Council of Europe Calls for Accelerated Reform of the Elderly Care System in Romania

The Council of Europe Commissioner for Human Rights, Michael O'Flaherty, assessed Romania's long-term care system for older people during an official visit carried out between 26 and 29 May. The main conclusion: Romania must accelerate reform of this vital sector for an ageing population.

Demographic challenges and service shortfall

Romania is undergoing an accelerated demographic ageing process, generating growing demand for specialist care and support services. The official assessment identified a significant shortfall across all areas: residential services, community services, and home care for older people.

Although Romanian authorities have expressed their commitment to addressing these challenges, the practical implementation of reforms remains insufficient to meet the current needs of the elderly population.

Support for private service providers

The Council of Europe recommends establishing a sustainable funding framework for private operators, who currently provide the majority of long-term care services. These providers must benefit from conditions that allow them to operate efficiently, without being burdened by disproportionate administrative and fiscal obligations.

The need to maintain high quality standards and uphold the rights of service users across all care facilities is also emphasised.

Tackling unauthorised care facilities

A major concern identified in the report concerns the existence of care facilities operating without legal authorisation. Serious allegations of abuse and neglect towards older people have been documented in these settings.

Strict enforcement of the authorisation procedure and the implementation of effective inspections are called for, followed by investigations to ensure that those responsible for violating the rights of older people are held to account.

Strengthening independent monitoring

The report highlights the critical importance of independent monitoring of care facilities and calls for additional support for the People's Advocate and other oversight mechanisms. Civil society organisations involved in monitoring these institutions must likewise be provided with adequate resources.

Progress and challenges in implementation

Although measures have been adopted to strengthen the legislative framework and introduce improved quality standards, their application in practice remains inadequate. Better coordination between the health and social care systems is recommended in order to effectively address the complex needs of older people.

Equal access and respect for dignity

The Council of Europe stresses that the most vulnerable individuals, particularly those affected by poverty, must have genuine access to quality care services. Older people must be treated as full rights-holders and actively involved in all decisions that concern them, so as to ensure respect for human dignity.

The Commissioner considers that the demographic challenges facing Romania require heightened attention from decision-makers at the highest political level, with issues relating to population ageing and the rights of older people being a priority on the national agenda.