In order to conscientiously implement the requirements of the national strategy to actively respond to the aging of the population, according to the "Yangzhou City, three-year action plan for the high-quality development of elderly care services (2024-2026)", "the municipal government office on the establishment of Yangzhou City, the construction of community-based embedded service facilities joint meeting system notice" and the district CPC Central Committee, the management committee of the deployment of elderly care services, accelerate the promotion of elderly care services to enhance the quality of upgrading. Better meet the needs of the elderly multi-level, high-quality pension services, and promote the development of our pension service business and industry high-quality synergistic development, combined with the current work of the actual, the development of the implementation of the program.
A guiding ideology
Taking Xi Jinping's thought of socialism with Chinese characteristics in the new era as a guide, in-depth study and implementation of the spirit of the twentieth CPC National Congress and General Secretary Xi Jinping's important exposition on the work of elderly care services and the spirit of the instructions and criticisms, adhering to the people-centered approach, the full implementation of the national strategy of actively responding to the aging of the population, and to promote the better combination of an effective market and a competent government, to promote the scale, standardization and clustering of the silver economy. Economic scale, standardization, clustering, branding development, to achieve high-quality, sustainable, innovative new model of elderly care services, and to create a "five major elderly care service system".
Two, the basic principles
Protect the foundation, expand the benefits. Based on the actual opening area, focusing on basic, broad coverage, sustainable, and constantly expanding the object and content of the basic elderly services, expanding the coverage of inclusive elderly services, so that the elderly in the area can get convenient access to affordable, quality elderly services.
Government-led, multi-participation. Give full play to the government's function of covering the bottom line and strengthening the mechanism, and actively guide the extensive participation of social forces to enrich the supply of multi-level and personalized elderly services and provide diversified elderly products and services.
Optimizing integration and balanced allocation. Strengthening of elderly services in all relevant areas of policy support convergence, focusing on institutional, community, home care service development problems, adhere to the regional integration, urban and rural integration, strengthen the software and hardware construction, integration of service resources, innovative service model, efforts to provide accurate, efficient and convenient medical care integrated comprehensive elderly services.
Three, the development goals
Focusing on the new development stage of the open area "second start-up", focusing on the elderly home care more comfortable, community care more perfect, institutional care more professional, through three years of efforts, to promote the coordination of home, community, institutions, medical care and health care combined with the cause of industry synergies, online and offline integration, talent and technology complementary to the development of a comprehensive service. Through three years' efforts, we will promote the construction of nursing service system which is coordinated with home, community and institutions, combined with medical care, recreation and nursing, synergized with industry, integrated with online and offline, complemented by talents and technology, comprehensively enhance the capacity of nursing service, and promote the high-quality development of nursing service. 2024, we will make up for the short board of rural nursing service, and build two new village-level mutual aid nursing good-neighborhood points; 2025, we will realize the construction of a full-coverage nursing community, and full coverage of the scope of services of rural mutual aid and good-neighborhood points; 2026, we will renovate and build a town-level medical care, recreation and nursing integrated In 2026, a town-level medical and health care comprehensive service center will be built, and there will be one new nursing service organization above the fourth level, one or more high-quality nursing service brands, and 100 medium- and high-end nursing service beds.
Four key tasks
Omni-directional, all types, all phases to create a care open "five pension service system", to achieve the region's pension service guarantee strong, comprehensive coverage of the pension facilities network, the original residence of the pension supply rich and diversified, the effectiveness of the combination of health care is more significant, the development of high-quality and efficient service industry.
