Final Report - Special Representative on Elderly Issues of the OSCE Parliamentary Assembly

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    OSCE PA Special Representative on Elderly Issues Paola Taverna Annual Report

    https://www.ft.dk/samling/20211/almdel/osce/bilag/27/2608138.pdf

    OSCE PA Special Representative on Elderly Issues,
    Paola Taverna
    Annual Report August 2021-July 2022
    29th OSCE PA Annual Session, Birmingham
    2-6 July 2022
    Offentligt
    OSCE Alm.del - Bilag 27
    OSCEs Parlamentariske Forsamling 2021-22
    2
    Paola Taverna (Italy) was appointed OSCE PA Special Representative on
    Elderly Issues in August 2021. As Special Representative, she works to
    promote OSCE PA engagement on issues facing senior citizens in the OSCE
    area and facilitate the exchange of best practices on elderly issues. The
    Special Representative also strives to enhance welfare policies and
    support for the elderly in the OSCE area and focus the Assembly's
    attention on promoting measures to facilitate healthy aging.
    First elected to parliament in the 2013 Italian general elections, Taverna
    was elected Vice-President of the Senate in March 2018.
    As Special Representative on Elderly Issues, she is mandated, inter alia,
    to work co-operatively with relevant international organizations and
    authorities of OSCE participating States.
    Mandate:
    • Raise awareness in the OSCE Parliamentary Assembly regarding the issues faced by the rapidly
    growing elderly population.
    • Stimulate the Assembly on measures to facilitate healthy and active aging to maximize the
    opportunities that come from longevity.
    • Facilitate the exchange of best practices on elderly issues and consider ways to enhance welfare
    policies and support for the elderly in the OSCE area.
    • Co-operate and interact with relevant international organizations and competent authorities of the
    OSCE participating States.
    3
    In the exercise of my mandate, in order to enhance my understanding on the rapidly growing elderly
    population in the OSCE region and get acquainted with the best practices, issues, challenges and perspectives
    regarding senior citizens, I held a series of meetings with parliamentarians, governmental officials,
    representatives of political parties, experts and representatives of the civil society from diverse OSCE
    participating States. I further conducted a visit on the ground in Germany in late June to view in person
    housing modules for elderly citizens, co-operative housing facilities, barrier-free apartments and meet with
    experts on the topic. My meetings have been both in-person and online, making full use of today’s modern
    technologies and opportunities.
    I wish to reiterate my appreciation to President Margareta Cederfelt for having shown sensibility towards
    the importance of this topic and for having appointed me Special Representative last August.
    My work as Special Representative was facilitated by the assistance of the OSCE PA International Secretariat
    and by the expertise of Junior Professional Officer Roberto Ferrari.
    List of activities as Special Representative on Elderly Issues:
    • 20 December 2021 - Web meeting with the UK All-Party Parliamentary Group for Longevity.
    • 17 January 2022 - Web meeting with the Rapporteur of the 2nd Committee of the OSCE PA, Gudrun
    Kugler.
    • 3-4 November 2021 - Interim oral report on the occasion of the OSCE PA Online Autumn Meeting.
    • 21 February 2022 - Web meeting with the German National Association of Senior Citizens’
    Organisations (BAGSO).
    • 23 February 2022, Vienna - Meeting with the Commissioner for European Affairs of the Austrian
    Seniors’ Association/ÖSB (Österreichischer Seniorenbund), Heinz Kurt Becker.
    • 24 February 2022, Vienna - Meeting with the Special Representative on Youth Engagement of the
    OSCE PA, Farah Karimi.
    • 24-25 February 2022, Vienna - Interim oral report on the occasion of the OSCE PA Winter Meeting
    • 28 February 2022 - Web meeting with the Minister Delegate for Personal Independence of the French
    Republic, Brigitte Bourguignon.
    • 4 April 2022, Copenhagen - Interim oral report on the occasion of the OSCE PA Bureau Meeting
    • 17 June 2022, Rome - United Nations Economic Commission for Europe (UNECE) Ministerial
    Conference on Ageing 2022: introductory remarks on the occasion of “the coordination of ageing
    policies in Italy” side-event.
    4
    • 22 June 2022 - Web meeting with the Minister of Social Policy of Ukraine, Maryna Lazebna.
    • 27-28 June 2022 - Official visit to Germany (Hanover and Hamburg).
    • 3 July 2022, Birmingham - Dedicated Panel on Elderly Ukrainian refugees on the occasion of the UK
    Panel on Prevention of War Crimes Side Event during the 2-6 July 2022 OSCE PA Annual Session.
    • 5 July 2022, Birmingham - Oral remarks on the Annual Report on Elderly Issues on the occasion of
    the 2-6 July 2022 OSCE PA Annual Session.
    According to the World Health Organization, by 2030, 1 in 6 people in the world will be aged 60 years or over.
