If the health of older people is to be addressed appropriately, then it
is essential that there be support for older people to live at home by
providing appropriate community-based services to meet their needs. This
approach needs to be complemented by ensuring access to acute services
is available in an appropriate manner when required. If this approach is
to be followed then there is an urgent need to address the specific
deficits in infrastructure that exist across the country. There should
be an emphasis on replacement and/ or refurbishment of facilities. If
this is not done, then we will see the inappropriate admission of older
people to acute care facilities with the consequent negative impacts on
acute services and unnecessary stress on older people.