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General Office of the State Council: Support the large-scale and chain development of elderly care institutions

According to the Chinese Government website, the General Office of the State Council recently issued the full text of the "Opinions on Promoting the Development of Elderly Care Services". The opinions pointed out that in accordance with the deployment of elderly care services in the 2019 Government Work Report, in order to open up "blocking points", eliminate "pain points", break down development obstacles, improve the market mechanism, continue to improve the home-based, community-based, and institutional-supplemented, A senior care service system that combines medical and nursing care, establish and improve a long-term care service system for the elderly and disabled elderly, strengthen a service management system with credit as the core, quality as a guarantee, and equal emphasis on decentralization and supervision, and vigorously promote the continuous optimization of the supply structure of senior care services and social Effective investment has been significantly expanded, the quality of elderly care services has been continuously improved, and the consumption potential of elderly care services has been fully released to ensure that by 2022, on the basis of ensuring that everyone enjoys basic elderly care services, the diversified and multi-level elderly care service needs of the elderly can be effectively met. Their children's sense of gain, happiness and security are significantly improved.

The following is the full text of the opinion:

The Party Central Committee and the State Council attach great importance to elderly care services. Since the 18th National Congress of the Communist Party of China, policies have been introduced to accelerate the development of the elderly care service industry and fully liberalize the elderly care service market. Through policies and measures, the construction of the elderly care service system has achieved remarkable results. But overall, the vitality of the elderly care service market has not yet been fully stimulated. Problems such as unbalanced and inadequate development, insufficient effective supply, and low service quality still exist. The people's needs for elderly care services have not yet been effectively met. In accordance with the deployment of elderly care services in the 2019 Government Work Report, in order to open up "blocking points", eliminate "pain points", remove development obstacles, improve the market mechanism, continue to improve the home-based, community-based, institutional-supplemented, medical and nursing-related services. Integrate the elderly care service system, establish and improve the long-term care service system for the elderly and disabled elderly, strengthen the service management system with credit as the core, quality as the guarantee, decentralization and supervision, and vigorously promote the continuous optimization of the elderly care service supply structure and obvious effective social investment. Expand, continue to improve the quality of elderly care services, and fully release the consumption potential of elderly care services to ensure that by 2022, on the basis of ensuring that everyone has access to basic elderly care services, the needs of the elderly for diversified and multi-level elderly care services can be effectively met, and the elderly and their children can receive The sense of security, happiness and security have been significantly improved. With the approval of the State Council, the following opinions are hereby put forward.

1. Deepen the reform of decentralizing power, delegating power, delegating power, delegating power, delegating power, delegating power and optimizing services and optimizing services.

(1) Establish a comprehensive supervision system for elderly care services. Formulate a list of responsibilities for "exemption from liability when performing duties and accountability for dereliction of duty", formulate relevant policy documents to strengthen the comprehensive supervision of elderly care services, establish a cross-department collaborative supervision mechanism in which each performs its duties and fulfills its responsibilities, and improves the process and after-event Regulatory system. We will improve the "double random and open" working mechanism, intensify the investigation and punishment of violations, and adhere to the most rigorous standards, the strictest supervision, the most severe penalties, and the most serious accountability. Market supervision departments should share basic enterprise registration information to provincial-level sharing platforms or provincial-level inter-department data interfaces; civil affairs departments should download relevant information about elderly care institutions in a timely manner and strengthen guidance and in-process and post-event supervision. Accelerate the construction of the social credit system in the field of elderly care services. By the end of June 2019, establish and improve a joint disciplinary mechanism for dishonesty. Elderly care service institutions (including elderly care institutions, home-based and community elderly care service institutions, and those with serious untrustworthy conduct, as well as those listed in their business scope and articles of association) shall be accelerated. Other enterprises, institutions and social organizations that include elderly care services) and personnel shall implement joint punishments. Administrative licensing, administrative penalties, random inspection results and other information of elderly care service institutions are recorded in their names through the National Credit Information Sharing Platform and the National Enterprise Credit Information Publicity System according to the nature of their operations and are publicized in accordance with the law. (The Ministry of Civil Affairs, the National Development and Reform Commission, the People's Bank of China, and the State Administration for Market Regulation are responsible according to the division of responsibilities, and local people's governments at all levels are responsible)

