In order to deeply implement the spirit of General Secretary Xi Jinping's important instructions on accelerating the development of elderly care services and the 19th Plenary Session of the National Strategy for Actively Responding to Population Aging, focusing on the "14th Five-Year Plan" period to accelerate the city's elderly care services high-quality development, improve the level of universal basic and pocket elderly care services, and continuously meet the needs of the elderly multi-level, diversified needs. Improvement of universal, basic, pocket pension service guarantee level, and constantly meet the elderly multi-level, diversified pension service needs, combined with the actual city put forward the following implementation views.
One, the overall requirements
(a) Guiding ideology.
Adhere to Xi Jinping's thought of socialism with Chinese characteristics in the new era as a guide, fully implement the CPC Central Committee and the State Council on the active response to the aging of the population, accelerating the development of senior care services in the medium- and long-term planning and strategic planning, focusing on strengthening the foundations, make up for the shortcomings, and continue to improve the coordination of the home and community institutions, the combination of medical care and recreation and nourishment. In addition, the government will continue to improve the elderly service system by coordinating with home-based community organizations and combining medical care and recreational care, so as to guarantee basic elderly services and effectively meet the diversified and multi-level needs of the elderly for elderly services.
(2) Objectives and tasks.
By 2025, the city's ability to guarantee elderly services will be significantly improved, industrial development will be more dynamic, and comprehensive supervision will be continuously strengthened. The city's county and district-level nursing beds for special hardship cases accounted for 70% of the total, and all the special hardship cases who can't take care of themselves and have no one to take care of them have realized centralized nursing. The supply capacity of home-based community nursing services has been significantly enhanced, with the "15-minute nursing service circle" covering 100% of urban communities. Pension service talent team continues to expand, graded training of elderly caregivers 15,000 times, 4,000 full-time and part-time elderly social workers, home and community institutions coordinated, medical care, recreation and nourishment of the integration of the full establishment of the pension service system.
II. Key Tasks
(1) Improve the basic security of elderly services.
1. Enhance the level of special-needs nursing care protection. Implementing the renovation and upgrading project for special hardship case support service organizations, transforming and upgrading care-oriented beds, and opening care units for the disabled (dementia) elderly. By the end of 2022, 80 per cent of rural nursing institutions will have the functions of combining medical care and nursing, day care and door-to-door services, and will ensure that all special-needs persons wishing to be centrally provided for will be centrally provided for. Through the government's purchase of third-party service models to carry out elderly care services, develop public welfare positions, and implement centralized care and other service measures. Public service facilities that are in a position to do so are encouraged to introduce enterprises or social service organizations to participate in operation and management through contracting. Counties and districts should include the operating expenses of elderly service organizations in their financial budgets to provide financial security. (Responsible units: Municipal Civil Affairs Bureau, Municipal Development and Reform Commission, Municipal Finance Bureau, the people's governments of the counties and districts)
2. Improvement of the elderly care service system. Comprehensive establishment of home visit system, through the government to purchase services and other ways to support grassroots organizations, social organizations and other home-based living alone, empty nest, left behind, disabled (dementia), family planning special families and other special difficulties in the elderly to carry out visits and support services. 2022, special difficulties in the elderly monthly visit rate reached 100%, 2025 special difficulties in the elderly home care services rate reached 80%. (Responsible unit: Municipal Civil Affairs Bureau, Municipal Government of the Republic of China) (Responsible units: Municipal Civil Affairs Bureau, Municipal Finance Bureau, Municipal Health Commission, Municipal Rural Revitalization Bureau, and the people's governments of all counties and districts)
3. Establishment of a guiding directory of basic elderly care services. According to the relevant regulations and standards, accurately define the objects and contents of basic elderly care services, and prioritize the inclusion of elderly people with financial difficulties, such as the elderly, empty nesters, those living alone, the disabled (dementia), and special families with family planning, as the focus of basic elderly care service protection. (Responsible units: Municipal Civil Affairs Bureau, Municipal Finance Bureau, Municipal Health and Wellness Commission, and the people's governments of all counties and districts)
