“Rethinking the care of non-autonomous people can no longer be postponed, especially in the light of the demographic and health picture” of Veneto. Spi-Cgil, Fnp-Cisl and Uilp-Uil del Veneto after reviewing non-autonomous services and drafting a paper on critical issues and proposals to address them, which will be illustrated on Tuesday, March 29, at 10 a.m. in the conference “Improving Services and Performance for Non-Autonomous Enough elderly people in the region of Veneto“.
The data supports their reasoning: if today people aged Veneto represent 23% of the population with 1.1 million inhabitants, in 2050 they will be 1.6 million (35%), and it is the group of over 80s that is increasing the most, almost doubling: 358,000 today today, 693,000 in 2050. There are 1,100 centenarians today, 6,400 in less than 30 years. “But a long life does not correspond to good health: a third of people over 75 have a serious limitation of autonomy, and eight out of 10 elderly people have developed one or more chronic diseases which, in the long term, can lead to non-self-sufficiency”. In 2030, “very soon”, in Italy there will be eight million elderly people with at least one serious chronic disease, five million of whom will be disabled. If the national framework law, envisaged by the PNR, will probably not see the light of day before 2023, “already now, with the tools that the Region Veneto ha, improvement interventions can be implemented by better and homogeneously organizing services throughout the territory, by reviewing their financing methods and by providing control systems”, specify the pensioners’ unions. “Non-self-sufficiency is the real emergency of the third millennium”, comment the Venetian secretaries Elena Di Gregorio (Spi), Tina Cupani (Fnp) and Debora Rocco (Uilp).
Retiree unions therefore call for the design of “services adapted to the demand which will increase, which are dignified for the elderly who need them and relieve the family who support them. Because today, unfortunately, the elderly and family members are almost left to themselves by a system which in practice does not guarantee coherent management of multicronicities, which are the first step on the way to loss of autonomy”. Among the critical issues raised in the Spi-Fnp-Uilp document, the main one is “of organization and is the basis of the whole system”: services for non-autonomous people are offered by a plurality of subjects (Region, Local Health Authority, Municipality, affiliated entities and private entities) “not coordinated among themselves, in a different situation throughout Veneto”. And the burden of “understanding something” falls exclusively on families. “the method of financing services must be strengthened and rethought”: of the 832 million euros from the Regional Fund for the Non-Autonomous, 529 million go to accommodation for the elderly – “and they are all necessary” – but only 109 to home care commitments. However, 82% of Venetian elderly people who are not autonomous live with their family or alone with the family assistant. It is then necessary “to review the system of approval of EHPADs according to the average age of clients (85 years) and the net increase in needs for health services: adequate services and trained personnel are necessary”. The unions are calling in particular for the reform of the IPAB and “a thorough review of residential commitments: more are needed (at least 30,000) and their amount must also be increased, from 2010” at the same time as the definition of “homogeneous fees in all residential structures.
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