The State Council recently issued the "14th Five-Year Plan" National Aging Undertaking Development and Pension Service System Plan, which involves the implementation of a gradual extension of the statutory retirement age, the number of public pension institutions, a new life service format of "children's online ordering, experience service for the elderly", and planning and layout of about 10 high-level silver-haired economic industrial parks. Look at the combing →
The main objective
- The supply of old-age services continues to expand. The family's old-age care capacity has been effectively enhanced, the bottom-up old-age service has been more sound, and the resources for inclusive old-age services have continued to expand.
- The elderly health support system is more sound. The supply of elderly health service resources is increasing, and home medical services such as family beds and home visits are actively carried out.
- Innovative and integrated development of multi-format services for the old service. Services such as education and training for the elderly, cultural tourism, fitness and leisure, and financial support are constantly enriched, the elderly products industry is growing, and the ability of scientific and technological innovation has been significantly enhanced.
- The ability to guarantee elements continues to increase. The comprehensive supervision of old-age services and long-term care insurance systems are more sound.
- The social environment is more suitable for the elderly and livable. The construction of exemplary elderly-friendly communities in the country has been comprehensively promoted, and the difficulties encountered by the elderly in the use of intelligent technology have been effectively solved.
Specific deployment
■ Further improve the social security system
- Implement a progressive extension of the statutory retirement age.
- Implement a reasonable adjustment mechanism for basic pensions, and appropriately adjust the basic pension standards for urban and rural residents in a timely manner.
- Vigorously develop enterprise annuities and occupational annuities, improve the coverage rate of enterprise annuities, promote and standardize the development of the third pillar of endowment insurance, and promote the development of personal pensions.
- Gradually realize the direct settlement of outpatient expenses across provinces, expand the scope of reimbursement for chronic disease drugs for the elderly, and include more drugs for chronic diseases in centralized procurement.
- Starting from the insured population of basic medical insurance for employees, we will focus on solving the basic nursing care protection needs of severely disabled people.
- The financing of employees participating in long-term care insurance is mainly based on unit and individual contributions, and a dynamic adjustment mechanism for financing that is compatible with economic and social development and the level of security is formed.
■ Strengthen the role of public pension institutions in guaranteeing the bottom line
- Public pension institutions focus on providing services for the empty nesters, left-behind, disabled, disabled, elderly elderly and elderly people with special family planning families (hereinafter collectively referred to as the elderly with special difficulties) with economic difficulties.
- Encourage localities to explore ways to solve the problem of difficulties in staying in elderly care institutions without guardians.
- Support about 1,000 public pension institutions to increase nursing beds.
■ Build a universal old-age service network
- Cultivate a number of community old-age service institutions with care as the main business, radiating around the community, and taking into account door-to-door services.
- Support property enterprises to give full play to the advantages of being close to residents, and cooperate with community elderly care service institutions to provide home care services.
- By 2025, the establishment rate of regional old-age service centers at the township (street) level will reach 60%, complementing the functions of community old-age service institutions and jointly building a "quarter of an hour" home-based old-age service circle.
- Guide local governments to implement differentiated subsidies for ordinary beds and nursing beds, and by 2025, the proportion of nursing beds in nursing institutions in national pension institutions will increase to 55%.
- Explore the restructuring of qualified public pension institutions into state-owned pension service enterprises or expand them into chain service institutions.
■ Support the development of inclusive old-age services
- All localities should set up community old-age service facilities in strict accordance with the standard zoning and grading plan of not less than 0.1 square meters of land per capita.
- Carry out special governance of urban supporting old-age service facilities, comprehensively check the supporting conditions of newly built urban areas and newly built residential areas since 2014, regularly carry out national notification, and complete rectification by 2025.
- Support the opening up of space in community integrated service facilities for elderly care services.
- All localities should combine actual conditions, comprehensively consider factors such as enterprise construction operating costs, policy support, and consumer affordability, and promote the operation of inclusive old-age service prices in a reasonable range, and the price level is significantly lower than that of market-oriented old-age service institutions with the same local service level.
■ Strengthen the ability of home community elderly care services
- Comprehensively use resources such as community old-age service facilities and idle houses to create a number of standardized community canteens for the elderly (meal assistance service points) with traceable ingredients, safety and health, and fair prices.
- Adopt the form of central kitchen, community canteen, mobile food truck and other forms according to local conditions to reduce operating costs and facilitate the dining of the elderly.
- Support the development of various business formats such as community bathing points, mobile bathing vehicles, and household bathing, and cultivate a number of professional and chained bathing institutions.