4. Improve the long-term care service system. Comprehensively carry out a comprehensive assessment of the ability of the elderly, and incorporate care training for family members of elderly people with financial difficulties who are incapacitated (mentally retarded) into the scope of basic elderly care services. A system of subsidies for elderly care services and nursing care subsidies is being fully implemented, and counties and districts with the conditions to do so may moderately raise the subsidy standard and expand the scope of the subsidies. The policy linkage between subsidies for the elderly in financial difficulty and the two subsidies for persons with disabilities has been strengthened. Establishing a long-term care insurance system and supporting the development of long-term care commercial insurance. To establish and improve the list of long-term care programs, service standards, quality evaluation and other industry norms. 2025, the city's comprehensive assessment rate of the ability of the elderly over 80 years of age will reach 100%. (Responsible units: Municipal Civil Affairs Bureau, Municipal Finance Bureau, Municipal Health Commission, Municipal Health Insurance Bureau, Dingxi Banking and Insurance Supervision Bureau, Municipal Disabled Persons' Federation, people's governments of all counties and districts)
5. Promote the ageing of the home and community transformation. Adopt government subsidies and other means, the inclusion of decentralized support for special hardship cases and special difficulties in the elderly families to implement home aging transformation, for the implementation of rural revitalization strategy to provide the bottom of the guarantee. 2022-2025, the city's annual co-ordination of 1,000 economic difficulties in the elderly families of the elderly in special difficulties such as old age, incapacitation, severe disability and other special difficulties to carry out the aging transformation, the financial subsidies provided at all levels in accordance with certain standards. The finances will be subsidized according to certain standards. Support old neighborhoods with a high proportion of elderly people and people with disabilities to carry out ageing-adapted reconstruction. Encourage grass-roots people, self-governing organizations, community elderly service agencies, elderly associations, enterprises and institutions to carry out community mutual-aid elderly services. (Responsible units: Municipal Housing and Construction Bureau, Municipal Civil Affairs Bureau, Municipal Finance Bureau, Municipal Health Commission, Municipal Disabled Persons' Federation, the people's governments of the counties and districts)
(2) Strengthening of the capacity building of elderly services.
6. Consolidate the basic status of home care. In the city streets, larger towns and villages to build with full care, day care, door-to-door service and other functions of the integrated elderly service centers. 2022, the city streets with integrated functions of the community elderly service institutions to reach 100% coverage. Increase support for specialized, chained and branded senior care service institutions, encourage and support senior care institutions to operate home-based community senior care service facilities or set up small and micro-service points, and the beds set up are equally entitled to the corresponding subsidies. Implement preferential policies on taxes and fees for community-based family services such as nursing, childcare and housekeeping. Explore the establishment of "family pension beds", relying on township social work service stations to carry out basic pension services, and promote the development of rural mutual pension. (Responsible units: Municipal Civil Affairs Bureau, Municipal Development and Reform Commission, Municipal Finance Bureau, Municipal Natural Resources Bureau, Municipal Housing and Construction Bureau, Municipal Taxation Bureau, the people's governments of the counties and districts)
7. Strengthening of the function of the public elderly institutions in guaranteeing the basics of the basic bottom line. Public nursing institutions and public private nursing institutions to meet the needs of special hardship cases under the premise of centralized support, focusing on economic difficulties for the disabled elderly, family planning, special families to provide care services for the elderly. Encourage conditional party and government organs and state-owned enterprises and institutions training centers, sanatoriums and other types of institutions with education and training or sanatorium and recuperation functions to be integrated and transformed into elderly service facilities after certain procedures. (Responsible units: Municipal Civil Affairs Bureau, Municipal Emergency Response Bureau, Municipal Health Commission, Municipal Finance Bureau, Municipal State-owned Assets Supervision and Administration Commission, Municipal Market Supervision and Administration Bureau, the people's governments of the counties and districts)
8. Enhance the ability to combine medical services. Comprehensively carry out the family doctor contracting service with the elderly as the key population. Medical and health institutions use existing resources to provide elderly services, their construction, fire and other facilities in line with the medical and health institutions already have the appropriate qualifications directly be recognized. Promoting the establishment of community-based comprehensive senior care service centers in close proximity to community health service stations, nursing stations or other medical facilities. Promote rural areas to explore the "two hospitals together", urban community health service institutions to build community health care combined service facilities, support social forces through market-oriented operation of health care combined institutions. Nursing institutions and the agreement to cooperate with medical and health institutions generally open referral green services, all nursing institutions can provide medical and health services for the elderly in different forms. (Responsible units: Municipal Health Commission, Municipal Civil Affairs Bureau, Municipal Health Insurance Bureau, the people's governments of the counties and districts)