(2) Continue to deepen the reform of public elderly care institutions. Give full play to the basic security role of public elderly care institutions and public and private elderly care institutions. On the premise of meeting the centralized support needs of the extremely poor people at present and in the future period, the focus is on the economically disadvantaged and disabled (including dementia, the same below) elderly people and family planning Special families provide free or low-cost care services for the elderly. Adhere to the public welfare nature of public elderly care institutions, determine the scope of security, allow the remaining beds to be opened to the public, study and formulate charging guidance standards, and use the proceeds to support the elderly care services for the recipients of the full coverage. Explore the transformation of qualified public elderly care institutions into state-owned elderly care service enterprises. Formulate management measures for public and private elderly care institutions, refine evaluation standards and selection rules, and strengthen supervision of contract implementation.

Operators of public and private elderly care institutions should regularly report the assets and operations of the institution to the entrusting department, and promptly report major emergencies. (The Ministry of Civil Affairs, the National Development and Reform Commission, the Ministry of Finance, the Central Organization Office, the State-owned Assets Supervision and Administration Commission, and the National Health Commission are responsible according to the division of responsibilities, and local people's governments at all levels are responsible)

(3) Solve the problem of fire inspection of nursing homes. In accordance with the "Code for Fire Protection Design of Buildings", provide fire protection approval services for elderly care institutions and improve approval efficiency. For elderly care institutions that apply for fire protection design review, fire protection acceptance and fire protection filing in accordance with the law, we will proactively provide fire protection technical consulting services and handle them as soon as possible in accordance with the law. All localities should implement standardized management of fire safety in the elderly care service industry based on actual conditions, focus on classified guidance, and clarify the fire resistance level of elderly care institution buildings, floor settings and floor layouts, fire separation measures, safe evacuation and refuge design, building fire protection facilities, fire management agencies and personnel, The construction of micro fire stations and other configuration requirements will promote the implementation of the main responsibility of fire safety in elderly care institutions, carry out self-examination and self-correction of hidden dangers, and improve the level of self-management. Rural nursing homes and elderly care institutions that meet fire safety requirements using schools, factories, commercial venues, etc. that fail to pass the fire inspection due to failure to complete real estate registration, land planning and other formalities will be subject to the provincial civil affairs department before the end of December 2019. The provincial people's government is requested to organize relevant departments to conduct centralized research and disposal. Those who meet the technical conditions for fire safety will be issued opinions by the relevant competent authorities and enjoy corresponding support policies. (The Ministry of Emergency Response, the Ministry of Housing and Urban-Rural Development, the Ministry of Natural Resources, the Ministry of Civil Affairs, and the State Administration for Market Regulation are responsible according to the division of responsibilities, and local people's governments at all levels are responsible)

(4) Reduce the tax burden on elderly care services. Focusing on tax reduction and fee reduction, elderly care service institutions that meet the conditions stipulated in current policies can enjoy preferential fiscal and tax policies for small and micro enterprises. Research corporate income tax support policies for non-profit elderly care service institutions. Provide tax reduction and exemption support policies to elderly care service institutions that provide day care, rehabilitation care, meal assistance and other services in the community. Implement various administrative fee reduction and exemption policies, implement the price policy for residents to enjoy electricity, water, gas, and heat in elderly care service institutions, and do not refuse to implement relevant price policies on grounds such as the nature of land or housing. (The Ministry of Finance, the State Administration of Taxation, the National Development and Reform Commission, and the State Administration for Market Regulation are responsible according to the division of responsibilities, and local people's governments at all levels are responsible)

(5) Improve the level of precision in government investment. The Ministry of Civil Affairs and local governments at all levels must increase their focus on the lottery public welfare funds used for social welfare projects. By 2022, no less than 55% of the funds must be used to support the development of elderly care services. Elderly care institutions that accept elderly disabled elderly people with financial difficulties will enjoy operating subsidies equally according to the number of the above-mentioned elderly people regardless of the nature of the business. The above-mentioned elderly people staying in the institution will enjoy elderly care service subsidies in accordance with regulations. Incorporate elderly care services into the government's guiding catalog for purchasing services, comprehensively sort out various types of elderly care services currently arranged by fiscal expenditures, and formulate government purchasing standards for elderly care services on a provincial basis, focusing on purchasing life care, rehabilitation care, institutional operations, social work and Personnel training and other services. (The Ministry of Finance, the Ministry of Civil Affairs, and the National Health Commission are responsible according to the division of responsibilities, and local people's governments at all levels are responsible)

