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17 June 2019 Press release

Presentation of the National Plan for Ageing Support and Dependency Care in the Principality

©Direction de la Communication - Stéphane Danna

This morning, the Minister of Health and Social Affairs, Didier Gamerdinger, presented the National Plan for Ageing Support and Dependency Care in the Principality to the Press, in the presence of Alexandre Bordero, Director of Health Affairs, Sévérine Canis-Froidefond, Director of the Department of Forward Studies, Urban Planning and Mobility, Benoîte de Sevelinges, Director of the CHPG, Professor Alain Pesce, Head of the Department of Clinical Gerontology at the Rainier III Centre and Ludmilla Raconnat-Le-Goff, Secretary General of the Department of Health and Social Affairs.

The Principality of Monaco has always made the quality of life of its elderly people a priority.

With regard to dependency care at home, which now concerns 600 elderly people, the Department of Health and Social Affairs is continuously working to improve the quality of the service, so that beneficiaries and their families continue to have a positive attitude to care at home.  The effective role of Monaco City Hall was also highlighted.

Thus, recently, major efforts have been made to increase the amount of the autonomy allowance;  an agreement has been made with companies that provide personal care and a Sovereign Ordinance has been published, making it obligatory for these companies to be authorised.

In parallel, a procedure for reporting adverse incidents has been implemented by the Department of Health Affairs, and discussions are continuing on options related to care of the elderly in their own home.

Finally, a focus group was created recently, involving all the professionals concerned, to further improve the link between the city and the hospital, with the aim of avoiding frequent readmission to hospital, which leads to a loss of autonomy.

With regard to institutional dependency care, it was recalled that the average age for institutional care is 87, and the Principality now has 342 places in institutions for dependent elderly people.

It is therefore a question of implementing the most appropriate responses to each situation for the coming years.  It was recalled that the ongoing work on the Résidence du Cap Fleuri and Hector Otto Foundation care homes, situated in the Exotic Garden, will create 150 additional places in the short term, making a total of 492 places, thus meeting the needs until 2024/2025.

Mr. Gamerdinger announced the establishment, in line with this timeframe, of a new Residential Establishment for Dependent Elderly Persons, situated near the Boulevard du Larvotto. Two other structures will then be required to meet the needs of the resident population;  it is likely that they will have to be situated on land made available from the area around the CHPG, as it exists currently, and in the city.

The steady growth in the need for places in residential care homes for the dependent elderly in the coming years has led the Prince's Government, which ensures equitable access to social rights in the Principality, to decide, in consultation with the National Council, to extend the prior residency requirement in Monaco by reserving Monegasque public institutions for people who have lived in the Principality for a sufficiently significant period of time, i. e. 30 years, compared to the five years required until now. 

Didier Gamerdinger pointed out that, "These actions are in line with the high-level objective that the Principality has set itself.  The Prince's Government is putting in place the means that are essential for maintaining the excellence and the aspect of solidarity of our social model. "

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