    At this time the share of the population aged 60 years and over will increase from 1 billion in 2020 to 1.4
    billion. By 2050, the world’s population of people aged 60 years and older will double (2.1 billion). The
    number of persons aged 80 years or older is expected to triple between 2020 and 2050 to reach 426 million1
    .
    We are therefore faced with a challenging scenario which requires the implementation of measures in
    diverse sectors to facilitate avenues of opportunity.
    Throughout my meetings, I have personally experienced the added value of sharing different approaches and
    ideas which may be replicated throughout our region to produce tangible results.
    The idea of setting up informal working groups, which put together the experiences of civil society and the
    political sphere may produce added value for our citizens. Such topic was discussed during my meeting in
    December 2021 with the UK All Party Parliamentary Group for Longevity. In the same direction, the
    importance of maintaining co-operation between the civil society and the political sphere was discussed
    during my meeting in February 2022 with the Commissioner for European Affairs of the Austrian Seniors’
    Association, Heinz Kurt Becker, together with the opportunities represented by the establishment of
    Associations of Elderly Citizens in the context of both social and political activities.
    In a similar vein, in February 2022 my meeting with BAGSO Germany and representatives of its various
    ramifications allowed me to explore the German approach with specific focus on its activities in the capacity
    of a highly structured umbrella Association of 120 civil society organizations. My meeting subsequently paved
    the way for a visit on the ground in late June 2022 to view concretely modern housing options for elderly
    citizens, which, in addition to the living space, offer a virtuous ecosystem not only for the benefit of the
    elderly, but also for younger generations in terms of intergenerational encounters and work opportunities.
    The French approach, which I had the opportunity to discuss in February 2022 with its Minister Delegate for
    Personal Independence, Brigitte Bourguignon, features a strong emphasis on the topic of personal
    independence related to senior age, with provisions aimed at allowing senior citizens to postpone the phase
    of dependency, while making full use of the opportunities in terms of experience which accompany longevity.
    1
    https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
    5
    My meeting with my colleague Gudrun Kugler (Austria) in January 2022 allowed us to explore the many
    interlinkages of the topic of longevity with the work put forward by the Second Committee. Elderly Issues in
    fact present cross-dimensional characteristics and require a holistic approach.
    With the Special Representative on Youth Engagement, Farah Karimi (The Netherlands) we had the
    opportunity to discuss on the margins of our Winter Meeting the many common aspects of our respective
    mandates and agreed on the relevance of keeping both topics closely connected to make the best use of the
    energy of younger generations, together with the experience of senior citizens.
    The June 2022 Rome UNECE Ministerial Conference on Ageing allowed me to address participants from
    diverse countries in my hometown, combining my commitment to Elderly Issues in my national context as
    Coordinator of the Italian all-party parliamentary group: “Longevity. Socio-economic perspectives” with my
    engagement in the multilateral sphere in the context of the OSCE Parliamentary Assembly.
    The tragic suffering of innocent civilians in Ukraine, which exposes women, children and the elderly
    population to the direst consequences was at the centre of my web meeting with the Minister of Social Policy
    of Ukraine, Maryna Lazebna. I expressed maximum solidarity with the Minister, who informed me about the
    serious difficulties faced by the Ukrainian senior citizens in the context of the war, especially for their inability
    to escape and adapt to emergencies. The Ministry of Social Policy managed to evacuate senior citizens from
    several nursing homes in the bombed areas where they were living and began the relocation work, also
    thanks to international solidarity.
    During the Annual Session in Birmingham, from 2 to 6 July 2022, I had the opportunity to elaborate upon the
    topic of elderly people in the Ukrainian conflict, inviting Ukrainian elderly citizens to share their personal
    experiences as refugees since the start of the war during a Dedicated Panel on the occasion of the Panel on
    Prevention of War Crimes organized by the Delegationof the UK to the OSCE PA, together with the Presidency
    of the PA. interior of a side event on war crimes organized by the UK delegation and the Presidency of the
    Assembly.
    Elaborating upon longevity, therefore, does not only mean talking about problems and concerns for the
    future, it also means thinking positively, aspiring to a quality existence, in which we can develop passion and
    interests, enjoying time doing what makes us feel good, dedicating ourselves to the affections. This is
    essentially the main lesson that I have gained in these two years of work on and for elderly people, both at
    the level of the Italian intergroup on socio-economic perspectives of longevity and at the international level.
    We must project ourselves towards a “culture of longevity” and realize, by uniting all the forces available in
    politics and society, a real revolution that puts the person at the centre, starting with those who have often
    been forgotten and who, instead, can unleash in society a potential not yet fully expressed.
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    20 December 2021 - Web meeting with the UK All-Party Parliamentary Group for Longevity
    Last December I held an online meeting with
    the UK All Party Parliamentary Group for
    Longevity.
