24/09/2026
Ireland is projected to have more than one million people aged 65 and over by 2030. Ireland must prepare its health system now.
That is just four years away. Four years.
This week, our Head of Policy & Advocacy, Alison Bough, joined Professor Rónán Collins, National Stroke Lead, Clinical Director and Consultant Geriatrician at Tallaght University Hospital; Dr Emer Ahern, National Clinical Advisor and Group Lead for Older Persons, and Consultant Trauma and Orthogeriatrician at Cork University Hospital; Dr Sheelah Connolly, Associate Research Professor at the ESRI; Dr Martin Daly TD, TD for Roscommon–Galway and General Practitioner; and Dr Graham Love, Partner at Forvis Mazars, for a panel discussion at Pfizer’s Well into the Future: Preparing Ireland’s Health System for an Ageing Population event at the Royal College of Physicians of Ireland.
Our National President, Mai Quaid, and Board members Mary Daly and Tom Harrison represented Active Retirement Ireland at the event, which brought together policymakers, healthcare professionals, researchers, patient advocates and older people’s organisations to consider how Ireland can prepare its health system for a rapidly ageing population. The discussion was facilitated by broadcaster Pat Kenny.
Alison spoke about the urgent need to move from a predominantly reactive healthcare system towards one that prioritises prevention throughout the life course. This includes greater investment in primary and community care, early intervention, rehabilitation and home support. She said:
“We must challenge this deeply unhelpful ‘bed blockers’ narrative. Older people do not cause hospital-capacity crises. Too often, they are being failed by a system that has not provided timely preventative care, rehabilitation, home support or an appropriate pathway out of hospital. Older people are not simply users of public services. They continue to contribute enormously as unpaid carers, childminders, volunteers, workers and community leaders.”
New research by Forvis Mazars, commissioned by Pfizer Healthcare Ireland and launched at the event, found that RSV accounted for approximately 18,734 acute hospital bed days among older adults in 2025. Under its central scenario, this is projected to rise to 23,975 bed days by 2031, with almost two-thirds of the demand likely to occur within just ten weeks each winter.
Active Retirement Ireland continues to advocate for a clear, evidence-based and publicly accessible vaccination schedule for older adults. An older person should not need to be a public-health expert to know what protection they need: the system should invite them, inform them and also make that protection financially accessible.
We will also continue to advance the case that prevention, rather than cure, must become central to Ireland's health policy. Investing earlier can help people remain healthy, in their own homes, active, and independent, reduce avoidable hospital admissions and has the potential to save the Irish Government millions in preventable healthcare costs.