Despite legal protections, couples in Australian residential aged care facilities experience institutional interference in their intimate and sexual relationships. Panoptic surveillance remains widespread in aged care. Little attention is given to privacy. Some residents' doors are kept open at all times. Couples may be separated or provided with single beds only, unable to push them together. Staff frequently enter without knocking, commonly ignore 'do not disturb signs' and often gossip about residents. This culture has its origins in colonial institutions. Attempts at legislative reform to redress this situation have been met with mixed responses, with the most vociferous opposition coming from religious conservatives. A recurrent source of conflict is the tension between the 'rights' of religious and political institutions versus those of individuals. This article identifies systemic issues faced by partnered aged care residents, their historical origins, and the legislation that is designed to protect residents. Using a thematic analysis methodology, it reviews political debates in the past 40 years, in both federal Parliament and newspapers, and provides a critical analysis of recurrent themes and ideologies underpinning them. It concludes with recommendations for legislation that is consultative and 'person-centred' and recommends proscriptive privacy protections. Adoption of these ideas in future policy reforms has the potential to create more positive outcomes for partnered aged care residents.

Currently, a third of Australian aged care residents are partnered, with many experiencing institutional interference in their relationships. Staff duty of care usually takes precedence over privacy. Some institutions separate couples; residents' doors may be kept open; staff enter without knocking, ignore 'do not disturb' signs, or gossip about residents; all of which make privacy a challenge. This paper reports on findings from an online survey into the needs of partnered Baby Boomers (born 1946-65) and the levels of privacy that they anticipate they will require to maintain their primary relationships in residential aged care facilities. At a time marked by a policy shift towards consumer-directed residential aged care, it is pertinent to understand the needs of this subset of future consumers. Our research found that the majority of respondents expected to remain sexual indefinitely, considered physical intimacy with their partners essential to their wellbeing, and required a high degree of privacy to maintain their relationships. Respondents were asked to rate seven domains of privacy. Those considered most important were visual privacy, private space, and bodily privacy. This paper outlines various ways for service providers to prepare for the next generation of consumers, initiatives that would enable residents and their families to make informed decisions when choosing a facility, potentially improving the experiences of both residents and staff.