9. Enhance the level of fire safety of elderly institutions. In accordance with the "Interim Provisions for the Administration of the Review and Acceptance of Fire Protection Designs for Construction Projects", do a good job of approving the fire protection of senior citizens' organizations. Pension institutions with fire safety technical conditions, the relevant competent departments to issue opinions, enjoy the corresponding subsidy policy. Adopting the method of award in lieu of subsidies, etc., to guide and help the stock of privately-run senior care institutions in accordance with the national engineering and construction fire safety technical standards for the configuration of fire facilities and equipment, and rectification of hidden safety hazards. Provide fire safety training to fire safety responsible persons, administrators and practitioners of elderly institutions once a year. Supervise the elderly institutions to implement the main responsibility for fire safety, strengthen the construction of fire safety Internet of things, entrust technical service organizations to carry out regular maintenance of building fire facilities, carry out the "three independent, two public, a commitment" work to improve the level of self-management. (Responsible units: Municipal Civil Affairs Bureau, Municipal Finance Bureau, Municipal Housing and Construction Bureau, Municipal Emergency Response Bureau, Municipal Fire Rescue Detachment, the people's governments of the counties and districts)
10. Strengthening of the comprehensive supervision of elderly services. Deepen the pension service "put in charge of service" reform, the establishment of pension service enterprises (organizations) covering the legal person, practitioners and service users of the industry credit system, to strengthen the credit supervision. It has established a joint disciplinary mechanism for breach of trust in senior care services, improved the working mechanism of "double randomness and openness" and joint law enforcement in the field of senior care services, and strengthened the investigation, punishment and disciplinary efforts against non-compliance of senior care service behaviors. Comprehensively implement the rating of senior care institutions. The market supervision department and the civil affairs department have established an interdepartmental data interface to realize the sharing of information on senior care service enterprises, and to strengthen guidance and supervision during and after the incident. Establishing a platform for accepting complaints and reports on senior care services, and broadening the channels and ways for the public to participate in social supervision. Increase the application of "Internet+Supervision" in the field of senior care services. (Responsible units: Municipal Civil Affairs Bureau, Municipal Finance Bureau, Municipal Housing and Urban Development Bureau, Municipal Emergency Response Bureau, Municipal Fire and Rescue Detachment, and the people's governments of the counties and districts)
(C) Strengthening of the construction of senior care service teams.
11. Improve the education and training system for senior care service personnel. Promote the construction of professional education system related to senior care services, and improve the level of integration of industry and education. Broaden the field of cooperation between schools and enterprises in the field of vocational education in the field of elderly care services, and support qualified elderly care institutions and medical institutions to set up vocational training institutions for elderly care services. Encourage all kinds of colleges and universities, especially vocational colleges and universities (including technical schools), to set up elderly service-related majors or offer related courses, and open health service and management, Chinese medicine and health care, Chinese medicine and rehabilitation, and other related elderly service majors in secondary schools. Promote the construction of elderly service training bases in vocational colleges and universities (including technical colleges and universities), and support social forces to establish elderly service training institutions. (Responsible units: Municipal Bureau of Education, Municipal Bureau of Civil Affairs, Municipal Bureau of Human Resources and Social Affairs, the people's governments of the counties and districts)
12. Increase the training of elderly service personnel. Continued implementation of the elderly service personnel training to enhance the action, increase the training of elderly caregivers, nursing home directors, elderly social workers. The establishment of municipal and county district-level training system, the implementation of "recreational vocational skills training program", the establishment of vocational skills training system to meet the needs of the elderly service market and the employment needs of the personnel, the full implementation of the elderly caregiver pre-employment training, job skills upgrading training, job training and entrepreneurial training. Pension caregiver training into vocational skills upgrading action, according to the provisions of the implementation of vocational skills training subsidies, entrepreneurial training subsidies, as well as vocational skills appraisal subsidy policy, the funds required from the vocational skills upgrading action special account funds; according to the provisions of the implementation of the cost-of-living subsidy policy, the funds required from the employment subsidy funds. (Responsible units: Municipal Human Resources and Social Security Bureau, Municipal Civil Affairs Bureau, Municipal Finance Bureau, the people's governments of the counties and districts)
