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Retirement living sector needs to provide services, not care

Dr Jane Barratt, Secretary General of the International Federation of Ageing, believes the retirement sector in Australia needs to change its focus to wellness.

She told the National Retirement Living Summit in the Gold Coast that the sector is at the “nexus” of what the next generation of the retirement industry will look like in the future.

“What we should be doing as providers or providers of facilities is trying to understand what is going to make the difference in someone’s functional ability, because a dependency model doesn’t work,” said Dr Barrett.

“In Hong Kong, the incentivisation is: if an older person can maintain their function, the provider of services is incentivised. But in most countries, and Australia is the same, it’s the other way around, greater dependency, greater money, and that needs to change,” Dr Barratt said.

“I challenge (the industry) to talk about services. We don’t want to be cared for, but we want to have services that enable us, services that enable function, enable me to do what I want to do.

“Creating dependency is not going to be a strong profit margin. So, what we have to do is flip it on its head. And we really have to think about how is the environment you’re creating – both people wise and architectural wise – going to further the health and wellbeing?”

She said governments had to invest in the sector for it to change.

“Aged care is not the retirement industry… and what we need to be doing here is thinking about how can you create the environment of healthy living for as long as possible, which is not the job of the aged care industry.”


The SOURCE: a number of operators are investing in wellness, notably in SA with ECH, ACH and Southern Cross Care each having dedicated gyms and allied health services. Private operator Keyton is launching 23 staff nationally to design and implement wellness programs. Five Good Friends is offering its Concierge service to village operators.

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Key things to help you everyday

1.5m Australians live with Diabetes

Diabetes is one of the biggest challenges confronting Australia’s health system with almost 1.5 million people (about 5.5% of the population) living with this condition.

What is concerning reading these statistics is that Diabetes Australia predicts about half-a-million of these people are living with diabetes in silent, that is undiagnosed type-2 diabetes.

New modelling from Diabetes Australia, based on US research, found that the cost impact of people in Australia living with type 2 diabetes not receiving recommended care was around AU$3,564 per person per annum.

An estimated 50% of Australians living with type 2 diabetes are not accessing a range of recommended diabetes health checks that help to prevent and manage diabetes-related complications including checks for diabetes management, cholesterol, eyes, kidneys, feet and others.

Diabetes Australia Group CEO Justine Cain said the modelling highlighted the importance of supporting Australians living with all types of diabetes to receive the best possible healthcare.

“Diabetes is complex and can lead to a range of debilitating and costly complications, many that can be prevented or delayed by ensuring people receive timely and appropriate medical care,” Ms Cain said.

“One of the challenges with Australia’s healthcare system is that it has been orientated towards treating people when they are sick and unwell, rather than preventing issues before they develop.“

Understanding diabetes and its seriousness is important.‌

  • If you are living with any type of diabetes, you need to learn how to manage your diabetes
  • If you have a family member or friend with diabetes, you can learn how to support them
  • If you are a teacher or employer, you have a duty of care to provide a safe environment
  • If you are at risk of developing type 2 diabetes, you can take steps to prevent, slow down its progression or even put your type 2 diabetes into remission.

From 9 through 15 July is National Diabetes week, which looks to start a conversation about the impact diabetes has on this country in order to drive change and create hope for the future.

Ms Cain said this National Diabetes Week, Diabetes Australia was launching the nation’s biggest ever conversation about diabetes to hear from people living with the condition about improving the quality of healthcare they receive and inform its submission to the Australian Government’s Parliamentary Inquiry into Diabetes.

“We’re hoping to amplify the voice of people with diabetes who understand the reality of living with diabetes better than anyone to ensure this inquiry focusses on the priorities that will change the future,” she said.

Over the course of the week, Diabetes Australia hosted a series of five thought-provoking Great Debates over five days. These debates featuring people living with diabetes alongside experts discussing the big topics relevant to the future of diabetes in Australia. 

The Australian Government recently announced an Inquiry into Diabetes in Australia. It is time to amplify the voice of the diabetes community to ensure this Inquiry focusses on the priorities that will change the numbers, change the future, and change lives. 

If you or someone you know has or is as risk of diabetes, and for further information go to: https://www.diabetesaustralia.com.au/

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Key things to help you everyday

Volunteering: On the decline in retirement villages?

Is the willingness of retirement village residents to volunteer on the decline?

Recent conversations with members of the Residents Associations from across the country have raised this very concern.

It is also a concern that has been raised by Village Managers across the country this year. The DCM Institute has been contacted regularly throughout the year to help Village Managers navigate dissolving a resident’s committee, and what to do when one does not exist.

While this trend is being observed in retirement villages, is there any information to confirm this is more widespread?

In 2016, more than 20 per cent of Australians took time out of their busy lives to volunteer. By 2021, this number fell to 15 per cent – a record low.

Table: Census-based estimate of volunteering rates, 2006 to 2021 (%)

Speaking at the recent Retirement Living Summit, Simon Kuestenmacher, ‘The Stats Guy’, commented that compared to their peers in the wider community, retirement village residents are more likely to volunteer.

Simon presented statistics from the 2021 ABS Census that confirmed 20% of 75–84-year-olds living retirement village residents are likely to volunteer, compared to just 17% in the wider community.

While this is encouraging as it speaks to our residents being more likely to volunteer than the wider population of people over 75 years of age, the 2021 Census also shows an overall decline in willingness of the 75-84 age group which is down to 16.58% from 19% in 2016.

Research shows that older adults who engage in volunteering are associated with more positive self-perceptions of ageing, which in turn predicted fewer symptoms of depression (Huo et al 2021).

What then can we do about this decline in our retirement villages?

One of the suggestions when this question was posed to Judy Mayfield from the ARQRV was, “to give them a project.”

Judy noted how residents are more likely to volunteer their time on a project that has a specific ‘end’ or ‘goal’ in instances when they are less likely to give their time to being members of Committees.

Sometimes the simplest insights are the most invaluable. If your retirement village is struggling to find volunteers, consider this approach. Find them a project.

Not just any project for the sake of ticking a box. Rather, a project which speaks to residents’ interests and can give or elevate their own persona purpose.

The concept of purpose is not foreign to DCM Institute participants. We explored it in detail at last year’s Village Summit with Phil Preston.

The numbers might suggest that the number of residents volunteering is declining. As Village Managers, we do have the ability to motivate and inspire. We just need to take the time to understand our residents. Understand their interests and their purpose. And find something that speaks to this which will benefit a wider group of people.