**6. Lessons learned**

We learned a number of valuable lessons during the programme that was meant to provide care, support and welfare for frail elderly that should fit the elderly as a warm and cosy jacket:


• Welfare and medical care must become integrated by taking into account living and housing conditions.

**A. Dutch System of Care and Welfare Acts**

care providers • Hospital transport

• Paramedic care

• Dental care (for young people) • Pharmaceutical care (medication)

• Maternity and obstetric care

• Guidance, nursing and care

• Certain tools, such as a denture or hearing aid

• Personal care and nursing through the district nurse

is setting up a social district team where people can seek help.

• Permanent stay in an institution (or living at home)

• Medical care and treatment related to the disease • In certain care areas: physiotherapy and dentistry

• Transport to the place of guidance, treatment and care

• Aids such as scoot mobiles and wheelchairs

ple who are seriously handicapped and limited, e.g. because of dementia.

Everything that the client needs is provided and arranged, namely:

The Dutch system of care and welfare consists of four acts important for elderly: the Health

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**The Health Insurance Act** (Zvw) is obliged to provide health insurance to all Dutchmen. Children up to 18 years old are automatically insured with their parents. The healthcare providers are obliged to accept everyone. Funding takes place through a nominal premium and an incomedependent contribution. The basic insurance covers a large number of health risks, including:

• Medical care (primary care) in hospitals, general practitioners and other recognized health-

Except for a consultation to the general practitioner, an additional contribution is requested

**The Social Support Act (Wmo)** is implemented by municipalities in the Netherlands and aims to allow citizens to live at home for as long as possible (self-reliance) and to participate in society (participation). The municipalities also have to promote social contacts for people with disabilities: chronic sick, frail elderly and mentally handicapped persons. For certain tasks such as home help, an income-dependent contribution is requested. Each municipality

**Long Term Care Act (WLZ 2015)** provides an integrated package of care and facilities for peo-

for the remaining tasks, the so-called own risk with a maximum of €350 per year.

Insurance Act, the Social Act, the Long Term Care Act and the Youth Act.