(6) Support the large-scale and chain development of elderly care institutions. Support efforts to create a number of influential and competitive elderly care service trademark brands in the field of elderly care services, and strengthen protection of elderly care service trademark brands in accordance with the law. Enterprises that have obtained business licenses elsewhere shall not be required to establish subsidiaries when conducting business activities locally. Carry out an action plan for city-enterprise collaboration to promote the development of elderly care services. Non-profit elderly care institutions can set up multiple service outlets without legal person qualifications within the jurisdiction of their registration management agencies. (The State Administration for Market Regulation, the Intellectual Property Office, the Ministry of Civil Affairs, and the National Development and Reform Commission are responsible according to the division of responsibilities, and local people's governments at all levels are responsible)

(7) Provide information disclosure and policy guidance in the field of elderly care services. Establish a monitoring, analysis and development evaluation mechanism for elderly care services, improve statistical classification standards for elderly care services, and strengthen statistical monitoring. Before the end of June 2019, all provincial people's governments will publish a list of current support policies and measures for elderly care services, information on supply and demand for elderly care services, or investment guidelines in their respective administrative regions. Develop standards for the disclosure of information on the service quality of elderly care service institutions, and disclose information such as the list of elderly care service items, service guides, and service standards. Centrally clean up and abolish various regulations and practices that hinder the unified market and fair competition such as local protection in public construction and private operation of elderly care service institutions, elderly care facility bidding, government purchase of elderly care services, and exclusion of for-profit elderly care service institutions from participating in competition.

(The Bureau of Statistics, the National Development and Reform Commission, the Ministry of Civil Affairs, the Ministry of Finance, and the State Administration for Market Regulation are responsible according to the division of responsibilities, and the provincial people's governments are responsible)

2. Expand investment and financing channels for elderly care services

(8) Promote the solution of financing problems of elderly care service institutions. Smooth the monetary and credit policy transmission mechanism, comprehensively use a variety of tools, and implement policies such as supporting small businesses and refinancing. Financial support must continue to be provided to private elderly care institutions that meet the credit conditions but encounter temporary operating difficulties. Effectively solve the problems of illegal charging of handling fees, evaluation fees, commitment fees, fund management fees and other issues by financial institutions in the financing process of elderly care service institutions, reduce financing surcharges, and reduce financing costs. Commercial banks are encouraged to explore the issuance of asset (facility) mortgage loans and accounts receivable pledge loans to private elderly care institutions with clear property rights. Explore allowing for-profit elderly care institutions to use assets such as land and facilities acquired at a cost for mortgage financing. We will vigorously support qualified elderly care service companies with a high degree of marketization and standardization to go public and raise funds. Support commercial insurance institutions in setting up elderly care service institutions or participating in the construction and operation of elderly care service institutions, and appropriately expand the sources of funds for investment and construction of elderly care projects by insurance funds. Give better play to the role of entrepreneurial guaranteed loan policies, provide loan support to qualified individuals and small and micro enterprises engaged in the elderly care service industry, and encourage financial institutions to reasonably determine loan interest rates with reference to the basic loan interest rate and risk sharing. (The People's Bank of China, the Ministry of Finance, the China Banking and Insurance Regulatory Commission, the China Securities Regulatory Commission, and the Ministry of Natural Resources are responsible according to the division of responsibilities)

(9) Expand the scale of bond issuance by enterprises related to the elderly care service industry. Scientifically design the issuance plan based on the company's capital return situation, support the reasonable and flexible setting of bond terms, options, and principal and interest payment methods, and use it to provide life care, rehabilitation care and other service facilities and equipment for the elderly, as well as develop rehabilitation assistive device products and supplies projects . Encourage enterprises to issue renewable bonds for the construction of projects with long investment recovery periods such as elderly care institutions. For senior care service projects with stable cash flow after the project is completed, the future income rights of the project are allowed to be pledged for bond issuance. It is allowed to provide credit enhancement for bonds in the form of mortgage guarantee of construction land use rights. Explore the issuance of project revenue notes and project revenue bonds to support the construction and operation of senior care service industry projects. (The National Development and Reform Commission, the People's Bank of China, the China Banking and Insurance Regulatory Commission, and the China Securities Regulatory Commission are responsible according to the division of responsibilities)