13. Strengthening the training of geriatric social work professionals. Strengthen the development and setting of social work positions in senior care service organizations. Include geriatric services in government procurement of social work services, and support social work service organizations to carry out special geriatric services. Enhance the skill level of social workers, and by the end of 2025, realize that there will be one social worker for every 1,000 elderly people and every 100 beds in senior care institutions. (Responsible units: Municipal Bureau of Civil Affairs, Municipal Bureau of Human Resources and Social Affairs, people's governments of all counties and districts)
14. Establishing volunteer service teams for the elderly. People's governments at or above the county level should support the development of voluntary service organizations serving the elderly and establish incentive mechanisms for voluntary service. Promote nursing institutions, home community nursing service institutions, village (neighborhood) committees, etc. to set up relatively stable volunteer positions, to "time bank", mutual aid in old age and other forms of regular, professional volunteer services for the elderly. Volunteers are given priority in enjoying social services for the elderly based on their volunteer time savings, and enjoy the rights stipulated in the State Council's Regulations on Volunteer Services. Cultivate and publicize typical and exemplary volunteer service projects and organizations for the elderly. (Responsible units: Municipal Civil Affairs Bureau, people's governments of counties and districts)
15. Establishing a mechanism for praising elderly services. Study the establishment of the city's elderly service work advanced collectives and advanced individual evaluation and recognition program. Carry out nursing caregiver vocational skills competition, in accordance with the relevant provisions of the award winners will be rewarded and promoted to the appropriate level of vocational skills. Carry out care activities for elderly caregivers, strengthen social publicity on the advanced deeds and dedication of elderly caregivers, and let the labor creation and social value of elderly caregivers be respected in the whole society. （
(4) Increase the diversified investment in elderly services.
16. Guide the diversified investment in senior care services. Encourage social capital to participate in the construction and operation of elderly service organizations, community elderly service backbone network. Support commercial insurance institutions to run senior care institutions and various types of senior care facilities. Encourage investment in senior care services through charitable donations and other means. Guiding capital from outside the city to participate in the development of senior care services through direct investment, public-private partnership, cooperative operation, etc., enjoying the same policy treatment. For senior care institutions to make up for the lack of funds for facility construction, through the sale of prepaid nature of the "membership card" and other forms of marketing, in accordance with the principle of inclusive and prudent supervision, to specify the restrictive conditions, to take the third-party depository of commercial banks to ensure that the management and use of funds safety. (Responsible units: Municipal Finance Bureau, Municipal Market Supervision Bureau, Municipal Public Security Bureau, Municipal Development and Reform Commission, Municipal Commerce Bureau, Dingxi Banking and Insurance Supervision Branch, the people's governments of the counties and districts)
17. Expanding the financing channels for senior care services. Broaden the investment and financing channels for senior care services. In line with the special bonds issued under the premise of the use of conditions, sorting, planning, declaration of senior care services related projects, for the national special bond funding support. Encourage commercial banks to explore the clear property rights of private senior care institutions to issue assets (facilities) mortgage loans and pledge loans of accounts receivable. Explore allowing for-profit senior care institutions to mortgage assets such as land and facilities acquired in return for payment. Supporting commercial insurance institutions to organize senior care service institutions or participate in the construction and operation of senior care service institutions, and moderately broadening the sources of insurance funds to invest in the construction of senior care projects. Encourage financial guarantee institutions to provide guarantee services for senior care institutions to alleviate the phenomenon of "difficult and expensive financing". (Responsible units: Municipal Development and Reform Commission, Municipal Finance Bureau, Dingxi Branch of the People's Bank of China, Dingxi Banking and Insurance Supervision Branch, the people's governments of the counties and districts)
(E) Enhancement of the consumption of pension services.
