Irish Independent

Elderly ‘forced into nursing homes due to lack of home care’

- Eilish O’Regan Health Editor

ELDERLY people are being forced into nursing homes due to a lack of home care and other community supports, a new report reveals.

Older or disabled rural dwellers in particular are let down by social care services and poor public transport, leaving them with no option but to leave their homes.

Their plight is revealed in a damning report to the Department of Health by the Citizens Informatio­n Board.

The report notes that “the absence of appropriat­e supports in the community sometimes result in people having to go to nursing homes or other residentia­l care facilities”. The number of people on a waiting list for home help hours and home care packages has nearly doubled in two years – rising from 2,811 to 5,232.

Justin Moran, of Age Action, said: “Home care in Ireland is in crisis. Waiting lists are growing and older people are forced into nursing homes because they are not being supported to live at home.”

ELDERLY people are being forced into nursing homes due to a lack of home care and other community supports, a new report reveals.

Older or disabled rural dwellers in particular are let down by social care services and poor public transport, leaving them with no option but to leave their homes.

Their plight is revealed in a report to the Department of Health by the Citizens Informatio­n Board offices that deal at first hand with people struggling to access services.

Although lack of home help is a serious issue in urban centres, it is even more acute in rural areas, highlighti­ng another divide as older people, who may need only a basic level of service, are left behind due to lack of transport and distance from hospitals.

The report said 8pc of its queries referred to health service matters, with a proportion relating to difficulti­es in accessing appropriat­e home care supports in a timely manner.

“Some of the queries from the public refer to the struggles older people encounter when they are transition­ing from hospital to home, and highlight the fact that the absence of appropriat­e supports in the community sometimes result in people having to go to nursing homes or other residentia­l care facilities,” it notes.

It comes as new figures from the HSE show the number of home help hours delivered last year fell from 10.5 million hours in 2016 to 10.3 million.

The figures, obtained by Fianna Fáil TD Billy Kelleher, show some areas particular­ly hit by a drop in the vital services including Meath, Laois, Offaly, Wicklow, Waterford, south Tipperary, north Tipperary and east Limerick, as well as Clare, Galway and Donegal.

The Citizens Informatio­n Board’s report was delivered as part of the public consultati­on on proposals to establish a statutory scheme giving eligible people a right to a minimum level of home support.

The number of people on a waiting list for home help hours and home care packages has nearly doubled in nearly two years – rising from 2,811 to 5,232.

It pointed out many people encounter difficulti­es in accessing social and health services because the poor availabili­ty of public transport and failures by several agencies can combine to put obstacles in the way of the vulnerable.

It highlighte­d the effects of social isolation on older people in rural areas, and said currently many held a free travel pass but did not have access to any suitable public transport in their area.

Crisis

“Often the only alternativ­e is a taxi service which can be expensive for someone living on the State pension,” the report notes. “This lack of accessible and affordable transporta­tion may lead to further social isolation, worsening health conditions if they cannot get to hospital appointmen­ts, and in some cases result in people having to move into nursing home care,” it added.

The difficulti­es are compounded by other obstacles, including trying to get adaptation­s to a person’s home to make it accessible and safe for them.

“The grants are means-tested and funded from each local authority budget, which means that funding can run out so a person may have to wait until the local authority’s budget is allocated for the next year to access the grant,” the report says.

Justin Moran (inset), of Age Action Ireland, said: “Home care in Ireland is in crisis.

“Waiting lists are growing and older people are forced into nursing homes because they are not being supported to live at home.”

‘Home care in Ireland is in crisis. Older people are being forced into nursing homes’

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