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Business Environment Profiles - New Zealand

Total government expenditure on aged care services

Published: 07 August 2025

Key Metrics

Total government expenditure on aged care services

Total (2026)

1 $ billion

Annualized Growth 2021-26

1.9 %

Definition of Total government expenditure on aged care services

This report analyses the total value of government expenditure on aged care services in New Zealand. This includes expenditure on residential care services, personal care services, household support, support for carers, hospital-based rehabilitation and assessment, coordination and other administrative requirements. The data for this report is sourced from the Ministry of Health (Manatu Hauora) and is presented in financial years.

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Recent Trends – Total government expenditure on aged care services

IBISWorld forecasts government expenditure in aged care services to rise by 1.4% in 2025-26, to reach $1.42 billion. The population aged 70 and over is expected to expand during the year, lifting the number of people eligible to receive financial assistance from the government. Support packages introduced during the COVID-19 pandemic, some of which were directed towards aged care providers constrained growth in total government spending on aged care services in 2024-25.

Aged care in New Zealand has traditionally been provided by the District Health Boards (DHB), which received funding from the government under the Residential Care and Disability Support Services Act 2018. Support packages introduced during the COVID-19 pandemic, some of which were directed towards aged care providers constrained growth in total government spending on aged care services in 2024-25. However, the regional DHB systems were replaced by a national health system governed by Health New Zealand and the Maori Health Authority in June 2022. Over the past five years, the population aged 70 and older has increased in both numbers and as a proportion of the national population. People in this age group are typically more susceptible to ailments and injury, generally requiring more frequent and complex healthcare assistance than their younger cohorts. As people age, greater assistance with day-to-day activities is also often required. As a result, government expenditure on services dedicated to the elderly is significant. The expansion of this demographic has contributed to greater demand for government spending on aged care services. The growing cost of health care, along with rising co-morbidity rates among the elderly, has driven higher public spending on aged care over the past five years.

The Healthy Ageing Strategy was launched in December 2016. The strategy outlined the targeted vision for the health and well-being of older New Zealanders over the ten years through 2026-27. It adopted a life-course approach, which began with a focus on the prevention and early detection of conditions, progressing to the management of advanced chronic conditions over time. The roll-out of the Healthy Ageing Strategy has boosted government spending on services for the elderly over the past decade. Overall, IBISWorld forecasts total government expenditure on aged care services to rise at a compound annual rate of 1.9% over the five years through 2025-26.

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5-Year Outlook – Total government expenditure on aged care services

IBISWorld forecasts total government expenditure on aged care services to rise by 3.5% in 2026-27...

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