(10) Fully implement national treatment for foreign-funded elderly care service institutions. Foreign capital participates in the development of elderly care services in the mainland through public and private construction, government purchase of services, government and social capital cooperation, etc., and enjoys the same treatment as domestic capital. Elderly care institutions established by overseas capital in the mainland that receive government guarantees will equally enjoy preferential policies such as operating subsidies. Incorporate elderly care and rehabilitation products and services into the exhibition scope of the China International Import Expo, and explore the establishment of elderly care and rehabilitation exhibition areas. (The Ministry of Civil Affairs, the National Development and Reform Commission, and the Ministry of Commerce are responsible according to the division of responsibilities)

3. Expand employment and entrepreneurship in elderly care services

(11) Establish and improve the professional skill level certification and certification of elderly care workers Education and training system. Before the end of September 2019, professional skills standards for elderly care workers will be formulated and implemented. Strengthen pre-job training and regular training for the persons in charge and managers of elderly care service institutions, so that they can master the laws, regulations, policies and standards of elderly care services. Policies such as subsidies for training fees for elderly care service employees and subsidies for vocational skill appraisals will be implemented in accordance with regulations. Encourage all types of colleges and universities, especially vocational colleges (including technical schools), to set up majors or courses related to elderly care services, and to open related majors such as health services and management, traditional Chinese medicine health care, and traditional Chinese medicine rehabilitation in ordinary colleges and universities. Promote the construction of elderly care service training bases in vocational colleges (including technical schools). Implement student financial aid policies as required. (The Ministry of Human Resources and Social Security, the Ministry of Education, the Ministry of Finance, the Ministry of Civil Affairs, and the State Administration for Market Regulation are responsible according to the division of responsibilities, and local people's governments at all levels are responsible)

(12) Vigorously promote the employment of the elderly care service industry. Combined with the government's purchase of grassroots public health management and social services, develop a number of service positions for the elderly at the grassroots level, especially in streets (townships) and communities (villages), giving priority to people with employment difficulties, registered poor people and college graduates employment. For elderly care service institutions that recruit people with employment difficulties, sign labor contracts and pay social insurance premiums, social insurance subsidies will be provided in accordance with regulations. Strengthen vocational skills training and employment guidance services for registered poor people who are engaged in elderly care services, guide them to find employment in elderly care service institutions, and absorb the employment of registered poor people in elderly care service institutions to enjoy entrepreneurial employment tax incentives and vocational training subsidies in accordance with regulations and other supporting policies.

For elderly care service institutions that meet the standards of small and micro enterprises that recruit newly graduated college graduates, sign labor contracts of more than one year and pay social insurance premiums, social insurance subsidies will be provided in accordance with regulations. Implement the employment trainee subsidy policy, and appropriately increase the employment trainee subsidy standards for trainee units with a retention rate of more than 50% after the trainee period. (The Ministry of Human Resources and Social Security, the Ministry of Education, the Ministry of Finance, the Ministry of Civil Affairs, and the Poverty Alleviation Office are responsible according to the division of responsibilities, and local people's governments at all levels are responsible)

(13) Establish a commendation mechanism for elderly care services. Study and establish a national commendation project for advanced collectives and advanced individuals in elderly care services. Organize and carry out the National Nursing Care Workers Skills Competition, award the winners with the honorary title of “National Technical Expert” in accordance with regulations, and promote them to corresponding professional skill levels. Carry out caring activities for elderly care workers, strengthen social publicity of the advanced deeds and dedication of elderly care workers, so that the labor creation and social value of elderly care workers can be respected by the whole society. (The Ministry of Human Resources and Social Security, the Ministry of Civil Affairs, the National Health Commission, and the State Administration of Radio, Film and Television are responsible according to the division of responsibilities)

