Current priority elderly care

Elderly Care -
our priority

The world is aging

For every 10 people in the workforce, there will be at least 4 older than 64. By 2050 all European countries will have higher than 40% old-age dependency ratio (OADR) scores. The European Social Pillar includes the right to affordable long-term care services of good quality, in particular home care and community-based services.

Decade of Healthy Ageing

In 2020 starts a Decade of Healthy Ageing (from 2020 to 2030). Are we ready for that? The current corona crisis demonstrated incapacity of public health systems and its lack of resilience, that affected the elderly people the most. Innovative solutions to improve the public health systems should be sought.

Increasing Pressure

Rise in expenditure due to the aging of the population healthcare spending is projected to increase by 1,2% of GDP, from 7,1% in 2010 to 8,3% in 2060. On average, long-term care, health care and pension expenditure are projected to rise by more than 4% of GDP. The global trend is to merge elderly care with healthcare.

Call for Action

There is an increasing pressure for the governments to achieve cost effectiveness and cost efficiency of expenditure on long-term care, home care, integrated care and healthcare for elderly people. PPP model could be effective applied to provide long-term care, home care, integrated care and healthcare for elderly people.

The project with support of EIB will finance the design, construction, equipping and maintenance of up to nine Community Nursing Units (CNUs) across different regions of Ireland using a Private-Public Partnership (PPP) framework. These units will replace the existing ones that are no longer compliant with the HIQA (Supervision Authority for Acute and Community Services) regulations.

The aim is to improve access to high quality elderly and long term care throughout Ireland. The new CNUs are based on a person-centred approach giving to the residents the opportunity to lead their own lives in an environment reproducing the comforts of home, according with their cognitive and physical abilities. The main purpose is to normalise care and promote the person’s autonomy in everyday tasks, while providing care and assistance.

Asian Development Bank is working with the local government in Yichang, to structure a public-private partnership (PPP) to provide better elderly care services.  Under the PPP, the Yichang local government will build the elderly  care facilities while the private entity will run them, providing different levels of care. An upcoming project in the southern Guangxi Zhuang Autonomous Region develop another PPP project in which the private sector partner will build and run the elderly facilities and services.

Project Implementation Document

Naresuan University hospital provides health services and care for the elderly in the lower northern region through the competency of medical personnel. The services include health support, disease prevention and advanced care. It is a center of excellence and a health center that will serve the medical needs of the Indochina intersection, which is the center of the East-West Economic Corridor and a hub for health care services development in lower northern provinces as well as being a center for academic medical knowledge.

The Government of Hong Kong has implemented the PPP Elderly Health Care Voucher Pilot Scheme, starting 2009.All citizens aged 70 or above are given annually five healthcare voucher through an electronic system to partially subsidise their use of primary care services in the private sectror. The Scheme aims at implementing  “money‐follows‐patient”concept through the provision of partial subsidy to the elderly people. It enables the elderly people to choose private primary care services that best suit their needs.

The EU has made an experiment of using PPP modality for testing some innovative approaches for elderly care. In the Satakunta region, a functional PPP (public-private-people, i.e. public healthcare staff, suppliers and citizens) partnership was created, known as the Living Lab Cooperation Model. The Living Lab Testing Process created in the project was used to test welfare technology that allows elderly people to live longer at home. Among the products and services tested were a mobile emergency response system, a cooker safety solution, and a nurse alarm system.

PPP Netherlands Consortium for Healthy Ageing (NCHA). It consists of a four- year collaboration (2009-2013) between six universities and six corporations (among which Unilever, Philips, Pfizer, DSM). The budget of the project is €28 million, approximately 14% of which was provided by private partners.

The project scope includes a 70-bed facility, with 40 beds for acute hospital care and 30 beds for elderly care. The private partner will finance, design, construct, staff, maintain, and operate the network for a period of 30 years. The total private sector investment is $5 million.


•$5 million in private sector investment mobilized for the public health sector.

•15,000 people per year will receive access to improved services, of which over 50% will be from low-income households.

•A biometric system to identify patients will be introduced and will support MoSW’s work in developing a list of low-income households across the country to ensure they receive quality healthcare and other services.

IFC Public-Private Partnership Stories: Bangladesh Hospital PPP