(a) Promote the pocket protection of the elderly service system more perfect
1. Improve the difficult elderly priority in public institutions mechanism. In the special hardship conditions of the elderly "should be insured as much as possible, should be raised as much as possible" on the basis of priority to meet the needs of the elderly who can not take care of themselves in other difficult circumstances to stay in public elderly institutions. District-level planning and construction of a public disability and dementia care nursing care institutions (medical care complex), optimize the structure of nursing care beds, and steadily increase the proportion of nursing care beds and the number of cognitive care beds. Establishing a system for the elderly in difficulty to stay in public elderly care institutions. (Lead unit: District Urban and Rural Affairs Bureau, cooperating unit: District Medical Group, towns and streets)
2. Solve the pressure of long-term care for the disabled elderly in difficult families. Carry out the region's elderly caregiver training courses and care training for family members of the disabled elderly, continue to improve the institutional and home services for the elderly in need of accurate succession model; promote the contracting of inclusive elderly care services, give priority to the elderly in need of protection of the needs of the elderly to accelerate the improvement of the construction of long-term care services for the elderly in need of family system. (Lead unit: District Urban and Rural Affairs Bureau, cooperating unit: District Development and Reform Bureau, Human Resources and Social Affairs Office, towns and streets)
3. Strengthening of visits and care for the elderly in special difficulties. Further strengthen the organizational assessment, precise definition of the service population, relying on the grass-roots community grid governance system, improve the home key elderly visiting care system, mapping the urban and rural aged empty nesting and living alone elderly base, the use of telephone greetings, video link, door-to-door visits and other ways to carry out regular visits, the use of the alarm emergency Internet of things and other facilities and equipment, to guard the safety bottom line. 2024, the addition of 10 special difficulties in the elderly In 2024, 10 new families with special difficulties in the elderly were installed with alarm and emergency Internet of Things, and at the same time, the families of elderly people with difficulties who had installed intelligent security Internet of Things by the end of 2022 were given a centralized visit, so as to effectively achieve the roster, ledger, platform, records, and measures, and to actively expand the application of "Internet + Pension" in the care of visits to enhance the effectiveness of the care service and prevent and mitigate security risks. (Lead unit: District Urban and Rural Affairs Bureau. (Lead unit: District Urban and Rural Affairs Bureau, cooperating units: towns and streets)
(2) Promote the urban and rural community pension service system more optimized
4. Continuously promote the construction of nursing communities. By continuing to carry out the construction of nursing community, rural mutual old-age care and good-neighbor point construction, to further strengthen the urban and rural community nursing service facilities, increase research, learning from Shanghai and other urban community nursing service facilities construction and operation experience, to optimize the level of home community nursing service level and the combination of medical and nursing capacity, and strive to create a home community "15-minute circle of nursing service "By the end of 2025, the region will have achieved full coverage of the construction of nursing communities and basic coverage of the service scope of rural mutual aid nursing neighborhoods, and in 2026, it will carry out a "review" of the constructed nursing communities and rural demonstration mutual aid nursing neighborhoods. In 2026, we will conduct a "review" of the constructed nursing communities and rural model mutual care neighborhoods to further improve the quality of operation. (Lead unit: District Urban and Rural Affairs Bureau, cooperating unit: each town and street)
5. Build a diversified meal assistance service system. Around the "happy canteen + happy meal points + happy table + happy meal team" four-in-one meal service model, in Yangzijin, Wenhui streets to take the lead in the construction of all-age friendly happy neighborhood canteens, to take the lead, and gradually radiate the whole region, the implementation of a unified record of the account management, a unified recognition of the license plate, a unified service logo. Improve the online platform + offline distribution, central kitchen + professional distribution, nearby service + mutual aid service, social catering + commissioned services, dietary assistance + cultural assistance and other meal assistance models, and further extend services to the community, promote the Jingkai Bairun Catering Group to participate in the elderly meal assistance services for the elderly institutions to provide unified distribution of food materials, to create a meal assistance service brand with characteristics of the Jingkai District, to meet the needs of different types of elderly meal assistance. (Lead unit: District Urban and Rural Affairs Bureau. (Lead unit: District Urban and Rural Affairs Bureau, cooperating units: towns and streets)
