Getting older in the country

Six key issues emerged 

Despite differences in geography and community size, many participants raised remarkably similar concerns. 

The six major issues identified were: 

• Access to health care and aged care 

• Transport 

• Housing 

• Cost of living and financial pressures 

• Service access and coordination 

• Safety and security. 

Many of these challenges are interconnected. For example, accessing health care often depends on reliable transport, affordable accommodation, and sufficient local services. 

Health care access was one of the most frequently discussed concerns. Participants reported difficulties finding bulk-billing GPs, accessing specialists, and arranging medical procedures locally. Workforce shortages, fly-in fly-out services, and long travel distances for treatment were common themes. 

For some, even accessing telehealth came with unexpected costs. Others noted that limited competition in smaller communities can drive up prices for essential services, including dentistry and allied health care. 

Workforce shortages extended well beyond health care. Participants spoke about difficulties accessing in-home aged care services, finding tradespeople, and securing places in residential aged care facilities. 

Some people may need to move significant distances away from family, friends and familiar communities when higher levels of care are required. 

Housing was another major concern. Many older people reported a shortage of affordable, accessible, and age-friendly housing options. The lack of suitable homes can make it difficult for older residents to downsize while remaining in their communities. 

Transport challenges were also widespread. Limited public transport, scarce taxi services, and inadequate pedestrian infrastructure can leave older people feeling isolated when they can no longer drive, particularly in smaller and more remote areas. 

Beyond these local challenges, participants also highlighted issues familiar to older Australians everywhere, including navigating complex government systems and managing rising living costs. 

Why people choose to stay 

While participants were clear about the difficulties they face, they were equally passionate about the benefits of regional, rural and remote living. 

Many spoke warmly about: 

• Strong community connections 

• Access to nature and open spaces 

• Active and welcoming seniors’ groups 

• Valuable local services 

• Pride in their communities and optimism for the future. 

In Ulverstone, for example, participants highlighted a vibrant network of social opportunities, including Probus clubs, walking groups, choirs, Men’s Sheds, and community events. 

Others pointed to the natural beauty of their local areas as a major reason for staying. As one participant from Albury observed, it is “a nice area, with good access to environmental attractions.” 

Informing future action 

The report paints a picture of communities that are resilient, connected and deeply valued by the people who call them home. At the same time, it highlights the practical barriers that can make ageing more difficult outside metropolitan Australia. 

By bringing these experiences together, Ageing in Our Communities provides valuable evidence to help inform future policy and service delivery. 

Most importantly, it ensures the voices of older Australians living in regional, rural and remote areas continue to be heard.