18. Optimize the environment for elderly service consumption. Strengthen the supervision of the senior care service consumption market, carry out the monitoring of the quality of senior care services, increase joint law enforcement efforts, according to the law to severely investigate and deal with the infringement of the rights and interests of the elderly, illegal fund-raising, pyramid schemes, fraudulent sales, as well as fraudulent and other illegal and criminal behaviors in the name of health care. Improve the quality supervision and management system of the elderly service industry, improve the quality of elderly service governance system and consumer satisfaction assessment system, and smooth consumer feedback channels. (Responsible units: Municipal Market Supervision Bureau, Municipal Public Security Bureau, Municipal Civil Affairs Bureau, Municipal Health and Wellness Commission, the people's governments of all counties and districts)
19. Expanding the supply of products for the elderly. Accelerate the development of elderly function substitute products, encourage the development of walking, bathing, meals and other special auxiliary products. Carrying out community leasing and recycling services for rehabilitation aids and appliances on a pilot basis. Encourage and support enterprises to develop and produce wearable, portable monitoring, home nursing supervision and other intelligent elderly equipment, as well as daily necessities, food, clothing and other products suitable for the elderly. (Responsible units: Municipal Development and Reform Commission, Municipal Civil Affairs Bureau, Municipal Science and Technology Bureau, Municipal Bureau of Commerce, Municipal Bureau of Industry and Information Technology, Municipal Market Supervision Bureau, Municipal Federation of the Disabled, the people's governments of the counties and districts)
20.Promote the development of intelligent senior care services. Promote the industrialized development of smart senior care services, by 2025, to create a number of municipal key enterprises in the field of smart senior care, pilot construction of a number of exemplary "smart senior care service institutions" and "smart senior care service community". Encourage enterprises to utilize Internet of Things, cloud computing, big data, mobile Internet, artificial intelligence and other technologies to establish remote intelligent security monitoring systems to reduce the risk of accidents among the elderly, and to develop a variety of smart elderly service models. (Responsible units: Municipal Bureau of Industry and Information Technology, Municipal Bureau of Civil Affairs, Municipal Bureau of Science and Technology, Municipal Health and Health Commission, and the people's governments of all counties and districts)
Three, supportive policies
21. Strengthening of the security of land supply for senior care service facilities. The construction of various types of elderly service facilities will be included in the land space planning and annual land use plan, to ensure the implementation of the land use plan. The land for elderly service facilities involves new construction land, in the land use of the annual planning indicators to be arranged on a priority basis. To organize non-profit senior care service institutions, with the certificate of registration of social service institutions issued by the registration authority and other statutory materials, the city, county and district departments in charge of natural resources can submit an application for planning permission for construction land use, and after approval by the people's government which has the right to approve the land for construction, the city, county and district departments in charge of natural resources will simultaneously issue the planning permit for construction land use, and the decision on allocation of state-owned land. Land for profit-making senior care service facilities supplied in separate blocks shall be supplied by way of leasing, leasing before granting, or granting, and priority is encouraged to be given to supplying by way of leasing, leasing before granting. If the land use right holder applies to change the land use of the stock for the construction of senior care service facilities, and if the review is in line with the detailed planning, the competent departments of natural resources of the city, county and district shall handle the procedures for changing the land use in accordance with the law. Built elderly service facilities used by non-profit pension institutions, the original land can continue to allocate the use of land, the original land can not be used for compensation to change the planning conditions of the land price; does not meet the conditions of allocation, the original land allocated for use, approved by the municipal, county and district people's governments, according to law, to deal with the procedures for compensated use of the land, and make up for the price of land transfer. (Responsible units: Municipal Natural Resources Bureau, Municipal Housing and Urban Development Bureau, Municipal Civil Affairs Bureau, the people's governments of the counties and districts)
