Ireland and the Irish Association of Social Workers found that more than half of older people could remain in their own homes instead of going into long-term care if more home support services were available.

The report also showed that a multiple of resources are being invested in long-term care rather than in community-based care, despite the fact that Government policy is to support people to remain at home.

Our ageing population requires a significant annual increase in home care support. The cuts to home care provision over the years have not been restored to the levels required to keep pace with the significant ageing demographics. Provision needs to increase by 4% per year to merely keep pace with these pressures. Research from Care Alliance Ireland suggests an ongoing deficit of 1.6m home care hours in 2016.

This group is calling on the Government to urgently increase investment in home care in Budget 2017 so that people can remain living in their own homes for as long as possible.

The organisations involved are: Acquired Brain Injury Ireland, Active Ageing Partnership, Active Retirement Ireland, Age Action, Age & Opportunity, ALONE, the Alzheimer Society of Ireland, Care Alliance Ireland, Disability Federation of Ireland, Family Carers Ireland, the Irish Association of Social Workers, the Irish Heart Foundation, the Irish Hospice Foundation, MS Ireland, the Neurological Alliance of Ireland, Sage and Third Age.

 

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Age Action welcomes enhanced fuel allowance for those aged 66+, but regrets state pension lost spending power and lack of supports for those living alone.

Reacting to Budget 2025, which fell on the International Day of Older Persons, Age Action’s policy adviser Nat O’Connor said “An additional €12 for those in receipt of a full state pension will help some older people to cover their weekly costs, but it means that for yet another budget cycle the state has failed to restore the state pension to the value it had in 2020. We would need to see it increased by a further €18 for it to cover as much as it did four years ago, when many people already struggled to meet their needs. Older people now have weaker income security because the government failed to deliver on its promise of benchmarking and indexing the state pension, which every other Western European country already does. Age Action renews its call for benchmarking and indexation, to protect our peace of mind in retirement.”  

He continued, “Age Action has strongly advocated for reform to the fuel allowance given that older people are at particular risk of energy poverty, due to disproportionally occupying Ireland’s most poorly insulated homes, and our bodies retaining less heat as we age. Age Action welcomes the government’s recognition of this reality through granting people aged 66+ access to the fuel allowance under a generous means test, which will go a long way to combatting energy poverty in older age.” 

He continued, “Age Action deeply regrets the government’s failure to adequately address the disadvantages experienced by older people living alone. This is a repeat of last year’s budget, when we raised concern that the state did not recognize them as a particular cohort of our society in need of targeted support. The living alone allowance has now been allowed to stagnate since 2022, when it was only raised by €3, and the fuel allowance for those aged 66+ allows people living alone barely over half the income of a couple, despite the most recent research showing they bear 79% of the same costs. The carer’s allowance means test allows older people living alone only half the income of those living with another. This demonstrates a pattern of disadvantage for older people living alone, who were hit hard by the cost-of-living crisis, being twice as likely to experience material deprivation in 2023 as they were in 2020, before inflation began to spike. They are also nearly three times as likely to experience material deprivation than couples aged 65+. Six in ten older people living alone are women, so failing to support older people living alone also means compounding gender inequality in older age, where there already exists a 35% gender pension gap.” 

“Age Action welcomes the introduction of a universal companion pass, which will come in in September 2025. We have long emphasised the transport inadequacy experienced by many older people in Ireland and how this contributes to social isolation and exclusion. The universal companion pass is a simple improvement that will be greatly appreciated by many older people, in particular those who find travelling alone difficult or impossible.” Dr O’Connor concluded.  

 

 

NOTES TO EDITORS 

Age Action is the leading advocacy organisation on ageing and older people in Ireland. Age Action advocates for a society that enables all older people to participate and to live full, independent lives, based on the realisation of rights and equality, recognising the diversity of experience and situation. Our mission is to achieve fundamental change in the lives of all older people by eliminating age discrimination, promoting positive ageing, and securing the right for all of us to comprehensive and high-quality services. 

