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The impact of demographic change on local and regional government

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1 Introducti<strong>on</strong> >2 Demographic Changes in Europe > 3 Demographic Change in Four Policy fields > 4 Summary <strong>and</strong> C<strong>on</strong>clusi<strong>on</strong>> 5 Further Inquiry <strong>and</strong> Research Questi<strong>on</strong>s > 6 <str<strong>on</strong>g>The</str<strong>on</strong>g> Council <str<strong>on</strong>g>of</str<strong>on</strong>g> European Municipalities <strong>and</strong> Regi<strong>on</strong>s in a nutshellSpatial planning <strong>and</strong> <strong>local</strong> health authorities, doctors <strong>and</strong> <strong>local</strong>health insurance funds have set up working groups to develop“centralised health care centres for rural regi<strong>on</strong>s”. <str<strong>on</strong>g>The</str<strong>on</strong>g>secentres are instituti<strong>on</strong>alised to close a growing gap betweenthe decreasing number <str<strong>on</strong>g>of</str<strong>on</strong>g> doctors in the regi<strong>on</strong> <strong>and</strong> theincreasing number <str<strong>on</strong>g>of</str<strong>on</strong>g> elderly people. <str<strong>on</strong>g>The</str<strong>on</strong>g>se (rural regi<strong>on</strong>)centres bring together ambulant medical services withdifferent medical specialists working together. <str<strong>on</strong>g>The</str<strong>on</strong>g>y are to bewithin 20 to 30 minutes travel time by public transport forevery citizen. It is a model project <str<strong>on</strong>g>of</str<strong>on</strong>g> the Federal Ministry <str<strong>on</strong>g>of</str<strong>on</strong>g>Transport <strong>and</strong> Spatial Planning.In the Czech Republic, e.g., in Treb<strong>on</strong> (pop. 8,900, SouthBohemia), as in many regi<strong>on</strong>s <strong>and</strong> more than 50 municipalities,participatory processes <str<strong>on</strong>g>of</str<strong>on</strong>g> community planning in the field <str<strong>on</strong>g>of</str<strong>on</strong>g>social services have been initiated by a working group <str<strong>on</strong>g>of</str<strong>on</strong>g>represantatives <str<strong>on</strong>g>of</str<strong>on</strong>g> the town, social services providers <strong>and</strong>users (42) .<str<strong>on</strong>g>The</str<strong>on</strong>g> community plan for social services in Treb<strong>on</strong>focuses <strong>on</strong> the following target groups: the physically ormentally h<strong>and</strong>icapped, pensi<strong>on</strong>ers, children <strong>and</strong> young people,the unemployed, pers<strong>on</strong>s in a temporary social crisis, <strong>and</strong>, asan element in crime preventi<strong>on</strong>, pers<strong>on</strong>s addicted to drugs <strong>and</strong>other substances. <str<strong>on</strong>g>The</str<strong>on</strong>g> planning was supported by a grant fromthe South Bohemian Regi<strong>on</strong>.Ostrava (pop. 309,000, North Moravia, Czech Republic) is alsoimplementing a community planning process for socialservices. Moreover, a number <str<strong>on</strong>g>of</str<strong>on</strong>g> other steps has been taken inOstrava in resp<strong>on</strong>se to <str<strong>on</strong>g>demographic</str<strong>on</strong>g> <str<strong>on</strong>g>change</str<strong>on</strong>g>s, particularlyageing. Perhaps the most interesting is a mayoral advisoryboard <strong>on</strong> ageing issues. It has 10 members <strong>and</strong> meets at leastevery two m<strong>on</strong>ths. Am<strong>on</strong>g the topics it addresses are safetymeasures, quality <str<strong>on</strong>g>of</str<strong>on</strong>g> life in strategic urban development, <strong>and</strong>activities for the elderly. <str<strong>on</strong>g>The</str<strong>on</strong>g> special requirements <str<strong>on</strong>g>of</str<strong>on</strong>g> olderpeople are taken into account in municipal educati<strong>on</strong>al policy.Older people have free access to the library <strong>and</strong> other specialeducati<strong>on</strong>al services like Internet courses. In theatres elderlyare given a 50% discount <strong>on</strong> tickets. Another municipal projectis the safe home programme, providing special support forelderly single households.Estep<strong>on</strong>a (pop. 47,000), a coastal town in the Spanish province<str<strong>on</strong>g>of</str<strong>on</strong>g> Malaga, has initiated a project entitled “Pensi<strong>on</strong>ers'Paradise – Best Facilities for Senior Citizens.” <str<strong>on</strong>g>The</str<strong>on</strong>g> town has thelargest number <str<strong>on</strong>g>of</str<strong>on</strong>g> residences <strong>and</strong> support services for 'thirdage' residents in Malaga province. <str<strong>on</strong>g>The</str<strong>on</strong>g> facilities are used not<strong>on</strong>ly by <strong>local</strong>s but also attract people from all over Andalusia.