Long term care in the Netherlands Aloys Kersten Dutch ministry of Health, Welfare and Sports Barcelona, 14-10-2010.

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Presentation transcript:

Long term care in the Netherlands Aloys Kersten Dutch ministry of Health, Welfare and Sports Barcelona,

2 Outline Short movie Dutch health care system Organization of long term care Developments in long term care Future developments Challenges

3 Health Care System Cure – Health Insurance Act medical treatments Care – Exceptional Medical Expenses Act Support – Social Support Act domestic support, special transportation, home and living facilities

4 Exceptional Medical Expenses Act : Functions Personal care Nursing Residence Treatment (not medical) Individual support

5 Exceptional Medical Expenses Act : Clients Elderly (dementia, physical problems) Handicapped (mentally, physically) Persons with psychiatric problems

6 Exceptional Medical Expenses Act : Organization Need of an individual In contact with an intermediate organization Apply for help at the Central Indication Bureau Zorgkantoor in each region Caretakers

7 Exceptional Medical Expenses Act : Caretakers Private organizations without a profit goal Target groups Institutions vs home care Big concerns vs individual carers More than employees

8 Exceptional Medical Expenses Act : Number of clients ClientInstitutionHome care Dementia Elderly with physical problems Handicapped (mentally, physically) Clients with psychiatric problems Total

9 Exceptional Medical Expenses Act : Costs

10 Exceptional Medical Expenses Act : Mantelzorg

11 Exceptional Medical Expenses Act : Developments Started in clients less than € 1 billion clients € 23,5 billion (= 5% of GDP)

12 Exceptional Medical Expenses Act : Developments 1968: only uninsurable risks for a limited group of people 2010: much more activities for a more extensive group of people

13 Exceptional Medical Expenses Act : Developments Last 10 years: Quality gap Single rooms in institutions Lack of social participation Need of client is leading

14 Exceptional Medical Expenses Act : Developments Handicapped Number of clients (+ 2%) Costs€ 4,5 billion (prices 2010) € 6,0 billion (+ 33%)

15 Exceptional Medical Expenses Act : Social Trends Ageing of Dutch population Globalization Regionalization Individualisation Technological developments Financial tenability Lack of staff

16 Exceptional Medical Expenses Act : Future developments New government, new plans

17 Exceptional Medical Expenses Act : Future developments Main policies for the long term care Extra investment of € 1 billion Assistance to the Social Support Act Revalidation to the Health Insurance Act Clients responsible for own housing Competitive insurers

18 Exceptional Medical Expenses Act : Future developments Forecasts for 2015 Costs from € 23,5 billion to € 28 billion (+ 12%) Staff from tot employees (+ 13%)

19 Exceptional Medical Expenses Act : Challenges More innovations Lesser rules (high trust – high penalty) Investing in staff Stimulating labour participation Increasing self-sufficiency of care seekers