Starting from June 65438+1 October1this year, all elderly people over 80 with household registration in Zhejiang will receive an old age allowance no less than that in 60 yuan! Recently, the Zhejiang Provincial Government issued the "Implementation Opinions on Accelerating the Construction of the Basic Old-age Service System", which sent a wave of policy "gift packages" to the elderly in Zhejiang.
According to the Opinions, by 2025, the model of "home+community organization+smart old-age care" will basically take shape, with basic old-age care services covering all the elderly, clear service targets, service contents and service standards, and sound mechanisms for service supply, service guarantee and service supervision. All the elderly can get convenient, accessible, balanced urban and rural areas and high-quality basic old-age care services.
The Opinions put forward 20 key new policies to benefit the elderly around establishing a basic old-age service system, optimizing the layout of old-age service facilities, ensuring the efficient operation of basic old-age service facilities, promoting the focus of basic old-age services on key groups, improving the ability of old-age service teams, and building application scenarios of smart old-age services.
Formulate and implement the list of basic old-age services
Establish a proactive response mechanism to achieve accurate service.
Comprehensive assessment of the ability of the elderly, the elderly over 80 years old once a year, the elderly under 80 years old can apply for a free assessment every two years.
Improve the basic old-age service guarantee mechanism.
The precise old age allowance will be paid to all elderly people over the age of 80 who have registered in Zhejiang, with a monthly rate not lower than that of 60 yuan, and will be implemented from June 5438+1 October1in 2023, and will be adjusted regularly according to the level of economic and social development. Establish a "love card" system for old-age services.
Strengthen the planning of old-age service facilities
In strict accordance with the standard of per capita land use of not less than square meters, the community pension service facilities are planned and set up by districts and levels. All districts, cities and counties (cities) with a permanent population of more than 500,000 will be completed in 2022, and other counties (cities) will be completed in 2023.
Improve the home care service facilities
Community home care service houses shall be built according to the standard of not less than 20 square meters per 100 households, and new urban residential projects shall be built according to the standard of not less than 2‰ of the total construction area of the project. In the future, communities (villages) should be equipped with home-based care centers and canteens for the elderly, and encourage the construction of small and micro care institutions.
Promote the combination of medical care and nursing care
Strengthen the enjoyment of medical and pension resources, and promote the unified planning and adjacent construction of township medical and health care and pension service facilities. Accelerate the construction of comprehensive medical facilities and cover all towns (streets) by 2025.
Strengthen the aging transformation of houses and communities.
We will adopt a fund-sharing mechanism of government subsidies and family pays, and guide socialized professional institutions to provide home-based care for eligible elderly families. Continue to promote the installation of elevators in old urban communities.
Give full play to the basic role of public pension institutions
By 2025, every city, county (city, district) will have at least 1 public pension institutions at the same level to ensure the supply of basic pension services and deal with emergencies.
Promote the orderly development of private pension institutions
Promote the reform of "one person, one bed, one hospital" and "supply side", and promote the application of "old age code" and "bed code". Continue to do a good job in comprehensive insurance for old-age institutions. The provincial finance and the municipal (county) finance respectively subsidize one-third of the premiums of non-profit pension institutions and half of the premiums of for-profit pension institutions.
Promote the long-term operation of home care service institutions
Standardize the construction of home care service facilities and regularly carry out star rating. The provincial finance gives operating subsidies to township (street) home-based care service centers and village (community) home-based care service centers, with the highest annual subsidies of 65438+ 10,000 yuan and 1 10,000 yuan respectively.
Support the specialized chain operation of aged care services
Each county (city, district) can be divided into 2-5 districts, and professional old-age care institutions should be selected on the basis of merit, and chain operation should be carried out in different regions. The term of the service contract may be appropriately extended, and the term of the government-purchased service project contract shall not exceed 3 years.
Pay attention to the nursing of the disabled elderly
If the disabled elderly in low-income families take care of the elderly at home, they will be completely unable to take care of themselves, basically unable to take care of themselves, and partially unable to take care of themselves, referring to the nursing subsidy standard for severely disabled people in Zhejiang Province; If the family does not have the care conditions and is approved by the county-level civil affairs department to be included in the institutional pension, it shall be implemented with reference to the nursing fee standard for the destitute dependents. Disabled elderly people in marginal families with subsistence allowances shall be implemented according to the standard of not less than 50% of the elderly people in the above-mentioned families with subsistence allowances. Incorporate nursing training for disabled elderly family members into the catalogue of government-purchased aged care services.
Focus on ensuring the elderly with difficulties
Implement the basic living security and nursing expenses for the destitute, and ensure the operating expenses of public destitute support institutions. All destitute elderly people who are willing to provide centralized support will be provided with centralized support.
Pay attention to the elderly service in the mountainous area of the island.
Deepen the action of providing for the aged on the island. Take mobile service, neighborhood mutual assistance and other ways to implement the action of helping the elderly in mountainous areas.
Implement training and promotion activities
By 2025, there will be 25 certified elderly nursing staff for every 10,000 elderly people, among which the proportion of nursing staff above senior level is not less than 18%, and the proportion of holding ambulance certificate is not less than 70%. The destitute support institutions shall be equipped with nursing staff according to the ratio of 1:3, 1: 6 and 1: 15.
Improve the treatment of elderly nursing staff
Fully implement the special post allowance system for aged care workers. Graduates from universities and secondary vocational schools specializing in aged care services who are engaged in aged care and professional and technical work may be given entry rewards according to the requirements of relevant documents.
Actively play the role of serving the elderly.
Guide volunteers to participate in the service for the elderly, carry out the "silver age mutual assistance" activities, and encourage certified social workers to carry out social work for the elderly.
Deepen the digital reform of old-age care services
Iteratively upgrade the digital application of Li Zhe Yang Kang. Construct a public service policy allocation model, and promote the intelligent analysis and on-demand push of the basic public service list for the aged.
Expand the basic old-age service scene
Construct application scenarios such as medical treatment and dispensing, emergency rescue and fall prevention for the elderly. In the future, communities (villages) will give priority to the application of "neighborhood health care". Promote the construction of smart nursing homes, all township (street) home care service centers are equipped with intelligent service terminals, and gradually extend to village (community) home care centers.
Popularize smart pension technology and equipment.
Strengthen information barrier-free construction and reserve offline service channels to facilitate the elderly to obtain services and benefits.