And developers, he said, must in turn be creative in responding to their needs.
The Republicans harvest their votes but have done a poor job responding to their needs.
It is also clear to Lamb, as to many older people, their advocates and organisations, that at a time of severely reduced public spending, what is needed are more appropriate ways of responding to their needs.
Student nurses need to understand that they have to listen very carefully to their clients, because if they don't do that they won't be as good at responding to their needs.
"End-of-life care is, sadly, a recurring and consistent theme in our casework," says the report, which points to six key issues: not recognising patients are dying or responding to their needs, poor symptom control, poor communication, inadequate out-of-hours services, poor care planning and delays in diagnoses and referrals for treatment.
Matt Bowsher, assistant director, quality and commissioning at DMBC, says: "We wanted to develop a person-centred approach to dementia care based on listening to our clients and responding to their needs, and to help people avoid having premature links with 'serviceland' for as long as possible.
"We businesspeople need to respond to their needs in health, education and housing," he said.
"I must respond to their needs, and that is my responsibility".
Organisations that are close to their communities can respond to their needs in a more targeted way.
But really knowing their consumer base is what allows them to grow and respond to their needs".
"You kind of just respond to their needs," Ms. Burns, who has managed money for 30 years, said.