    In some OSCE participating States, including
    the United Kingdom and Italy, parliamentarians
    have established cross-party parliamentary
    groups to share considerations and discuss
    through a more sophisticated understanding
    the issues faced by the elderly population. All-
    party groups may also count on the
    contribution of individuals and organisations
    from outside Parliament in their administration and activities, creating avenues for raised awareness on the
    topic in domestic and international settings.
    I believe this format constitutes a best practice which may be exported and replicated in the whole OSCE
    area because it strengthens the connection between civil society e parliament.
    The virtual exchange with the UK All Party Parliamentary Group for Longevity allowed me to delve into the
    government’s goal to increase healthy life expectancy by 5 years by 2035 (HLE+5), while also reducing the
    gap in life expectancy between the wealthiest and poorest groups. A topic extensively covered by the UK
    group in its February 2020 Health of the Nation report.
    I was informed by the group that the Government’s HLE+5 plan was one of the main drives for its
    establishment, also to trigger increased awareness on the relevance of the topic in the domestic and
    international context.
    The Covid-19 pandemic has accelerated the process of digitalisation in the UK and OSCE area, which may
    constitute a fundamental tool to achieving long-term goals such as, for example, the use of digital means to
    make health treatments more effective and to correct unhealthy dietary habits which increase the likelihood
    of requiring medical treatment. Further with regard to digital means, we highlighted the importance of
    improving the exchange of information between hospitals and care facilities for the elderly in order to speed
    up procedures and make assistance more effective.
    The meeting gave the opportunity to debate on the fundamental role played by healthcare workers in elderly
    care, whose staff unfortunately in the OSCE region is under-sized. Hence, we must strive to allocate additional
    resources to these professions, also to make them more attractive.
    In conclusion, we agreed that in addition to social, health and economic policies, we require a cultural
    transition; with institutions engaging in a didactic phase, operating additional efforts starting from the
    schools.
    7
    17 January 2022 - Web meeting with the Rapporteur of the 2nd Committee of the OSCE PA, Gudrun
    Kugler
    The issues faced by the elderly population are a cross-dimensional topic with reverberations on ample areas
    of our oversight and mandate. I had the pleasure of holding a web meeting with my PA colleague, Rapporteur
    of the Second Committee (on Economic Affairs, Science, Technology & Environment), Gudrun Kugler (Austria)
    and wish to praise her for the sensitivity she has shown with regard to the issues faced by senior citizens.
    We shared the concern about the birth rate and the crisis in the labour market. These processes lead, among
    other things, to the depopulation of rural areas, the closure of schools and the decline in the value of
    properties. To counter these phenomena, further investments are required for digitization, infrastructures
    and services. Measures are also needed to encourage intergenerational encounters, favoured for example
    by co-housing.
    My colleague Gudrun Kugler highlighted that the Second Committee could well be called the “future”
    Committee as the issues addressed in this setting are fundamental for the future of the OSCE region. Further,
    I listened to a very interesting idea, given the high relevance of elderly issues, Gudrun outlined her proposal
    of establishing a Minister “for generations” / “for demographic development” / “for intergenerational
    cooperation” and / or an ad hoc department on these topics.
    Following the meeting Dr. Kugler also forwarded me a thought-provoking document with regard to Austrian
    best practices concerning elderly issues. Most notably, I believe the provision of including students in
    municipal retirement homes, lowering their rent to 220€ in change of five hours a week of work as volunteers
    is a very intelligent proposal to facilitate intergenerational co-operation end encounters.
    8
    21 February 2022 - Web meeting with the German National Association of Senior Citizens’ Organisations
    (BAGSO)
    My meeting with Board Member of BAGSO Dr. Heidrun Mollenkopf, Chair of the German Ageing Report
    Commission Prof. Andreas Kruse, Project Manager at “Forum” Community Housing Federal Association Dr.
    Romy Reimer and Project Manager at the BAGSO Secretariat for International Policy on Ageing Mrs. Ina
    Voelcker allowed me to explore the German approach in addressing the challenges pertaining to the rapidly
    growing elderly population.
    During the discussion Mrs. Voelcker informed me that BAGSO in its capacity as National Association of Senior
    Citizens’ Organisations serves as an umbrella Association of 120 civil society organizations that address the
    issues faced by senior citizens, its headquarters are located in Bonn.
    Prof. Kruse elaborated upon the two pillars of longevity: the potential (individual and cultural heritage
    enshrined in senior age) and vulnerability (physical, cognitive and economic). He deems that these two pillars
    are linked and that science, society and political representatives have the task and responsibility to drive
    forward prevention measures, therapies and rehabilitation treatments to allow for the elderly to limit the
    consequences of pathologies and preserve autonomy. He further highlighted that the political environment
    is studying housing formulas and digital means to enable the elderly citizens to continue to be independent.
    In this regard BAGSO, on the one hand, seeks strategies to integrate elderly citizens within the political debate
    so that they can give their contribution to the shaping of contexts together with the new generations, most
    notably at municipal and neighborhood level. On the other hand, displays strategies to motivate the elderly
    in continuing to give their contribution when in their retirement phase, to the political world, for example in
    the field of the inclusion of younger generations in the labour market.
