Older people use more health services than younger people

Older people use 42% of health services (they make up 15% of the population). Population ageing without health improvement will cause this share to increase.

Share of health services used by people aged 65 and over

Share of health services used by people aged 65 and over Share of health services used by people aged 65 and over Share of health services used by people aged 65 and over

Source: Ministry of Health, estimate of future demographic-based funding for DHBs based on population growth alone

Source: Ministry of Health, estimate of future demographic-based funding for DHBs based on population growth alone

Spending on services for older people is increasing faster than other expenses

Over the last 10 years, DHB spending on services for older people has increased twice as fast as their overall expenses (68% cf, 27%) and 5 times as fast as the consumer price index (CPI).

Expenditure increase 2005/06 to 2015/16

Expenditure increase 2005/06 to 2015/16 Expenditure increase 2005/06 to 2015/16 Expenditure increase 2005/06 to 2015/16
Source: Ministry of Health, the Treasury, Statistics NZ

Source: Ministry of Health, the Treasury, Statistics NZ

Rest home care is a large part of the budget

DHBs spend $983 million on support services for older people. 60% of this goes to aged residential care.

Proportional spending on types of support service for older people

Proportional spending on types of support service for older people Proportional spending on types of support service for older people Proportional spending on types of support service for older people
Source: Ministry of Health, based on DHB financial returns 2014/15 selected expenditure codes

Source: Ministry of Health, based on DHB financial returns 2014/15 selected expenditure codes

The number of older people needing care will increase, but not the proportion

The number of older people needing care will grow, but the proportion of older people needing care is expected to reduce.

Changes in the number and proportion of people in aged residential care

Changes in the number and proportion of people in aged residential care Changes in the number and proportion of people in aged residential care Changes in the number and proportion of people in aged residential care
Source: Aged Residential Care Demand Planner, Central Region's Technical Advisory Services (TAS)

Source: Aged Residential Care Demand Planner, Central Region's Technical Advisory Services (TAS)

Older people have been using acute hospital services less

Acute hospital bed days for people 65+ (number and rate)

Acute hospital bed days for people 65+ (number and rate) Acute hospital bed days for people 65+ (number and rate) Acute hospital bed days for people 65+ (number and rate)
Source: Ministry of Health, National Minimum Dataset

Source: Ministry of Health, National Minimum Dataset

Older people are getting comprehensive clinical assessments

Older people needing support at home or in residential care are receiving comprehensive clinical assessments (interRAI assessments).

InterRAI assessments alert care homes and providers to issues that need to be addressed in the care plan or by referral for further assessment and treatment.

Number of comprehensive clinical assessments in the Jan–Mar 2016 quarter

Number of comprehensive clinical assessments in the Jan–Mar 2016 quarter Number of comprehensive clinical assessments in the Jan–Mar 2016 quarter Number of comprehensive clinical assessments in the Jan–Mar 2016 quarter
Source:National interRAI Data Analysis and Reporting Centre, Central Region's Technical Advisory Services (TAS)

Source:National interRAI Data Analysis and Reporting Centre, Central Region's Technical Advisory Services (TAS)

Examples of issues to be addressed from the 13,467 assessments in residential care in Jan–Mar 2016

Examples of issues to be addressed from the 13,467 assessments in residential care in Jan–Mar 2016 Examples of issues to be addressed from the 13,467 assessments in residential care in Jan–Mar 2016 Examples of issues to be addressed from the 13,467 assessments in residential care in Jan–Mar 2016
Source: National interRAI Data Analysis and Reporting Centre, Central Region's Technical Advisory Services (TAS), excludes assessments completed in hospital

Source: National interRAI Data Analysis and Reporting Centre, Central Region's Technical Advisory Services (TAS), excludes assessments completed in hospital

Examples of issues to be addressed from the 6948 assessments for home care in Jan–Mar 2016

Examples of issues to be addressed from the 6948 assessments for home care in Jan–Mar 2016 Examples of issues to be addressed from the 6948 assessments for home care in Jan–Mar 2016 Examples of issues to be addressed from the 6948 assessments for home care in Jan–Mar 2016
Source: National interRAI Data Analysis and Reporting Centre, Central Region's Technical Advisory Services (TAS), excludes assessments completed in hospital

Source: National interRAI Data Analysis and Reporting Centre, Central Region's Technical Advisory Services (TAS), excludes assessments completed in hospital