T he prospect of demographic ageing has been followed closely over past decades in Australia and New Zealand (NZ). These two countries, separated by the Tasman Sea, are members of the Organization for Economic Cooperation and Development (OECD), are similar in terms of age structure and the rate of population ageing, and face similar issues regarding the need to provide health and social policy for an ageing population. Both stand out within the Oceania region of Australia/NZ, Melanesia, Micronesia and Polynesia 1 in terms of population ageing, with around 15% aged 65 years and over, compared to less than 10% in all other countries in the region. 2 The growth of the older adult population in Australia has directly paralleled NZ over the past half century, the proportion aged 65 years or older in both countries having risen from about 9% of the total populations in 1960 to 15% in 2013. 2 In both countries, population ageing is well progressed and the respective rates of ageing will increase steadily through the year 2100. The period between 2005 and 2040 sees a more rapid rate of ageing in NZ than in Australia, resulting in a comparatively higher percentage of the population 65+ from about 2025, with the rates more or less the same for the countries from 2040 carrying through to 2100. For Australia and NZ, life expectancies at birth have increased by more than eight years for males and six years for females over the past 30 years; with current life expectancy nearing 80 years for Australian and NZ men (80.1 and 79.1 years, respectively) and 83 years or more for women (84.7 and 82.9 years, respectively). 2 In addition to the certainty that populations are ageing, the speed of ageing matters because of the resulting need for governments and societies to adapt quickly in the coming decades. From a health services perspective, larger numbers of people over 60, and particularly over 85, will require a refocusing of the care systems. Demand for services will be driven by chronic diseases that contribute an ever expanding portion of morbidity and mortality. Moreover, most older people will have multiple conditions affecting more than one body system, requiring a move away from the prevailing disease-based model of health service delivery. Preventive approaches will need to prioritise common risk factors for chronic disabling conditions, not just those that have impact on mortality. Policymakers and researchers are keen to predict the impacts of ageing on health and social services, labour force participation, income and retirement policies-then to Abstract Objective: The demographic and health aspects of ageing populations in Australia and New Zealand (NZ) are described. These data are relevant to compare impacts of policy and context in each country. Methods: Secondary analysis of international (Organization for Economic Cooperation and Development, United Nations and World Health Organization) and domestic population and health data. Results: Both countries will experience a greater than 80% increase in the population...