At the same time, is also has been adopted to become the standards of health care after retirement in the rest of Europe (Denters, 2005). After review of the Sutherland, the UK's NHS has identified twenty four key development points to respond to the findings of the study (see Appendix A). The report is not only identifying the programs or the needs for the sector but more importantly, it is highlighting the need to create social programs that consider broader issues in labour, compensation and welfare (Scottish Parliament Information Center). The report is challenging
According to United Nations through World Health Organization (WHO) and the , United Nations Conference on Trade and Development (UNCTAD) and the United Nations Population Division (UNPD), the increasing number of people needing geriatric care is challenging the resources and manpower of health systems. The Democratic Health Network (2006) has been conducting a series of studies scrutinizing the changing role of health and welfare systems today. Many of their researches have highlighted the increasing critical role of these programs in ensuring the well-being of elderly citizens and the insufficiency of research knowledge and advocacies for them.
In 2004, Haider and Solong have highlighted that within the demographic is an even more vulnerable sector. They have identified that the neediest of the socialized services have little access due to either historical marginalization or because of the deterioration of regional health services due to economic constraints. This has prompted the NHS to pursue more extensively coordination with labour force surveys to anticipate the future needs for geriatric care. Health services are being stressed both institutionally and operationally. Increasing costs of health services due to technology and professional upgrades have been the focus in recent years but have been severely deterred by budget set backs. Some analysts even believe that even if health and welfare institutions have the resources to high more manpower of open more institutions, the lack of professionals to manage them will likely negate their efforts (Bouguet, 2002).
At the other end of the spectrum to be considered are those who need the services. It has been the motivation of medical science to extend the life span of people and they may just have been had too much success in it. As many medical innovations have extended survival rates, health and social programs to cater to the increased demand for the elderly have not been developed proportionately (Lothian, 2001). It estimated that 300 Million is needed annually to address the most urgent of social service needs as highlighted in the Sutherland Report (Scottish Parliament Information Center, 2000). As the number those falling under the classification of needing geriatric care, the figure can be expected to balloon to as much as 1 Billion pounds a year.
It should be noted that efforts to review existing health care programs began in the late 1990's and that the Sutherland Report is only among the many studies conducted by various sectors to assess the healthcare and welfare industry (Democratic Health Network, 2006). The reason that the report has gained the consideration given to it is in its significance to geriatric care and the labour industry.
After the publication of the report, government agencies and other industry players made their own recommendation based