4. Expand the consumption of elderly care services

(14) Establish and improve long-term care services system. Research and establish long-term care service projects, standards, quality evaluation and other industry norms, and improve the professional long-term care service system that connects homes, communities, and institutions. Improve the national unified assessment standards for the ability of the elderly, and conduct a comprehensive assessment of the ability of the elderly through government purchase of services, etc., taking into account disability, dementia, disability and other conditions, and use the assessment results as the basis for receiving subsidies for the elderly and receiving basic elderly care services. . Comprehensively establish a subsidy system for the elderly and disabled elderly people with financial difficulties, and strengthen the connection between the two subsidy policies for the disabled. Accelerate the implementation of pilot projects for long-term care insurance systems and promote the formation of a long-term care insurance system framework that is in line with national conditions. Encourage the development of commercial long-term care insurance products to provide personalized long-term care services to insured persons. (The Ministry of Civil Affairs, the Ministry of Finance, the National Health Commission, the State Administration for Market Regulation, the Medical Insurance Bureau, the China Banking and Insurance Regulatory Commission, and the China Disabled Persons’ Federation are responsible according to the division of responsibilities)

(15) Develop inclusive finance for retirement care. Support commercial insurance institutions to carry out reverse mortgage pension insurance business for the elderly in cities at or above the prefecture level, and set up green channels in real estate transactions, mortgage registration, notarization and other institutions to simplify service procedures and improve service efficiency. Support the elderly in purchasing accident insurance, encourage insurance companies to design products rationally, and determine rates scientifically. Commercial pension insurance institutions are encouraged to develop pension security management businesses that meet long-term pension needs. Support banks, trusts and other financial institutions to develop pension financial products, trust products and other pension financial products, appropriately relax the age limit for seniors who meet credit conditions to apply for loans in accordance with the law, and improve the availability and satisfaction of financial services for the elderly. Expand the scale of pension target fund management, steadily promote the registration of pension target securities investment funds, set preferential fund rates, and encourage investors to hold pension target funds for the long term through differentiated rate arrangements. Pension target funds should adopt mature and stable asset allocation strategies to control fund downside risks and pursue long-term stable appreciation of fund assets. (The China Banking and Insurance Regulatory Commission, the China Securities Regulatory Commission, the People's Bank of China, the Ministry of Housing and Urban-Rural Development, and the Ministry of Natural Resources are responsible according to the division of responsibilities)

(16) Promote the growth of consumption by the elderly. Launch a national innovative design competition for products and supplies for the elderly, formulate a catalog of products and supplies for the elderly, and build an achievement transformation and promotion platform for industry-university-research collaboration. Promulgate measures for the allocation, leasing, recycling and financial leasing of rehabilitation assistive devices for the elderly, and promote the establishment of rehabilitation assistive device configuration service (leasing) stations in elderly care institutions and urban and rural communities. Carry out systematic research on nutritionally balanced meals, develop dietary products suitable for the nutritional and health needs of the elderly, and gradually improve the dietary structure of the elderly. (The Ministry of Civil Affairs, the National Development and Reform Commission, the Ministry of Industry and Information Technology, the Ministry of Science and Technology, and the National Health Commission are responsible according to the division of responsibilities)

(17) Strengthen the protection of the consumer rights of the elderly and the rectification of illegal fund-raising in the field of elderly care services . Increase joint law enforcement efforts and organize special rectification actions against infringements in the field of consumption of products and services for the elderly. Strictly investigate and deal with illegal activities that fraudulently sell various products and services to the elderly. Extensively carry out publicity and education activities on fraud awareness and prevention for the elderly to enhance their awareness and ability to resist fraudulent sales. Encourage the public to provide clues to illegal fund-raising in the field of elderly care services, promptly investigate and verify suspected illegal fund-raising activities, issue risk warnings, and handle them properly in accordance with the law.

For elderly care institutions that sell prepaid "membership cards" to make up for the lack of funds for facility construction, restrictive conditions shall be clarified in accordance with the principle of inclusive and prudent supervision, and third-party depository methods of commercial banks shall be adopted to ensure the safety of fund management and use. (The State Administration for Market Regulation, the Ministry of Public Security, the Ministry of Civil Affairs, the National Health Commission, the People's Bank of China, the China Banking and Insurance Regulatory Commission, and the State Administration of Radio, Film and Television are responsible according to the division of responsibilities, and local people's governments at all levels are responsible)

