A/HRC/45/14/Add.2
82.
Available data concerns the health and well-being of older persons, beyond clinical
data, including on function, fragility, mobility, communication ability, behaviour and
physical restraint. 66 It provides a comprehensive picture of an older person’s behaviour,
functional aspects of daily living and needs, moving towards the “glass human being”67
become a reality. The assessment software allows for information to be automatically
aggregated to provide data at facility, regional and national levels, and enables families,
advocates and payers to track a person’s progress.68 In many regions, however, the Home
Care International Resident Assessment Instrument is not being used as intended. Some
district health boards are adopting their own policies and interpretation of data, which leads
to unequal access to care for older persons.
83. The comprehensive information collected about an older person’s physiological data,
routine and behaviour, moving towards digital health, also allows for the detection of early
signs of health problems and early intervention aimed at individualized prognostics. As a
general principle, it is essential for older persons to understand fully what data is being
collected and for what purposes to ensure they can make a meaningful and informed
decision when giving their consent.
V. Conclusions and recommendations
A.
Overall strategy and findings
84.
New Zealand is undergoing an essential age-structural change, which requires
urgent adequate action now to meet the ensuing challenges. The Independent Expert
commends the commitment of New Zealand to ensuring the enjoyment of all human
rights by older persons. She welcomes the adoption of the new comprehensive strategy
entitled “Better Later Life – He Oranga Kaumātua 2019 to 2034”, which is guided by
the principles of the Treaty of Waitangi (Te Tiriti o Waitangi), the founding document
of New Zealand. It includes links to existing dedicated policies on older persons such
as the Healthy Ageing Strategy of 2016, the New Zealand Disability Strategy 2016, the
New Zealand Carers’ Strategy 2008 and the Mahi Aroha – Carers’ Strategy Action
Plan 2019–2023.
85.
The new strategy resonates with human rights principles and is conducive to
human rights-based implementation. The Independent Expert underscores that a
holistic approach encompassing civil and political, as well as economic, social and
cultural, rights is essential to ensure that older persons can fully enjoy their rights.
She also notes that the implementation of the strategy requires a clear commitment.
She calls upon the Government to allocate a specific budget for the implementation of
this strategy and encourages it to formulate and determine the objectives and aims to
be attained within a set period of time, as stated in the strategy.
86.
The Independent Expert welcomes the existing dedicated institutional
structures, such as the Minister of Seniors and the Office for Seniors. She stresses the
importance of an independent, interdepartmental coordination mechanism to
facilitate the implementation of a coherent policy plan, ensuring a multidisciplinary
approach to ageing. This is important to ensure that an older persons-centred
approach is mainstreamed into all activities. She notes, however, that the allocation of
adequate resources to the Minister of Seniors and her office is required to allow for
implementation of the contemplated measures.
87.
Welcoming the major reform of the public service which is under way and
which emphasizes that the fundamental character of the public service is acting with a
spirit of service to the community, the Independent Expert recommends that the
Public Service Legislation Bill be amended to require the public service to take into
66
67
68
Suzanne Dyer and others, Review of International Systems for Long-Term Care of Older People, p. 33.
A/HRC/36/48, para. 50.
New Zealand Aged Care Association, “Caring for our older Kiwis: the right place, at the right time”,
p. 17 ff.
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