"The basic elderly care service defines a comprehensive assessment of the ability of the elderly, which is the basic system design." Li Lu said that the comprehensive assessment is a comprehensive judgment of the elderly's own health and ability, family economic status, etc., which can provide a basis for the elderly to choose elderly care services that meet their own needs, and also provide a basis for the government to accurately target the security object. For example, the "Opinions" proposed to promote cross-departmental data sharing and establish accurate identification and dynamic management mechanisms for elderly people with difficulties, which are important systems and key measures for accurate matching and proactive service. Therefore, the basic situation of the elderly based on shared data and comprehensive assessment will become the basis for the supply of basic elderly care services, whether the elderly obtain from the market and society themselves, or the government matches the security services to the elderly with special difficulties.
The Opinions pointed out that the supply capacity of basic elderly care services should be improved. Local governments at or above the municipal level with districts shall incorporate the construction of elderly care service facilities (including the academy) into relevant planning, formulate overall plans to promote the development of elderly care service facilities at different levels in combination with factors such as local economic and social development level, elderly population status and development trend, and environmental conditions, and reasonably determine the type, quantity, scale and layout of facilities. Form a network of service facilities for the elderly with scientific structure, complete functions and reasonable layout. All newly-built urban areas and residential areas shall be equipped with old-age service facilities in accordance with standards and requirements; Old urban areas and residential areas that have already been built should be combined with the renovation of old residential areas in cities and towns, and efforts should be made to improve elderly service facilities through reconstruction. Elderly service facilities invested or funded by the government should be prioritized for basic elderly care services. By 2025, we will ensure that every county (city, district, banner) has at least one county-level support service institution focusing on professional care for disabled people with extreme poverty.
In addition, in terms of improving the facilitation and accessibility of basic elderly care services, relying on and integrating existing resources, the development of street (township) regional elderly care service centers or service complexes for the elderly. Support elderly care institutions to operate community elderly care service facilities, and can coordinate elderly care service resources according to regulations. We will support social forces in providing day care, meal assistance, cleaning assistance, rehabilitation care and other services to the elderly. Rely on street (township) regional elderly care service centers or provide family elderly care guidance services for elderly service complexes, community elderly care service facilities, villagers' committees, community neighborhood committees and other grass-roots forces to help elderly family members improve their care ability. The care training of disabled elderly family members will be included in the directory of government purchase of elderly care services, and qualified disabled elderly family members who participate in relevant vocational skills training such as care training will be given vocational training subsidies according to regulations.
Both material assistance and care and care services are available
"The biggest highlight of the opinions is the proposed 'national list of basic elderly care services'." Li Lu said that the proposal of the list not only implements the task of the basic old-age service list system in the "14th Five-Year Plan" National Old-age Cause Development and old-age Service System Planning, but also enriches the connotation of basic old-age service in the "National Basic Public Service Standards (2021 edition)". "The list makes up for the previous problem of 'less services with subsidies' and includes three types of material help, care services and care services, which is equivalent to covering both materials and services."
As can be seen from the list, in addition to providing material assistance such as basic pension on time and in full for eligible insured elderly, basic pension and personal account pension for eligible insured elderly, old age allowance for the elderly aged 80 and above, and nursing subsidy for the elderly with financial difficulties who are determined to be unable to take care of themselves, Of the 16 service items in the list, 7 are care services, accounting for more than 40% of the overall proportion.
For example, to provide comprehensive assessment of the ability of the elderly aged 65 and above, do a good job of linking the comprehensive assessment of the ability of the elderly with the health status assessment; In accordance with relevant standards, gradually provide barrier-free renovation services for the families of the elderly with financial difficulties every year; Eligible disabled elderly family members who participate in caregiving training and other related vocational skills training shall be given vocational training subsidies according to regulations.
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