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ACTION 3.7

To transform the home care model by strengthening the community setting, prediction, prevention and professional and technological support

Life expectancy is rising, as is population ageing, with a clear desire on the part of individuals to continue to live in their homes for as long as possible. The Act on Dependency is under-funded; therefore, the care received by individuals at home falls below the level they actually need (the average being 1 hour per week). Bearing in mind that in Europe overall 1.3 million more home care professionals will be needed over the coming years, that current funding falls below the required levels and that life expectancy is increasing, the present-day prescription and care model will become unsustainable. At present, the families themselves supplement the shortcomings in the public response with private services, largely delivered by domestic workers on a temporary, informal basis, meaning that the ratio of one professional for each individual requiring care is also unsustainable in time, aside from being a labour model that makes the sector hugely unstable; a situation modern society must end. In addition, the technology applied to date based on telecare has been reactive and it cannot envisage risk situations with people. It is thus essential to transform the domestic care model, to make it accessible for all life stages and to strengthen the community setting, prediction, prevention and professional and technological support in order to enhance efficiency and make it sustainable and universal. It is necessary to heighten coverage according to people's actual needs, and both the individual and the care setting must be incorporated into decisions regarding the services that are needed. Emphasis will be placed on strengthening the community setting through the various personal or local networks and through ongoing support, with respite for carers.