5. Promote the high-quality development of elderly care services

(18) Improve the service capabilities of integrated medical and nursing care. Promote cooperation between existing medical and health institutions and elderly care institutions, give full play to their complementary advantages, simplify the establishment process of integrated medical and elderly care institutions, and implement "one window" processing. For the establishment of clinics, health clinics (rooms), medical offices, and nursing stations in nursing homes, administrative approval will be cancelled, and record-keeping management will be implemented. When developing regional health planning, space should be reserved for elderly care facilities to host or house medical facilities. The medical security department must, based on the characteristics of the elderly care institutions and the internal medical institutions, include qualified ones into the scope of medical insurance agreement management according to regulations, improve the agreement management regulations, and strictly supervise them in accordance with the law. Medical institutions with legal person status can provide elderly care services by changing registration items or business scope. Promote the integration of medical and nursing care in rural areas and communities, promote the establishment of contract service relationships between grassroots medical and health institutions and medical personnel and the families of the elderly, and establish an incentive mechanism for village doctors to participate in health and elderly care services. Areas where conditions permit can support family doctors making visits to serve the elderly. Encourage medical staff to practice in integrated medical and nursing care institutions and enjoy equal treatment in terms of professional title evaluation and other aspects. (The National Health Commission, the Ministry of Civil Affairs, the Central Organization Office and the Medical Insurance Bureau are responsible according to the division of responsibilities)

(19) Promote the integrated development of home, community and institutional elderly care. Support elderly care institutions to operate community elderly care service facilities and provide door-to-door services to the elderly at home. Incorporate care training for family members of disabled elderly people into the catalog of elderly care services purchased by the government, and organize elderly care institutions, social organizations, social work agencies, and the Red Cross to carry out knowledge and skills training on elderly care and emergency first aid. Vigorously develop rural welfare homes and other mutual-aid elderly care facilities that can be supported by the government, can be run by villages, are accessible to farmers, and have sustainable services. Explore the "property service + elderly care service" model and support property service companies to provide various forms of elderly care services such as meals for the elderly and regular visits. Create a "three-social linkage" mechanism, with the community as the platform, social organizations for elderly care services as the carrier, and social workers as the support, vigorously support voluntary elderly care services, and actively explore mutual aid elderly care services. Vigorously cultivate a team of elderly care volunteers, accelerate the establishment of a volunteer service record system, and actively explore practices such as "credit for student community volunteer services" and "time bank" to protect the legitimate rights and interests of volunteers. (The Ministry of Civil Affairs, the National Development and Reform Commission, the Ministry of Finance, the National Health Commission, the Ministry of Housing and Urban-Rural Development, the Ministry of Education, the Central Committee of the Communist Youth League, and the General Red Cross Society of China are responsible according to the division of responsibilities)

(II 10) Continue to carry out special actions to improve the service quality of nursing homes. Continue to vigorously promote the rectification of quality hazards, register and cancel accounts one by one according to the problem list, and ensure that all nursing homes pass the rectification. Accelerate the clarification of standards and regulations such as the safety of elderly care institutions, formulate mandatory national standards to ensure the quality and safety of basic services in elderly care institutions, and implement a unified national elderly care service grade assessment and certification system. Improve the food safety supervision mechanism in elderly care institutions. Expand the coverage of comprehensive liability insurance for elderly care services, and encourage home and community elderly care service institutions to purchase employer liability insurance and pension liability insurance. (The Ministry of Civil Affairs, the National Health Commission, the Ministry of Emergency Response, the State Administration for Market Regulation, and the China Banking and Insurance Regulatory Commission are responsible according to the division of responsibilities)

(21) Implement the "Internet + Elderly Care" action. Continue to promote the development of the smart health and elderly care industry, expand the application of information technology in the field of elderly care, formulate a promotion catalog for smart health and elderly care products and services, and carry out pilot demonstrations of smart health and elderly care applications. Promote the in-depth application of new generation information technologies and intelligent hardware products such as artificial intelligence, the Internet of Things, cloud computing, and big data in the field of elderly care services. Build a number of "smart nursing homes" across the country, promote the Internet of Things and remote intelligent security monitoring technology, and achieve 24-hour safe automatic duty to reduce the risk of accidents for the elderly and improve service experience. Use the Internet and biometric technology to explore the establishment of a remote application and review mechanism for subsidies for the elderly. Accelerate the construction of the national elderly care service management information system and promote the connection with information resources such as household registration, medical care, social insurance, and social assistance. Strengthen the security protection of the elderly’s identity, biometrics and other information. (The Ministry of Industry and Information Technology, the Ministry of Civil Affairs, the National Development and Reform Commission, and the National Health Commission are responsible according to the division of responsibilities)

(22) Improve the care service system for the elderly.