    Andreas Kruse, Paola Taverna, Heidrun Mollenkopf, Ina Voelcker, Romy Reimer
    9
    With specific regard to the German Ageing Report Commission, in each legislature, reports by the Federal
    Government on the topic of seniority for the use of the entire Parliament address the issues faced by senior
    citizens, with important reverberations at the political level (inter alia, senile dementia, housing issues,
    digitalisation). The Commission includes reflections drawn from the world of science, civil society and politics
    which can be translated into legislative tools to improve the lives of the elderly population. BAGSO integrates
    reports by the German Ageing Report Commission by including contributions from civil society and
    subsequently distributes them among its members to collect the most valid project ideas.
    Dr. Reimer provided me with considerations on the activities undertaken by “Forum” Community Housing
    Federal Association which was established thirty years ago and counts sixteen regional offices throughout
    the German territory. Its main focus is co-housing and more broadly innovative means of housing in line with
    worldwide demographic developments, which allow a broad spectrum of advantages for the elderly,
    including the contrast to loneliness.
    Such demographic developments, and most notably the aging population require to reinforce home-care
    tools and ensure easy access to homes, contain the price of rentals and facilitate the inclusion of senior
    citizens in a context that gives space for their autonomy. Inter alia, the layout of student residencies (which
    feature large kitchens and meeting rooms) is replicated also for the elderly, in addition to the organization
    of sporting and cultural activities.
    Co-housing is further linked to various services and job opportunities (for example outpatient practices within
    the apartment building, with a rehabilitative approach). Such projects are supported at federal, state and
    local level (for example in Hamburg 10-15% of real estate units are made available to co-housing; in Weimar
    there is an apartment building for disabled people inside former disused barracks).
    Dr. Mollenkopf informed me that this year in Rome the United Nations Economic Commission for Europe
    (UNECE) Ministerial Conference on Ageing will present the occasion to take stock of the Madrid International
    Plan of Action on Ageing (MIPAA) at the twentieth anniversary of its conception. The conference will feature
    the participation of all UNECE participating States and will be an opportunity to discuss at multilateral level
    issues connected to the aging population, as well as to gather ideas for the future. I had the honour to share
    remarks during the Conference which was held on 15-17 June and was glad to meet Dr. Mollenkopf on the
    occasion. Further, Dr. Mollenkopf informed me that BAGSO has consultative status in the United Nations
    Economic and Social Council (ECOSOC UN). In the UN context, BAGSO is also very active with regard to the
    United Nations Open-Ended Working Group on Ageing (OEWG): The German National Association of Senior
    Citizens’ Organisations participates in the discussion on how to better protect the rights of senior citizens
    around the world and supports the adoption of a UN Convention on the rights of the Elderly (in parallel to
    the approved UN Conventions on the Rights of Persons with Disabilities and on the Rights of the Child).
    10
    23 February 2022, Vienna - Meeting with the Commissioner for European Affairs of the Austrian Seniors’
    Association/ÖSB (Österreichischer Seniorenbund), Heinz Kurt Becker
    My meeting with Mr. Becker
    allowed me to explore and discuss
    the Austrian approach to elderly
    issues, with a specific focus on the
    role played by Senior Associations
    in the country.
    From 1952 the two main Senior
    Associations are the “Association
    of Pensioners in Austria” of Social
    Democratic origin and the
    “Austrian Seniors’ Association” of
    Christian Democratic origin.
    The members of both Associations pay a fee of € 25 per year and are regulated at the level of the federal
    regions, an additional 1€ per member is provided by the State. This fee by members and funding by the State
    is used to finance the services and social activities provided by the Associations in its various activities, inter
    alia: In the field of sport, theatre performances, excursions and travel. These Associations count a high
    number of members: One million people. Given their political background, these Associations carry out social
    activities at the local level, while at the federal level they carry out political activities.
    The peculiarity of the Austrian apparatus lies precisely in the fact that one section of the Associations is
    dedicated to services and the other to the political activity of the parties, with the provision of a state audit
    with regard to the allocation of the funding received. Further, the political sections of the main Senior
    Citizens’ Associations are members of the Austrian Senior Citizens’ Council, which is their umbrella
    organization and is responsible for the statutory representation of the interests of over 2.3 million senior
    citizens in Austria.
    The importance of these Associations is striking in consideration that 40% of the voters of the two main
    parties ÖVP (Austrian People’s Party) and SPÖ (Social Democratic Party of Austria) in the national and regional
    elections are of the third age (although these people represent 25% of society, they, however, represent 40%
    of the voters).
    According to Mr. Becker, the results of such an important representation can also be taken into consideration
    in terms of pensions: Austrian pensioners enjoy an average pension that is 20% higher than that of German
    pensioners (An average of 1500 € per month).