<str<strong>on</strong>g>The</str<strong>on</strong>g> municipality also operates an emergency teleph<strong>on</strong>eassistance scheme for people aged 60 <strong>and</strong> over <strong>and</strong> forh<strong>and</strong>icapped people. <str<strong>on</strong>g>The</str<strong>on</strong>g> help line operates 24 hours per day,365 days per year. <str<strong>on</strong>g>The</str<strong>on</strong>g> users <str<strong>on</strong>g>of</str<strong>on</strong>g> the service have a team <str<strong>on</strong>g>of</str<strong>on</strong>g>specialist pr<str<strong>on</strong>g>of</str<strong>on</strong>g>essi<strong>on</strong>als at their disposal who know theiridentity, their requirements <strong>and</strong> medical data so that they canimmediately react to any problem or emergencies. <str<strong>on</strong>g>The</str<strong>on</strong>g> serviceis totally free to the users.Another project is a homesharing programme in differentSpanish cities called “Alojamiento por compañia”. <str<strong>on</strong>g>The</str<strong>on</strong>g>programme enables older people to remain independent intheir own home. At the same time, homesharing meets theaccommodati<strong>on</strong> needs <str<strong>on</strong>g>of</str<strong>on</strong>g> university students in places wherehousing is scarce or expensive. Homesharing provides mutualhelp <strong>and</strong> promotes solidarity between older <strong>and</strong> youngergenerati<strong>on</strong>s. <str<strong>on</strong>g>The</str<strong>on</strong>g> amount <str<strong>on</strong>g>of</str<strong>on</strong>g> help is tailored to both parties’needs in mutual agreement. Householders must be older than60 years while students must be enrolled at <strong>on</strong>e <str<strong>on</strong>g>of</str<strong>on</strong>g> theuniversities running homeshare programmes. In both casespers<strong>on</strong>s with low income have priority. <str<strong>on</strong>g>The</str<strong>on</strong>g> programme is runjointly by different organisati<strong>on</strong>s. Universities, n<strong>on</strong> pr<str<strong>on</strong>g>of</str<strong>on</strong>g>itorganisati<strong>on</strong>s as well as <strong>local</strong> <strong>and</strong> regi<strong>on</strong>al authorities (townhalls, regi<strong>on</strong>al <strong>government</strong> departments) are partners inHomeshare Internati<strong>on</strong>al.In 1994, the Basque Country (Spain) presented a ger<strong>on</strong>tologicalplan. <str<strong>on</strong>g>The</str<strong>on</strong>g> report focuses <strong>on</strong> the needs <str<strong>on</strong>g>of</str<strong>on</strong>g> inhabitants over 65.It records a wide range <str<strong>on</strong>g>of</str<strong>on</strong>g> activities for this target group<str<strong>on</strong>g>of</str<strong>on</strong>g>fered by a broad spectrum <str<strong>on</strong>g>of</str<strong>on</strong>g> actors. Activities includevolunteering promoti<strong>on</strong> <strong>and</strong> health programmes, recreati<strong>on</strong>alsupport programmes, home support, emergency teleph<strong>on</strong>eservices, <strong>and</strong> special housing <str<strong>on</strong>g>of</str<strong>on</strong>g>fers for elderly people.3.2 SPATIAL PLANNINGRelati<strong>on</strong>ship between Spatial Planning<strong>and</strong> DemographySpatial planning affects a wide range <str<strong>on</strong>g>of</str<strong>on</strong>g> different <strong>local</strong><strong>and</strong> regi<strong>on</strong>al policy areas, including urban developmentplanning, housing, transport, <strong>and</strong> technical as well as socialinfrastructure. <str<strong>on</strong>g>The</str<strong>on</strong>g> aim <str<strong>on</strong>g>of</str<strong>on</strong>g> spatial planning is to ensure <strong>and</strong>improve the socio-ecological <strong>and</strong> socio-ec<strong>on</strong>omic functi<strong>on</strong>ing<str<strong>on</strong>g>of</str<strong>on</strong>g> spaces, taking into account the principles <str<strong>on</strong>g>of</str<strong>on</strong>g> sustainabledevelopment.Demographic <str<strong>on</strong>g>change</str<strong>on</strong>g>s generate differing spatial planningrequirements in prosperous or stable regi<strong>on</strong>s <strong>and</strong> in shrinking(42) Ministry <str<strong>on</strong>g>of</str<strong>on</strong>g> Labour <strong>and</strong> Social Affairs, Nati<strong>on</strong>al Acti<strong>on</strong> Plan <strong>on</strong> Social Inclusi<strong>on</strong> 2004-2006, Czech Republic, 2004, p. 42 (http://europa.eu.int/comm/employment_social/soc-prot/socincl/nap_incl_2004_cz_en_versi<strong>on</strong>.pdf).

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