6. Promote the construction of community embedded service facilities. On the basis of the construction of happy neighborhood canteens, around the early childhood education, learning and teaching, medical care for the elderly, to create an all-age friendly community, and gradually supporting health services, culture, sports and leisure and other community embedded service facilities, the construction of residents' happy homes, to create a solution to the residents' "urgent and difficult to worry about the hope that" the problem of "people's heart project". "People's Project" "high-quality projects", to enhance the happiness index of all people. (Lead unit: District Development and Reform Bureau, District Urban and Rural Affairs Bureau, with the unit: Wenhui Street, Yangzijin Street)
7. Enhancement of home community professional service capacity. Support local brand property, housekeeping service enterprises to expand the market in the field of elderly services, combined with specialized training, to provide diversified, personalized home community elderly services for elderly owners. Relying on professional senior care service organizations, extend the service function, carry out home community senior care services, support the development of bathing points, home bathing and other forms of business development. Focusing on the "wisdom and enjoyment of the elderly", the University of the Elderly actively plays a leading and radiating role in leading the community to hold more classes on elderly education, constantly enriching curriculum resources and fostering elderly associations. From time to time, organize leisure and recreational activities for the elderly in the community, such as cultural, sports and tourism, to enrich the spiritual world of the elderly and cultivate their healthy habits. (Lead unit: District Urban and Rural Affairs Bureau, cooperating unit: District Construction Bureau, District Education Group)
(3) Promote a more powerful multi-care elderly service system
8. Promote the construction of embedded medical and nursing institutions. Through new construction, reconstruction, expansion and other forms, accelerate the promotion of town (street) medical care combined embedded nursing service institutions construction, promote nursing care institutions accounted for no less than 70% of beds. Guiding medical institutions to give full play to the advantages of Chinese medicine, services for the elderly, set up elderly care special zone, cognitive care special zone; encourage the town (street) medical and health institutions to increase the "elderly service" project, providing rehabilitation care, basic treatment and other health services. (Lead unit: District Urban and Rural Affairs Bureau, with units: Medical Group, towns, streets)
9. To create a comprehensive service center for the integration of medical care. Actively explore and guide qualified nursing service organizations to set up nursing stations to meet the needs of the elderly to enjoy one-stop services for health care at home, and explore the construction mode of community nursing service organizations adjacent to primary medical service sites to promote the in-depth integration of health care. Increase the ability assessment of the elderly, in accordance with the relevant national, provincial and municipal standards to further improve the ability assessment mechanism for the elderly throughout the region; optimize the combination of medical care institutions, medical insurance settlement methods, to further meet the needs of the elderly health care services. (Lead unit: District Urban and Rural Affairs Bureau, District Medical Group, District Human Resources and Social Affairs Office, cooperating units: towns and streets)
(D) Promote the high-end quality of the elderly service system is more distinctive
10.Promote the development of quality elderly services. Focusing on middle- and high-income older people, exploring the promotion of high-quality nursing institutions upgrading, 2024, and actively do a good job in the fourth batch of high-quality development of nursing service demonstration enterprises, nursing quality service brand declaration for evaluation and other work. Guiding the elderly in society to buy all kinds of products for the elderly, ageing-adapted renovation and in-home home services, etc., and constantly promoting the steady growth of the silver-hair economy. To do a good job of special popularization and training of the elderly in the use of intelligent technology, to effectively guarantee the safe use of intelligent products and services for the elderly, and to break the "digital divide" for the promotion of the development of the silver-haired economy. Facility allocation. According to the "Yangzhou City, home care service regulations", in accordance with the "new residential construction area of not less than 20 square meters per 100 households, a single place of not less than 120 square meters; has been built in residential construction area of not less than 15 square meters per 100 households, a single place of not less than 120 square meters" standard allotment of elderly service room, standardize the transfer of facilities and use. and use, and realize full coverage of elderly service facilities in residential areas by the end of 2024. (Lead unit: District Urban and Rural Affairs Bureau, District Information and Planning Branch, cooperating units: District Construction Bureau, District Medical Group, towns and streets)