    Mr. Becker further elaborated upon the measures undertaken by the Austrian Seniors’ Association to address
    the Covid-19 pandemic. Most notably, the virus triggered increased awareness of the importance of
    advancing digitalization efforts for the benefit of elderly citizens in a number of fields, including telemedicine,
    artificial intelligence and as a means to tackle loneliness. Also mobile and internet operators have sensed the
    opportunities represented by offering services to elderly citizens (silver economy), who are
    11
    the largest group of consumers and may count on a higher purchasing capacity compared to younger
    generations. At the moment, however, the pension system is challenged by the declining birth rate which, in
    the long term, might undermine its sustainability.
    12
    24 February 2022, Vienna - Meeting with the Special Representative on Youth Engagement of the OSCE
    PA, Farah Karimi
    Given the close connection between issues concerning senior citizens and those concerning youth
    participation, I was glad to meet our Special Representative on Youth Engagement, Senator Farah Karimi (The
    Netherlands) in Vienna on the sidelines of our Winter Meeting.
    Senator Karimi remarked that, inter alia, in our region in Italy, Spain and Germany demographic aging is more
    pronounced and that the elderly in those countries constitute an important percentage of the population.
    On the other hand, in Central Asia (for example in Uzbekistan and Kyrgyzstan), the population below 25 years
    old constitutes more than 50% of the total population, hence, in these countries policies focus on offering
    youth job opportunities.
    Special Representative Karimi further noted that a “youth-elderly” collaboration path could be built on the
    basis of “power sharing”. In fact, to date, the most important decisions, and therefore also those with the
    greatest impact on future generations, are generally taken by the population over 60.
    Focussing on the domestic approach of the Netherlands, I was further informed that after examining the
    increase in life expectancy, the Netherlands have raised the retirement age to 67 years old. With regard to
    demographic balance, the Netherlands still features positive figures, hence the population trend is
    consequently with the + sign as well.
    13
    28 February 2022 - Web meeting with the Minister Delegate for Personal Independence of the French
    Republic, Brigitte Bourguignon
    My meeting with Minister Delegate Brigitte Bourguignon allowed me to explore the French viewpoint and
    strategy to address elderly issues.
    The principal objective of the Minister Delegate for Personal Independence is to change the approach to the
    elderly and their issues, within her mandate, the Minister Delegate is committed to finding avenues of
    autonomy to push further the phase of “dependence”. In this regard, the main focus of the French strategy
    is to intervene at all levels to allow people, if they so wish, to stay in their homes for as long as possible.
    This consideration originates from the statistics which undoubtedly show us that we are moving toward a
    “longevity society” in Europe, hence, the French government is promoting an active and autonomous
    longevity based on aging at home.
    To this end, Madam Bourguignon informed me that the French government is intervening in support of
    outworkers and “longevity professionals” to allow for their adequate formation and remuneration. Most
    notably, with the last two financial laws, important resources have been invested for these professions to
    ensure, inter alia, the provision of home services, apprenticeships for young people, integration contracts
    and training of nursing staff. Further, the French Government has intervened on residences for senior citizens
    to make them safer and more modern (for example the construction of “intermediate residences”, which are
    alternative to the EHPADs: “Residential establishments for dependent elderly people”; co-housing formulas;
    intergenerational housing and the modernization of the EHPADs, which were conceptualized twenty years
    ago) with a holistic approach, involving all actors, including family members of the elderly.
    This attention translates in concrete terms into the recruitment of 40.000 professionals for the assistance to
    the elderly during the first phase of the Covid-19 pandemic; in the provision of 8.000 civic service jobs within
    the residences for the elderly borne by the State; in the provision of a specific diploma for elderly carers and
    further specialization opportunities in this field; in the establishment of the V branch of Social Security which
    aims to enable better coverage of benefits related to loss of autonomy and old age. Further, Minister
    Delegate Bourguignon noted that to encourage intergenerational encounters and solidarity, the EHPADs
    welcome nurseries and centres for the custody of children or nursery schools (the intergenerational
    encounters here materialize in various activities, for example in homework assistance).
    With regard to the depopulation of small towns and medical desertification, the use of telemedicine has been
    enhanced, the operational range of midwives and physiotherapists has been extended, together with the
    provision of “Multidisciplinary healthcare facilities” as an alternative to hospitalization. To sustain elderly
    citizens in their daily activities, local public services “Maisons France Services” offer support to citizens in
    their administrative procedures (for example in the areas of taxation, pensions and bureaucratic procedures),
    especially in small towns.
    In conclusion the French approach may also count on the support provided by the “Gérontopôles”, which
    represent the regional ecosystem supporting healthy, active and autonomous aging. Their contribution is
    14
    embodied in their capacity to provide innovation in the field of longevity, at research level, as well as in the
    field of technology.