- Support domestic enterprises to develop cleaning service products suitable for the needs of the elderly, such as bedding cleaning, storage and finishing, disinfection and dust removal.
- Organize and guide property enterprises, retail service providers, social work service agencies, etc. to expand the service functions for the elderly, providing services such as daily necessities purchasing, catering takeaway, housekeeping appointments, collection and payment, registered medicine, and spiritual comfort.
- Support the platform display of community old-age service institutions, provide "menu-style" convenient services for the elderly nearby, and encourage "children to place orders online and experience services for the elderly".
■ Improve the elderly health support system
- Do a solid family doctor contract service for the elderly.
- Encourage early screening and health guidance for neurodegenerative diseases such as Alzheimer's disease and Parkinson's disease where available.
- Support areas with abundant medical resources to transform some public medical institutions into nursing homes and rehabilitation hospitals.
- Public medical institutions provide door-to-door medical services for the elderly, and charge in the form of "medical service price + door-to-door service fee".
- By 2025, elderly care institutions will generally have the ability to integrate medical and nursing care (able to provide medical and health services or sign contracts with medical and health institutions).
- Promote "Internet + medical health", "Internet + nursing services" and "Internet + rehabilitation services", and develop smart medical and nursing services for homes, communities and institutions.
■ Vigorously develop the silver-haired economy
- Focus on the development of aging home appliances, furniture, bathing devices, toilets, kitchen supplies and other daily products, as well as intelligent wheelchairs, biomechanical crutches and other auxiliary products.
- Develop robots such as assisted handling, turning over, and inspection.
- Develop products such as elderly guardianship and anti-loss positioning.
- In qualified streets and communities, develop embedded rehabilitation assistive device sales and rental outlets, providing services such as supplies display, appointment use, guidance and teaching, after-sales maintenance, and recycling.
- Plan and lay out a number of key development areas for the silver economy. In the Beijing-Tianjin-Hebei, Yangtze River Delta, Guangdong-Hong Kong-Macao Greater Bay Area, Chengdu-Chongqing and other regions, about 10 high-level silver-haired economic industrial parks are planned and laid out.
- Research and establish a mechanism for converting life insurance compensation liability and nursing care payment liability, and support the insured to obtain insurance payment in advance when he is disabled, which will be used for nursing expenses.
- Support the development of housing reverse mortgage pension insurance business for the elderly.
- Strengthen risk management in the financial market related to the elderly, and strictly prohibit financial institutions from misleading the elderly to carry out venture capital.
■ Practice a positive view of aging
- Accelerate the development of education for the elderly in urban and rural communities, support all kinds of qualified schools to hold universities (schools) for the elderly, and participate in education for the elderly.
- Renovate, expand or build a number of public cultural and sports activity venues for the elderly, encourage the editing and publication of large-character books suitable for the elderly, and encourage and support commercial cultural and entertainment venues such as movie theaters and theaters to increase preferential periods for the elderly.
- In the layout of public sports facilities such as sports parks and national fitness centers, fully consider the fitness needs of the elderly, and strengthen the planning and construction of supporting sports venues and facilities.
- Guide all kinds of tourist scenic spots and resorts to strengthen the construction and transformation of aging, and build a health tourism base. Replace age constraints with health conditions, and revise and improve relevant regulations.
■ Create an age-friendly social environment
- Establish normalized guidance and supervision mechanisms to prevent the occurrence of problems of bullying and abusing the elderly and abandoning the elderly, and include illegal conduct of having the ability to support the elderly but refusing to support the elderly in personal social credit records.
- Explore the establishment of a system of nursing leave for parents of only children.
- Explore the development of "respite services" for home caregivers of the disabled elderly.
- For high-frequency service matters such as medical care, social security, civil affairs, finance, telecommunications, postal services, entry-exit, and living expenses, set up necessary offline channels and extend them to the grass-roots level.
- Strengthen the aggregation of ID card information and data interconnection, and promote "one-card access" in more fields.
- Continue to promote the aging transformation of Internet websites and mobile Internet applications, and optimize functions such as interface interaction, content reading, operation prompts, and voice assistance.
■ Strengthen fiscal funds and financial guarantees
- Improve the financial input policy for the development of the aging cause and the multi-channel financing mechanism, and continue to increase investment support within the central budget.
- The lottery public welfare funds used by the Ministry of Civil Affairs and local governments at all levels for social welfare undertakings should be tilted more and no less than 55% of the funds will be used to support the development of old-age services from 2022 onwards.
- Under the premise of legal compliance and controllable risks, prudently and orderly explore asset securitization in the field of old-age services.
Source: CCTV Finance