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Call for Equal Access to Appropriate Treatment Options for all Older People

Published 18/04/2020


(18 April) The Alliance of Age Sector NGOs wish to acknowledge the care being given to our nursing home residents during the Covid-19 pandemic, and to call for equal access to appropriate treatment options for all older people guided by the principles within the Ethical Framework for Decision-Making in a Pandemic (Department of Health 2020).

Age alone should never be a barrier to realising one’s right to health.  In its position adopted on 3rd April 2020, Alzheimer Europe considers it unacceptable to systematically restrict access to ventilators during the COVID-19 pandemic to people living with Alzheimer’s disease and other types of dementia, or people living in nursing homes.

The principle of fairness ensures that equity and appropriate clinical responses are of the highest standards and will apply to people of all ages including our older citizens during this crisis (Ethical Framework for Decision-Making in a Pandemic (Department of Health 2020)).

This is crucial given that the World Health Organisation has identified long term residential care setting residents as being particularly vulnerable to COVID-19, and over 65s have accounted for 90% of COVID-19 deaths recorded in Ireland to date.

We would like to make the following points to Government:

  1. Nursing home staff are experts in providing end-of-life-care and have always supported residents to live and die well.  Such staff are competent, compassionate and caring professionals, and we call for all necessary resources to be available to support them during this crisis. This includes adequate staffing, personal protective equipment, (PPE) and all other resources necessary to give the care that staff consider necessary to deliver quality care to vulnerable people at this time. 
  2. It is important to uphold the  principles of advanced care and end of life planning which place the wishes and preferences of each resident at the centre of the care and treatment provided. E.g. A resident wishing to be transferred to an acute hospital for further treatment should be facilitated in this.  Equally, ‘Do Not Attempt Resuscitation’ (DNAR) or 'Do not Transfer' should not be applied to entire care settings
  3. Each person who does test positive and requires treatment should be assessed individually and appropriate treatment options provided, based on their wishes and in line with clinically appropriate medical interventions. 
  4. It is most distressing to read the reports of older people in hospitals and nursing homes dying without family members present because of Covid-19.  We thank our hospital and nursing home staff who do their best to offer care and comfort to these patients, and we remain open to exploring any innovative and creative ideas that could provide some solutions to such separation at this time.

As an inclusive society, it is incumbent on us to ensure that the rights of our older people are protected, and we are calling on Government to review this as a matter of urgency.

The Alliance of Age Sector NGOs

Signed by:

Maureen Kavanagh, CEO of Active Retirement Ireland

Patrick Connolly, CEO of Age Action

Karen Horgan, CEO of Age & Opportunity

Sean Moynihan, CEO of ALONE

Pat McLoughlin, CEO of The Alzheimer Society of Ireland

Mairead Hayes, CEO of Senior Citizens Parliament

Aine Brady, CEO of Third Age

Sharon Foley, CEO of The Irish Hospice Foundation




Age Action is calling for a Digital Allowance to support the Digital Inclusion of Older People and a Study on the Cost of Ageing in Budget 2021

(30 July 2020) 

Age Action, Ireland’s leading advocacy organisation on ageing and older people is calling for Budget 2021 to include a digital allowance in the form of a €2.50 increase to the Telephone Support Allowance and a broadening of the eligibility criteria to support older people to access digital technology.

Paddy Connolly, CEO Age Action said ‘Digital exclusion is a reality for at least 33% of people over the age of 65 with the associated cost being one of the barriers to access for older people. We know that communication costs have increased during COVID-19 as people became more reliant on digital communications as a means of communicating with family, health professionals, arranging essential services and addressing social isolation.  In the context of an increasing reliance on telehealth measures and public health advice, Age Action urges the Government to increase the Telephone Support Allowance, introduced in June 2018 at a weekly rate of €2.50, to €5 and for a broadening of the eligibility criteria which is narrowly confined to those getting the Living Alone Allowance who are also eligible for the Fuel Allowance.’

Government services now actively prefer transactions to be digital under a “Digital First”approach, encouraging people to carry out their tax returns, and apply to r enew their driving licences and passports online. The Public Service ICT Strategy prioritises the digitisation of ‘the main existing citizen and business transactional services across Public Services’. There is an increasing reliance on digital channels to provide information by both the public and private sector which undermines people’s ability to access information which was very evident during the height of the pandemic. In a recent CSO survey of households of those over 60 and not online, the second greatest challenge to people who said they needed access to broadband, after lack of digital skills, was the perceived prohibitive cost.

‘Older people are being left behind because they do not have adequate access or skills to engage with digital services or participate in the digital economy; providing a digital allowance as well as investing in one-to-one digital literacy training that meets the needs of older people, is critical to bridging the digital divide. The new National Digital Skills Strategy committed to under the Programme for Government will have budgetary implications; Budget 2021 should begin to support older people to keep up’ Connolly said.