    15
    17 June 2022, Rome - United Nations Economic Commission for Europe (UNECE) Ministerial Conference
    on Ageing 2022: introductory remarks on the occasion of “the coordination of ageing policies in Italy”
    side-event
    The UNECE Ministerial Conference on Ageing was a precious
    opportunity to complete the fourth review and appraisal cycle
    (2018-2022) and mark the 20th anniversary of the adoption of the
    Madrid International Plan of Action on Ageing and its Regional
    Implementation Strategy (MIPAA/RIS).
    The event, which addressed the promotion of active and healthy
    ageing throughout life, stressed the importance of ensuring access
    to long-term care and support for carers and families and highlighted
    the significance of mainstreaming ageing to advance a society for all
    ages. It featured the high-level participation of governmental
    officials, parliamentarians, representatives of political parties,
    experts, representatives of the civil society and scientific research.
    I had the honour to share remarks during the 17 June side-event
    titled: “The coordination of ageing policies in Italy” aimed at
    discussing current issues concerning the development of a national
    ageing strategy in Italy in the following years.
    I took the opportunity to inform the participants of my engagement on these topics in my capacity as
    coordinator of an all-party parliamentary group titled “Longevity. Socio-economic perspectives” (Longevità.
    Prospettive socio-economiche) formed by senators, deputies and longevity experts in Italy as well as in my
    capacity as OSCE PA Special Representative on Elderly Issues at the multilateral level.
    In my National capacity, the all-party parliamentary group first met on 23 March 2021 and has since held 12
    meetings. At the centre of the meetings we have discussed various topics, to name the most significant: the
    development of a national program for the quality of life of the elderly; the promotion of active longevity;
    Silver economy and social and health assistance; the repopulation of rural areas through investments for
    digitization, infrastructure and services; co-housing to tackle the loneliness of senior citizens, encourage
    intergenerational encounters and reduce expenses.
    My mandate within the OSCE PA allowed me to promote discussion in the Assembly on the key topic of
    longevity, confronting myself and stimulating my colleagues from other countries on these issues, trying to
    identify the best strategies.
    16
    22 June 2022 - Web meeting with the Minister of Social Policy of Ukraine, Maryna Lazebna
    My meeting with Ukrainian Minister
    of Social Policy, Maryna Lazebna
    allowed me to share considerations
    on the conditions of elderly citizens in
    the context of the war in Ukraine.
    Since the start of the war, I have
    stressed that in such tragedies the
    ones suffering the most are innocent
    civilians, and amongst them, children,
    women and the elderly pay the
    highest price.
    My exchange with Minister Lazebna
    focussed on opportunities to sustain elderly citizens affected by the war, most notably senior citizens who
    cannot escape easily and who are psychologically more vulnerable to emergency situations. Several
    residences for the elderly were evacuated due to Russian bombing. Some patients have been relocated
    thanks to the international aid network that was activated by the Minister of Social Policy.
    Among the various damages caused to the structures, that to the IT network is particularly damaging because
    it prevents the regular provision of social services to elderly people.
    17
    27-28 June 2022 - Official visit to Germany (Hanover and Hamburg)
    In Germany, I had the opportunity to enhance my understanding of strategies to address demographic aging
    and view German best practices.
    My previous web meeting in February 2022 with representatives of the German National Association of
    Senior Citizens’ Organisations (BAGSO) was an excellent opportunity to explore the German viewpoint on the
    topic of Elderly Issues and, namely, the presentation by Dr. Romy Reimer on the activities undertaken by
    “Forum” Community Housing Federal Association provided the
    initial grounds for the planning of my visit.
    My two-day visit to Germany focussed on the activities
    undertaken by the civil society in the country, characterized by a
    strong public/private partnership.
    My first meeting took place in Hanover on 27 June with
    representatives of “Forum” Community Housing Federal
    Association (FORUM Gemeinschaftliches Wohnen e.V.
    Bundesvereinigung). Romy Reimer, Andrea Beerli, Stefanie Röder,
    Jana Ostermann and Chairman Josef Bura illustrated the role of
    “Forum” in relation to the implementation of projects promoted
    by the Federal Ministry of Family Affairs, Senior Citizens, Women
    and Youth, by Land of Lower Saxony or at local level. “Forum”
    provides consultancy
    both directly and
    through public
    initiatives, such as
    conferences and
    through the production
    of information
    material.
    At the federal level, Forum is connected with other 26 entities and
    is part of the German National Association of Senior Citizens’
    Organizations (BAGSO) (Bundesarbeitsgemeinschaft der
    Seniorenorganisationen). The main activity relates to model
    projects, based on public incentives for the construction of
    buildings intended for social purposes, and aimed at housing
    formulas for the elderly: buildings in which senior citizens and
    young people live together (intergenerational living), or only
    elderly people live (singles or couples). These housing units feature
    common areas in which the residents can socialize and may count
    on personal services (some buildings also feature outpatient
    treatment spaces for an initial therapeutic orientation). There are
    also buildings in which elderly people and families with children live together, creating new so-called “elective
    family communities”
    Hanover, 27 June 2022, Special Representative on
    Elderly Issues Paola Taverna visiting the premises
    of “FORUM” Community Housing Federal
    Association
    Hanover, 27 June 2022, Special Representative on
    Elderly Issues Paola Taverna visiting the Housing
    Cooperative “Self-Help Linden”
    18
    (“Wahlverwandtschaften”). This made synergies possible, such as custody of minor children to elderly
    tenants by working mothers. In an experimental form, telemedicine initiatives are supporting traditional
    medical assistance.