12. Optimize the supportive policies for elderly services. Explore gratuitous or low-cost use of idle state-owned assets for the opening of public elderly service institutions, the transformation of the use of unused factory buildings or community housing and other elderly service facilities can temporarily not change the nature of the use of land and the nature of the property, the results of the assessment of the ability of the elderly to mutual recognition of the owners of state-owned enterprises nutritional services for the elderly industry in the assessment of the support to be given to the family hospital beds, the long term care of the insurance beds and the family old-age care beds. "three beds in one" and other policy measures; improve the policy on subsidies for elderly services, appropriately raise the standard of subsidies for elderly services, and increase the support for the elderly service industry. (Lead unit: District Urban and Rural Affairs Bureau, District State Control Group, with the unit: District Development and Reform Bureau, District Finance Bureau, District Medical Group, District Human Resources and Social Affairs Office)
13. Innovative training of nursing service personnel. Focus on skills upgrading, continuous vocational skills training, encourage and support the elderly service practitioners to carry out employment skills, job skills upgrading and other training, and in accordance with the provisions of the skills upgrading subsidies. Encourage active declaration of elderly care title evaluation, smooth promotion channels for talents. (Lead unit: District Urban and Rural Affairs Bureau, Human Resources and Social Affairs Office, cooperating unit: District Finance Bureau, District Education Group)
14. Strengthen the comprehensive regulatory capacity. Release the map of nursing institutions and nursing community, home nursing service sites, elderly meals map, strengthen data collection, cross-sector information sharing, explore the formation of the open area set of nursing, medical, education, culture and sports and other integrated services map; carry out the fight against remediation of nursing service fraud and nursing institutions illegal fund-raising risk prevention and mitigation work to strengthen the management of nursing institutions in advance fees; deployment of the unfiled places of nursing service Mapping, categorization and guidance for disposal; increase fire safety, building safety, food safety, service safety training, supervision, vigorously implement the three-year action to address the root causes of production safety in senior care institutions, and promote the dynamic clearing of major accidents and hidden dangers in senior care institutions. (Lead unit: District Urban and Rural Affairs Bureau, with units: District Political and Legal Committee, District should be born Bureau, District Construction Bureau, District Market Supervision Bureau, District Fire and Rescue Brigade, towns and streets)
Three, safeguard measures
(a) Improvement of the overall coordination mechanism. Actively implement departmental collaboration mechanism, the establishment of the opening area of the high-quality development of pension services leading group, the district management committee of the main leader of the group, the leader in charge of the deputy leader, the District Political and Law Committee, Development and Reform Bureau, Construction Bureau, Finance Bureau, should be born, Market Supervision Bureau, the Bureau of Capital Planning, Urban and Rural Affairs Bureau (Education Group, Medical Group) and other departments and towns (streets), the State Control Group responsible for the group members, the day-to-day work By the District Urban and Rural Affairs Bureau (Civil Affairs and Social Security Branch) is responsible for promoting the formation of the district, streets (towns) up and down the linkage of the work of the various departments to coordinate each other's work pattern.
(ii) Increase multiple inputs. Improve the government input mechanism, enhance the level of precision input, to plan the project funds involved in a timely manner into the annual budgetary arrangements, into the pension service project funds, can be retained from the level of the lottery public welfare fund part of the overall investment in the quality of the development of pension services project, to ensure that the project to promote the project in an orderly manner. Encourage and guide charitable organizations, public welfare enterprises and the community to give project and financial support to further create a good development environment.
(C) the establishment of supervision and oversight mechanism. To strengthen the supervision and inspection of the implementation of work tasks, study and solve problems, summarize the work experience in a timely manner, and promote the effectiveness of the work. The work of the town (street), in terms of funding, policies, projects and other aspects of support tilted; work to promote the slow progress of the region for timely notification.
(d) Strengthen project performance evaluation. Standing on the configuration and utilization of community elderly service facilities, the performance status of the basic public service projects for the elderly at home to assess the elderly service agencies, the service team, facilities and equipment conditions, management level, quality of service, etc. to carry out a comprehensive assessment, the establishment of the elderly service agencies of the credit file, to promote the healthy and orderly development of the elderly service market.
