Healthy Ageing: a Strategy for Older Queenslanders the Priorities You Identified 14
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Queensland Health Healthy ageing A strategy for older Queenslanders Contents Introduction 1 Policy and planning context 2 Consultation 3 Queensland’s age profile and future demographic projections 4 Experiences of ageing and ageing trajectories 5 Diversity within the older persons cohort 7 Living arrangements of older persons 8 Ageing and lower socioeconomic status 9 Older people who are carers 9 Aged care in Queensland 10 Designing health systems to encourage healthy ageing - a World Health Organisation approach 11 A health system in Queensland that supports healthy ageing 13 The vision you shared with us 13 Healthy ageing: A strategy for older Queenslanders The priorities you identified 14 Published by the State of Queensland (Queensland Health), 2019 Disclaimer: Strategic directions, The content presented in this publication is distributed by the outcomes and actions 15 Queensland Government as an information source only. The State of Queensland makes no statements, representations Strategic direction 1: or warranties about the accuracy, completeness or reliability Staying in good health for longer 15 of any information contained in this publication. The State of This document is licensed under a Creative Commons Attribution Strategic direction 2: Queensland disclaims all responsibility and all liability (including 3.0 Australia licence. To view a copy of this licence, visit Person-centred care for older Queenslanders 15 without limitation for liability in negligence) for all expenses, creativecommons.org/licenses/by/3.0/au losses, damages and costs you might incur as a result of the Strategic direction 3: © State of Queensland (Queensland Health), June 2019 information being inaccurate or incomplete in any way, and for Integrating health and other support services 16 any reason reliance was placed on such information. You are free to copy, communicate and adapt the work, as long as you attribute the State of Queensland (Queensland Health). Implementation and evaluation 17 For more information contact: Health system 17 Strategic Policy and Legislation Branch Department of Health 17 Department of Health Local Hospital and Health Services 17 Mail: GPO Box 48, Brisbane QLD 4001 Email: s [email protected] Evaluation and review 18 Phone: 07 3708 5570 References 19 SC1900370 Healthy ageing: A strategy for older Queenslanders Contents • National Ageing and Aged Care Strategy for Introduction Policy and People from Culturally and Linguistically Diverse planning context (CALD) Backgrounds • National Lesbian, Gay, Bisexual, Transgender and The Strategy will support the whole-of-government Intersex (LGBTI) Ageing and Aged Care Strategy A significant challenge for most contemporary health Across Queensland Health, work is already underway to agenda to create age-friendly communities. The • Queensland Health and Wellbeing Strategy systems around the world is to adapt their health develop, test and embed innovative service solutions for Queensland: an age-friendly community strategy adopts • Connecting Care to Recovery 2016-2021 services to meet the needs of their ageing populations. older people. Teams and individuals work every day to the World Health’s Organisation’s age-friendly cities While population ageing is largely a positive reflection champion the improvement of health services for better framework. The World Health Organisation’s framework • State-wide strategy for end-of-life care 2015. on improved life expectancy, the phenomenon itself health outcomes of their patients. identifies eight areas that directly influence the quality of has significant implications for the health system and life and wellbeing of older people, including Community While the focus of this Strategy is planning for the broader community services sector. The World Health Healthy ageing: A strategy for older Queenslanders (the Support and Health Services. The Strategy will make an health and health services for older Queenslanders, it is Organisation’s (2015) World report on ageing and health Strategy) aims to build on these initiatives and enable important contribution to the Community Support and recognised that planning for the health and wellbeing of reports that ageing populations will have profound others by aligning the policy, planning, administration Health Services area and the Queensland Government’s this group requires collaborative planning. This includes consequences for population health, health systems, and service delivery activities of the public health system age-friendly goals (Figure 1). planning with other providers of health and community the health workforce and health budgets; and equally to create an environment in which the health and health services and with agencies, including local government, The Strategy expands on the vision of: ‘By 2026, profound changes to health systems, policies and services for older people are continually improving. that have a role in addressing the social determinants Queenslanders will be among the healthiest people in services are required in response. of health and creating communities that encourage The overall objectives of the Strategy are to: the world’, as expressed in My health, Queensland’s and enable older persons to participate in activities to Historically, health services have been organised future: Advancing health 2026, as it specifically applies • Support healthy ageing optimise their own health, such as keeping active and around a disease based, curative model designed to to older Queenslanders. This expansion extends to connected with family and friends. meet the needs of a younger patient profile. However, • Drive health service effectiveness through identifying articulating strategic directions and system-wide actions as our population ages and we continue to live longer, priorities for service improvement and innovation in aligned to the directions in that document: A particular interface is with the planning for the our health services will also need to change and adapt. the delivery of health care for older people. provision of aged care services including both • Promoting wellbeing: Improving the health of Health and social issues for older patients are often community and residential aged care. While aged care Queenslanders through concerted action to promote more complex and likely to involve more than one The Strategy is intended to provide a point of alignment services are a Commonwealth Government responsibility, healthy behaviours, prevent illness and injury and condition requiring ongoing monitoring or treatment. for agencies within Queensland Health (the Queensland supply and affordability issues in the aged care sector address the social determinants of health New approaches are needed to meet the needs of older Department of Health and Hospital and Health Services directly impact both sustaining older Queenslanders’ people, their families and carers, and to support healthy (HHSs)) as they progress further planning and initiatives • Delivering healthcare: Improving access to quality and health while living independently in the community ageing as Queensland’s population continues to age and to guide the system towards the achievement of the safe healthcare in its different forms and settings and access to supported accommodation when live longer. outcomes and benefits identified in the Strategy. • Connecting healthcare: Making the health system work independence is no longer an option. better for consumers, their families and communities The Queensland Government works closely with by tackling the funding, policy and delivery barriers the Commonwealth Government to advocate for the International Policy Context Queensland Policy Context Queensland Health • Pursuing Innovation: Developing and capitalising on affordability and supply of sufficient aged care places evidence and models that work, promoting research across Queensland. This includes participation in the Queensland: an age-friendly and translating it into better practice and care. Multipurpose Health Service Program that, supported WHO: Age-friendly cities Older persons health strategy community strategy by community members, establishes a partnership to The Strategy has been informed by and aligns with deliver combined health and aged care services in small Framework includes eight The strategy applies the WHO age- The strategy is a key action included further policy commitments and strategies at state and rural communities across Queensland. interconnected domains: friendly cities framework to the in the Queensland: an age-friendly national levels, including: Queensland context using the same community action plan • Community and health care eight domains. • National Strategic Framework for Chronic Conditions transportation • Transportation • National Framework for Action on Dementia • Housing 2015-2018 • Social participation • Outdoor spaces and buildings • Respect and social inclusion • Civic participation and employment • Communication and information Figure 1 Policy conext 1 © State of Queensland (Queensland Health) 2019 Healthy ageing: A strategy for older Queenslanders Introduction 2 Consultation Queensland’s age profile and Input was sought from a broad range of stakeholders in the development of this Strategy. Health consumers, future demographic projections families, carers, clinicians, HHSs, industry bodies and other health services were asked for their views on what Queensland’s population is ageing because of sustained Coast HHS catchments are expected to experience