    Subsequently, I visited the housing co-operative Self-Help Linden (Wohnen und Leben im Alter in Hannover-
    Mitte Wohnungsgenossenschaft Selbsthilfe Linden e.G.) in Hanover/Ohestraße, guided by Klaas Leideck.
    These are several buildings acquired by two cooperatives, one made up of seven single people (or couples),
    the other of 14 single people (or couples). The allocation of the buildings took place on the basis of a notice
    from the Municipality for the recovery of public land with social projects (evaluated by a Commission). In the
    building complex, there was also a large common room and a kitchen where people, if they wish, can meet
    and carry out activities. Experience has shown that these communities are united by a strong feeling of
    solidarity. It could happen, for example, that elderly people, already retired, would look after the young
    children of a couple. Or, as had recently happened, a Ukrainian refugee who found hospitality with one of
    the families and received free German language lessons from a retired teacher.
    The residents paid a certain amount of money to the cooperative with which the buildings were built. In
    return, they received substantial discounts on rent. The cost of the apartments was around € 5,500 per
    square metre, a slightly lower price than market prices. As for the cost of rent, they range between € 3 and
    € 10 per square metre per month. On the third floor the apartment of an elderly couple had been divided in
    such a way as to allow it to be divided into
    two distinct units in the event of the death
    of one of the two spouses.
    My visit to Hanover was completed by a
    visit to Hanova Living Plus self-determined
    living (WOHNEN PLUS Pfarrlandstraße
    Linden-Nord) in Hanover/Pfarrlandstraße.
    The project was carried out by the
    company Hanova Srl, 90% owned by the
    Municipality of Hanover. Leading the
    presentation and the visit were Karsten
    Tech, from Hanova, and Claudia Fischer
    from Johanniter, a support organization.
    Hanova, with 350 employees, is
    responsible in the city of Hanover for
    around 15,000 accommodations. The
    structure consists of mainly small-sized
    apartments and studios for single people of about 45 square metres, built without architectural barriers.
    The facility also features a large common room and a kitchen (called “meeting coffee”). In this area it is
    possible to organize common musical and cultural initiatives open to all the residents of the neighborhood.
    There was also an empty apartment which owners or tenants could rely on in case of need (for example in
    Hanover, 27 June 2022, Special Representative on Elderly Issues Paola Taverna
    visiting the Hanova “Living Plus” Self-Determined living project
    19
    the event they had undergone surgery and needed a period of rehabilitation or had to host relatives or friends
    for short periods).
    Home services have been organized around the people who live in the building (which beneficiaries must pay
    directly or through their health insurance).
    The criterion of the applicant’s income and age was followed for the allocation of housing.
    A resident with 100% mobility impairments, Mr. Larry Golke, 55, a municipality employee, confirmed the
    benefits of living in the visited building.
    On 28 June, I had the opportunity to meet with representatives of the Hamburg Coordination Office for
    Residential Care Communities (“STATTBAU HAMBURG Stadtentwicklungsgesellschaft mbH” Hamburger
    Koordinationsstelle für Wohn-Pflege-Gemeinschaften), including with Mascha Stubenvoll. I was informed that
    since 2006 it has been carrying out consultancy activities for the City of Hamburg (and other requesting
    parties, sometimes including private citizens) for the promotion of new forms of housing: the most frequent
    formula being community housing and assistance. This approach envisages that senior citizens live together
    in the same condominium, each with their own autonomy, but with a common space for socialization, and
    facilitated access to care and assistance services.
    Further, I visited adjacent projects in Hamburg/Alexanderstraße
    realized by the Hartwig Hesse Foundation Residential Care
    Community (Hartwig Hesse Stiftung) and by the Amalie Sieveking
    Foundation Barrier-free Senior Citizens’ Apartments (Amalie
    Sieveking-Stiftung) where I met with Director of the Hartwig Hesse
    Foundation Maik Greb and Director of the Amalie Sieveking
    Foundation Annika Gürtler.
    Both foundations have built apartments for self-sufficient or non-
    self-sufficient elderly people or people of less advanced age but
    with disabilities. The apartments are barrier-free. During the
    meetings, I was informed that both foundations can also provide
    temporary accommodation: this formula indicates the possibility
    for users to temporarily use an apartment if, for example, they are
    discharged from the hospital and need some recovery time before
    returning to their home or if relatives are temporarily unable to
    provide assistance.