 

Contact person for reactions, interviews, etc.: Carrie Benn, Head of Communications, 087 9957838 

 

The main points of Age Action’s Budget 2025 submissions are as follows: 

SECTION 1: SOCIAL PROTECTION 

  1. Benchmark and index the state pension so that its rate will always be at least equal to 34% of total average earnings, to be achieved by 2026. Increase the rate of the state pension by at least €20 in Budget 2025. 

  1. Introduce an Energy Guarantee for Older Persons payment to better target cash supports to lower income households and to those in poorly insulated homes, while also insulating them from spikes in inflation.  

  1. Target more support to older people living alone. 

  1. Index all social protection means tests and income thresholds to earnings and inflation, to stop eligibility for supports being effectively reduced by inflation. 

  1. Address anomalies and inequalities in the state pension entitlement of carers, which currently mean that long-term carers of up to 19 years may not receive any credit towards a contributory state pension if they do not also have 10 years of paid contributions.  

  1. Conduct a gender and equality review of the Total Contributions Approach (TCA) to calculating the rate of the state pension, and suspend use of TCA until this is concluded. 

  1. End stereotypical household assumptions in welfare eligibility criteria, which currently preclude some older persons from accessing income supports due to a household composition other than living alone or living as a couple. 

  1. Halt the option of a deferred state pension to 70 until multiple anomalies and inequities that are caused by the current scheme rules have been addressed. 

  1. Implement other social protection proposals, as outlined in Section 9. 

 

SECTION 2: REST OF GOVERNMENT 

  1. [PER] Appoint a Commissioner for Ageing and Older Persons, with a supporting legal framework and an independent budget, to ensure we are all treated fairly and with dignity as we age. [€2.5 million] 

  1. [ETE] Abolish the prevalent ageist practice of mandatory retirement, so that we all have the option to remain in or re-enter employment beyond age 65, as a step towards eliminating legally permitted age discrimination. [revenue raising, no estimate available] 

  1. [Finance/PER] Develop a comprehensive, all-of-government national ageing strategy, with a requirement for implementation plans in every relevant state agency, to eradicate ageism and to ensure that we prepare sufficiently for the demographic transition. [<€1 million] 

  1. [Health] Deliver on the pledge of a strong, fully universal and accessible healthcare system that is tax-funded and free-of-charge at the point of use. [€567 million] 

  1. [Finance/PER, and FHERIS re digital skills] Prohibit ‘digital only’ services, fund digital skills training and adequately resource traditional alternatives such as desk and telephone services, as a step towards implementing a rights-based approach to accessing publicly funded services. [€10 million] 

  1. [Health/CEDIY] Introduce a care strategy using a human rights-based approach to improve, expand, and harmonize our care options. [<€1 million] 

  1. [HLGH/Transport] Implement policies to ensure that all of us can age in place in our homes and communities, in particular, supports and protections for older persons renting, and the enforcement of universal design principles for all new builds. [€45 million] 

  1. [Foreign Affairs] Support the introduction of a UN Convention on the Rights of Older Persons to address the gaps in the existing human rights system by clarifying states’ human rights obligations and responsibilities towards older people. [<€1 million] 

  1. [Finance, and Taoiseach re CSO] Adopt the use of an Employment Based Dependency Ratio. [<€1 million] 

  1. [Finance] Increase the tax exemption thresholds for people aged 65+ to €22,320 for an individual and €44,640 for a couple. [revenue neutral] 

  1. [Finance] Reduce the extent to which high earners can avail of pension tax breaks and tax-free lump sums on retirement. [revenue raised: €500 million] 

  1. [Finance/Social Protection] Ensure that all departments update means tests and income thresholds in line with inflation and changes to social protection rates. [revenue neutral] 

  1. [Foreign Affairs] Increase official development aid to 0.7% GNI, including a focus on ageing. [€300 million] 

  1. [DRCD] Increase funding for SSNO and CVP grants by 25%. [€1.8 million] 

 

Age Action’s pre-budget submissions can be found here: https://www.ageaction.ie/how-we-can-help/campaigning-policy/age-action-budget-submissions-government