Establish and improve a working mechanism for regular visits to the elderly living alone, empty nesters, and left-behind people to actively prevent and promptly detect unexpected risks. Promote the "elderly care service consultant" model and play the role of supply and demand docking and service guidance. Explore open bidding methods to support qualified social organizations to accept entrustments from family planning families, orphans, widows, disabled and other special elderly people, and handle matters such as admission to elderly care institutions and medical treatment on their behalf in accordance with the law. Actively organize elderly people to carry out activities beneficial to their physical and mental health. Attention should be paid to cherishing the knowledge, skills, experience and good moral character of the elderly, giving full play to the expertise and role of the elderly, and encouraging them to engage in disseminating cultural and scientific and technological knowledge, participating in the development and application of science and technology, and establishing social welfare undertakings on a voluntary basis and within their capabilities. social activities. (The Ministry of Civil Affairs, the National Health Commission, and the Ministry of Human Resources and Social Security are responsible according to the division of responsibilities, and local people's governments at all levels are responsible)

(23) Vigorously develop education for the elderly. Prioritize the development of community elderly education, and establish and improve the three-level community elderly education school network of "county (city, district) - township (street) - village (neighborhood committee)" to facilitate the elderly to study nearby. Establish a national public service platform for education for the elderly, encourage various educational institutions to organize or participate in education for the elderly through various forms, promote the sharing of education resources, courses, and teachers for the elderly, explore new models of integrating education and education, and provide community and elderly services Educational institutions and elderly care service agencies provide support. Actively explore ways and methods for senior universities organized by departments, industries, enterprises, and universities to serve society. (The Ministry of Education, the National Health Commission, the Central Organization Department, and the Ministry of Civil Affairs are responsible according to the division of responsibilities)

6. Promote the construction of elderly care service infrastructure

(24) Implement support for extremely poor people Renovation and improvement project of service facilities (nursing home). Completing the shortcomings of rural elderly care infrastructure and improving the construction standards of service facilities (nursing homes) for the extremely poor will be included in the poverty alleviation work and rural revitalization strategy. Starting from 2019, the renovation and upgrading project of service facilities for the extremely poor people (nursing homes) will be implemented, and the government’s investment guidance role will be actively played, social resources will be fully mobilized, and government and social capital cooperation, public construction and private operation will be used to support the service facilities for the extremely poor people (nursing homes). ) Construct, renovate and upgrade nursing care beds, open up care units for the disabled elderly, and ensure that all extremely poor people who are willing to stay are provided with centralized support. Gradually transform the support service facilities (nursing homes) for the extremely poor into regional senior care service centers. (The Ministry of Civil Affairs and the National Development and Reform Commission are responsible according to the division of responsibilities, and local people's governments at all levels are responsible)

(25) Implement the fire safety standard project of private nursing homes. Starting from 2019, the lottery public welfare funds used by the Ministry of Civil Affairs and local governments at all levels for social welfare undertakings will be used to replace subsidies with awards to guide and help existing private elderly care institutions to configure firefighting facilities and equipment in accordance with national engineering construction firefighting technical standards. , carry out rectifications for major fire hazards. For buildings with a small total construction area or conditions that make it difficult to install automatic fire protection systems, strengthen physical and technical defense measures, and install independent smoke-sensing fire detection alarms and Locally applied automatic sprinkler systems, equipped with emergency lighting equipment and fire extinguishers. (The Ministry of Finance, the Ministry of Civil Affairs, and the Ministry of Emergency Response are responsible according to the division of responsibilities)

(26) Implement the aging-friendly home renovation project for the elderly. Before the end of 2020, government subsidies and other means will be used to implement aging-friendly renovations in accordance with the "Barrier-free Design Specifications" for all the families of the elderly, disabled and disabled elderly who are included in the special poverty support and establishment of records. Where conditions permit, we can actively guide elderly households in urban and rural areas to carry out aging-friendly renovations, and implement them according to local conditions such as the renovation of old residential areas based on the social interactions and daily needs of the elderly. (The Ministry of Civil Affairs, the Ministry of Housing and Urban-Rural Development, the Ministry of Finance, the National Health Commission, the Poverty Alleviation Office, and the China Disabled Persons' Federation are responsible according to the division of responsibilities, and local people's governments at all levels are responsible)