    In general terms, in the Land of Hamburg assistance insurance is
    mandatory (“Pflegeversicherung”). If necessary, this insurance can
    provide support for family caregivers. Nonetheless, the expense
    for a non-self-sufficient person who is in an accommodation
    facility for the elderly can reach € 5,000.00 per month. Another element to note is that in Germany the
    phenomenon of caregivers is not unknown.
    Hamburg, 28 June 2022, Special Representative on
    Elderly Issues Paola Taverna visiting residential care
    communities and barrier-free senior citizens'
    apartments managed by the “Hartwig Hesse
    Foundation” and the “Amalie Sieveking Foundation”
    20
    Both structures have a large common room with a kitchen for social and cultural initiatives. Thanks to the
    law of the Land of Hamburg (“Wohn-und Betreuungsqualitätsgesetz”), residents can receive support for the
    payment of the rent (up to a maximum of € 4.40 per square metre per month for thirty years). Further, for
    the construction, the two foundations were able to benefit from advantageous mortgages and non-repayable
    grants from the Municipality. The two foundations owned the land on which the facilities were built,
    therefore they did not need to buy land from the Municipality, however, it’s worth noting that in Hamburg,
    as well as in Hanover, the development of land owned by the municipality (which owns a large real estate,
    between 135 and 150 thousand homes) in recent years has taken place on the basis of a tender that privileged
    the social quality of the projects and not necessarily the maximization of the revenue.
    Specifically, the project developed by the Hartwig Hesse Foundation hosts 180 people and consists of seven
    condominiums. It features a large common room with a kitchen in which social and cultural initiatives are
    organized (also with the support of the city). There is also a café open to the public.
    The building complex of the foundation also features a 380 square metres apartment for people with senile
    dementia with 24-hour assistance.
    On the other side of the road, in Alexanderstraße as well, I visited the apartments manufactured by the
    Amalie Sieveking Foundation. Around the original building, a complex consisting of several buildings has
    arisen, extensively renovated in 2021 also with the aim of creating real estate units without architectural
    barriers. At the time of my visit, the complex housed 120 people (destined to become 150 when the
    construction will be completely finished). The average age of the guests was between 65 and 69 years. The
    apartments, if intended for a single person, have a size of 50 square metres and if intended for a couple, 75
    square metres. The cost of rents differs according to the size of the apartments. The Municipality financially
    supports people in difficulty (up to a certain maximum, linked to the applicant’s income), by virtue of a
    municipal institution called “Housing voucher” (“Wohnberechtigungsschein”), which in case of particular
    urgency becomes “Urgency Voucher” (“Dringlichkeitsschein”).
    In addition to the rental contract, residents can enter into a “service contract” (“Servicevertrag”), partially
    subsidized by the Municipality, which allows them to obtain additional personal services.
    Finally, I had the opportunity to visit the 424 square metre apartment intended for people with senile
    dementia, 10 rooms, each of 20 square metres, with a common room of 85 square metres equipped with a
    large kitchen, and three service people per shift during the day and one during the night. In front of the
    apartment there is a green area for guests, located in the courtyard closed by the foundation’s buildings.
    21
    3 July 2022, Birmingham - Dedicated Panel on Elderly Ukrainian refugees on the occasion of the UK Panel
    on Prevention of War Crimes Side Event during the 2-6 July 2022 OSCE PA Annual Session.
    During the OSCE PA Annual Session in
    Birmingham, I organized a Side Event on the
    situation of elderly people in Ukraine, which
    took place in the afternoon after an important
    Side Event on Prevention of War Crimes
    promoted by the UK Delegation to OSCE PA:
    the Side Event on elderly people in Ukraine was
    scheduled as a dedicated Panel in which the
    testimonies of elderly Ukrainians who had to
    leave the country due to the Russian
    aggression were heard.
    With the great help of the City Council of
    Birmingham (a sanctuary city for refugees from
    all over the world), the Councillor for Social
    Inclusion Mr. John Cotton and the
    Commissioning Manager for Refugees and
    Migration Mrs. Marsela Hoxha, some elderly Ukrainian refugees hosted in Birmingham participated in the
    side event. Liudmyla Dvortsova from Kremenchuk, and the couple Larysa Antropova and Oleksandr Antropov
    took the floor to tell about their experience of war and
    displacement.
    Their concrete experience of war and of the effects of
    bombing on their lives as elderly people in Ukraine strongly
    impressed the OSCE Assembly parliamentarians. At the end
    of the Side Event the Ukrainian guests had a meeting with the
    President of the OSCE Parliamentary Assembly, Margareta
    Cederfelt, and MP Yevheniia Kravchuk, member of the
    Ukrainian delegation to the OSCE Parliamentary Assembly.
    Birmingham, 3 July 2022, Special Representative on Elderly Issues Paola
    Taverna with Ukrainian elderly citizens
    Birmingham, 3 July 2022, Special Representative on
    Elderly Issues Paola Taverna speaking with President
    Margareta Cederfelt