22. Implementing the policy of planning and construction of senior care service facilities. Strengthen the supervision of the implementation of supporting facilities for senior care services. Natural resources, housing construction, development and reform departments should strictly implement the new residential district with the construction of elderly service facilities, "four synchronization" work rules, the existence of supporting elderly service facilities to slow down the construction, reduction of construction, stop building, not built and built without delivery and other issues, in the rectification in place before the construction unit shall not be organized to accept the completion of the acceptance. After the completion and acceptance of the facilities, the real estate right certificate should be handled in a timely manner, and the facilities should be transferred to the people's government of the county and district in which they are located in a synchronized manner, and the civil affairs departments should perform their supervisory duties to ensure the use of senior care services. Publicly-allocated senior care service facilities in line with the land allocation directory, can be allocated for land supply. If the total number of senior care service facilities is insufficient or the planning is lagging behind, it shall be improved when preparing or revising the overall plan for the utilization of land space. (Responsible units: Municipal Housing and Urban Development Bureau, Municipal Natural Resources Bureau, Municipal Civil Affairs Bureau, Municipal Health and Wellness Commission, and the people's governments of all counties and districts)
23. Improve the policy of financial investment. The people's governments of cities, counties and districts should continue to increase investment and arrange special construction funds and necessary working funds to support the development of elderly services. More than 60% of the lottery public welfare funds used for social welfare at the provincial and municipal, county and district levels of government must be used to support the development of elderly services. The surplus portion of the funds for assistance and subsidies for the needy shall be prioritized for the protection of old-age services. All levels of finance and lottery public welfare funds shall subsidize home and community-based pension service institutions and facilities. The municipal government has formulated a directory and standards for purchasing elderly services, focusing on purchasing services such as capacity assessment, life care, rehabilitation care, institutional operation, social work and personnel training. (Responsible units: Municipal Finance Bureau, Municipal Civil Affairs Bureau, people's governments of all counties and districts)
24. Implementing the policy of tax and fee reduction and exemption. Focusing on tax cuts and fee reductions, the strict implementation of the state's current tax policies to support the pension service industry, eligible pension service organizations and institutions to enjoy the national support for the development of small and medium-sized enterprises, small and micro-enterprises, labor-intensive enterprises and the service industry, the corresponding preferential policies on finance and taxation. Pension institutions with electricity, water, gas, heat, etc. in accordance with the price of residential living category, and exempt from the corresponding ancillary fees; exempt from the one-time access fees for cable TV, fixed-line telephone, broadband Internet for senior care institutions, cable TV basic maintenance fees charged at no more than 50% of the local residential subscriber terminal standards. The senior care service organizations and institutions registered by the market supervision department can enjoy the corresponding tax incentives such as national support for the development of small and medium-sized enterprises, small and micro-profit enterprises, labor-intensive enterprises and service industries. (Responsible units: Municipal Taxation Bureau, Municipal Finance Bureau, the people's governments of counties and districts)
Four, safeguard measures
(a) Strengthening organizational leadership. Municipal, county and district people's governments will incorporate pension services into the target management performance appraisal, and timely study and solve the difficulties and problems encountered in the work. The lead departments should work together with the relevant departments to perform their respective duties, work closely together, improve the working mechanism, and jointly promote the city's elderly services to improve the quality and efficiency of the work. Each county and district departments in the implementation and improvement of the social security system and public service policies, to fully consider the reasonable needs and legitimate rights and interests of the elderly, and appropriate to be tilted.
(ii) Strengthen publicity and guidance. All counties and departments should further strengthen the awareness of service for the elderly, and promote the public service industry to fulfill its social responsibility to provide more and better services for the elderly. Relying on various types of media around the construction of the socialist core value system, widely publicized pension service policy, take the initiative to publicize the work of the emerging advanced collectives and individuals, and timely summarize and promote the good experience, good practices, and strive to create a caring, supportive, and participate in the work of the pension services of the social atmosphere.
(C) pay close attention to the supervision and implementation. The counties, departments to increase the work of the elderly service inspection and guidance, and further improve the working mechanism, to take a comprehensive inspection, special supervision and other ways to rely on the responsibility to strengthen the assessment. Give full play to the role of third-party supervision, the establishment of a sound information feedback mechanism, the implementation of the implementation of the views of the timely assessment. The implementation of the elderly service policy is not effective units and individuals, to be seriously held accountable.