(27) Implementation of elderly care service facilities Zoning and hierarchical planning and construction requirements. In 2019, a nationwide supervision and inspection of the planning and construction of elderly care service facilities was deployed, focusing on the failure to prepare rectification plans, the "four synchronizations" (synchronous planning, simultaneous construction, simultaneous acceptance, and simultaneous delivery) of newly built residential communities and supporting elderly care service facilities that have not been implemented. Problems such as community elderly care service facilities not meeting standards, and existing elderly care service facilities not being handed over or being used effectively. Improve the "four synchronizations" working rules, clarify the responsibilities of the civil affairs department in the "four synchronizations", and have the civil affairs departments perform supervision responsibilities for the elderly care service facilities that have been delivered to the property owners to ensure the purpose of elderly care services.

If there are problems such as delayed construction, reduction of construction, suspension of construction, non-construction or construction and failure to handover of supporting elderly care service facilities, the construction unit shall not organize completion acceptance until the rectification is in place. In accordance with relevant national standards and norms, the construction of community home care service facilities will be included in the construction of supporting housing in urban and rural communities. For vacant public rental housing, we can explore allowing them to be provided free of charge to social forces to provide day care, rehabilitation care, meal assistance, elderly education and other services for the elderly in the community. Municipal and county-level governments must formulate policies and measures to integrate and transform idle facilities into elderly care service facilities; if real estate registration is required during the integration and transformation, the real estate registration agency must expedite the registration procedures in accordance with the law. Promote the reform of training centers and nursing homes owned by state-owned enterprises, and accelerate the integration and centralized operation of resources that meet the conditions to provide elderly care services. Anyone who uses a single-family building with a building area of ??less than 1,000 square meters or transforms some floors in the building into a senior care service facility will no longer be required to issue a statement on the recent relocation plan or a statement on temporary changes to the building's use functions, provided that it meets relevant national standards. , environmental assessment approval document or filing receipt. If the total number of elderly care service facilities is insufficient or the planning is lagging behind, they should be improved when the overall plan of the city or town is compiled or revised. Conditional cities at or above the prefecture level should prepare special plans for elderly care service facilities. (The Ministry of Housing and Urban-Rural Development, the Ministry of Natural Resources, the Ministry of Ecology and Environment, the Ministry of Civil Affairs, and the State-owned Assets Supervision and Administration Commission are responsible according to the division of responsibilities, and local people's governments at all levels are responsible)

(28) Improve land supply policies for elderly care service facilities . To establish a non-profit elderly care service institution, you can apply for land allocation based on the social service institution registration certificate and other legal materials issued by the registration authority. The natural resources and civil affairs departments must actively coordinate and implement the land allocation policy. Encourage all localities to explore the use of collective construction land to develop elderly care service facilities. If existing commercial service land and other other land are used for the construction of elderly care service facilities, it is allowed to adjust land and planning requirements such as per household area, lease term, parking space ratio, and fire inspection in accordance with aging-friendly design requirements. (The Ministry of Natural Resources, the Ministry of Housing and Urban-Rural Development, and the Ministry of Civil Affairs are responsible according to the division of responsibilities, and local people's governments at all levels are responsible)

The State Council has established an inter-ministerial joint conference system for elderly care services led by the Ministry of Civil Affairs. All localities and relevant departments must strengthen the implementation of work responsibilities, improve the elderly care service working mechanism under party committee leadership, government leadership, departmental responsibility, and social participation, and strengthen the connection between central and local work. The main responsible comrades must personally intervene, and the responsible comrades in charge must implement the tasks well. Incorporate the implementation of elderly care service policies into the scope of the government's annual performance assessment, and provide preferential support in arranging financial subsidies and related infrastructure construction funds, and selecting relevant pilot projects to those who are proactive in implementing elderly care service policies and have obvious results in the construction of the elderly care service system. Incentive and recognition. All localities should enrich and strengthen the grassroots elderly care work force and strengthen the overall management of regional elderly care service resources.