Circular of the National Working Committee on aging on printing and implementing

Opinions of the CPC Central Committee and the State Council on strengthening the work on aging in the new era

Notification of task division scheme

National Commission on aging [2022] No. 1

Member units of the aging working committees of all provinces, autonomous regions, municipalities directly under the central government, cities specifically designated in the state plan, Xinjiang production and Construction Corps and the national Aging Working Committee:

On November 18, 2021, the CPC Central Committee and the State Council issued the opinions on strengthening the work on aging in the new era (hereinafter referred to as the opinions). *** According to the division of tasks, refine work measures, pay close attention to the implementation, and promote the high-quality development of the cause of aging.

National Working Committee on Aging

February 3, 2022

carry out

Opinions of the CPC Central Committee and the State Council on strengthening the work on aging in the new era

Task division scheme

1、 Improve the elderly care service system

（1） Innovate the home-based community elderly care service model. On the basis of home-based elderly care, improve the community elderly care service capacity through new construction, transformation and leasing, strive to develop the two-level elderly care service network of streets (towns) and urban and rural communities, and rely on the community to develop diversified home-based elderly care services. Local governments are responsible for exploring and promoting the establishment of professional institutions to extend services to communities and families. The street community is responsible for introducing professional institutions serving the elderly in the aspects of meal aid and cleaning aid, and the community organization introduces relevant nursing professional institutions to carry out the care of the elderly at home; The government has strengthened its organization and supervision. The government should cultivate professional institutions serving the elderly, guide their standardized development, and guide them to provide sustained and stable services in accordance with the principle of breakeven and low profit. Give full play to the role of community party organizations, explore the mode of "community + property + elderly care service", and increase the effective supply of home-based community elderly care services. In combination with the implementation of the Rural Revitalization Strategy, strengthen the construction of rural elderly care service institutions and facilities, and encourage the development of mutual care elderly care services based on village level neighborhood mutual aid points and rural happy homes. (the Ministry of civil affairs, the health and Health Commission, the State Administration of market supervision, the Central Organization Department, the Ministry of housing and urban rural development, the Ministry of agriculture and rural areas, the China Association for the elderly, etc. are responsible according to the division of responsibilities, and local governments at all levels are responsible)

（2） Further standardize the development of institutional pension. All localities should develop institutional pension through direct construction, entrusted operation, purchase services, encourage social investment and other ways. Strengthen the construction of Guangrong hospital. Public pension institutions give priority to the disabled (including dementia, the same below), widows, disabled, elderly people with economic difficulties, the elderly in special family planning families and the elderly who have made important contributions to the society, and provide pension services that meet the quality and safety standards. Establish and improve the standards and evaluation system of elderly care services, and strengthen the supervision of the construction and operation of elderly care institutions. We will study and formulate policies for the management of service fees collected in advance by pension institutions, and strictly prevent acts such as encircling money and fraud in the name of pension institutions. (the Ministry of civil affairs, the Ministry of veterans, the health and Health Commission, the General Administration of market supervision, the Ministry of public security, the development and Reform Commission, etc. are responsible according to the division of responsibilities, and local governments at all levels are responsible)

（3） Establish a list system of basic elderly care services. All localities should formulate a list of basic elderly care services according to their financial affordability, and provide appropriate services such as old-age security, life care, rehabilitation care and social assistance for different elderly groups such as health, disability and economic difficulties. The list should clarify the service object, service content, service standard and expenditure responsibility, and make dynamic adjustment according to economic and social development and scientific and technological progress. By the end of 2022, a comprehensive evaluation system for the ability of the elderly will be established, and the evaluation results will be mutually recognized across departments throughout the country. (the Ministry of civil affairs, the health and Health Commission, the development and Reform Commission, the Ministry of finance, the medical insurance bureau, the China Disabled Persons' Federation and the China Association for the elderly are responsible according to the division of responsibilities, and local governments at all levels are responsible)

（4） Improve the multi-level old-age security system. We will expand the coverage of old-age insurance and gradually achieve full coverage of legal personnel of basic old-age insurance. Realize the national overall planning of basic old-age insurance for enterprise employees as soon as possible. We will improve the adjustment mechanism of basic old-age insurance benefits and ensure the basic livelihood of those receiving benefits. We will vigorously develop enterprise (occupational) annuities and promote and standardize the development of the third pillar of old-age insurance. We will explore ways to increase the income of the rural elderly through asset income support systems. (the Ministry of human resources and social security, the Ministry of finance, the China Banking and Insurance Regulatory Commission, the Ministry of agriculture and rural areas, the China Association for the elderly, etc. are responsible according to the division of responsibilities, and local governments at all levels are responsible)

2、 Improve the health support system for the elderly

（5） Improve the level of health services and management for the elderly. Strengthen the publicity and education of elderly health knowledge in urban and rural communities to improve the health literacy of the elderly. Do a good job in the health management of the elderly and the health management services of traditional Chinese medicine in the national basic public health service projects. We will strengthen early screening, intervention and classified guidance for key chronic diseases among the elderly, and carry out actions for oral health, nutrition improvement, prevention and treatment of Alzheimer's disease and psychological care for the elderly. We will improve the coverage of family doctors for the disabled, seriously ill, elderly and low-income elderly, and improve the quality of services. Expand the scope of home-based medical services provided by the medical consortium, such as family sickbeds and on-site visits. Relevant medical expenses can be reimbursed according to regulations, and on-site service fees can be charged according to the cost. We will actively give play to the role of grass-roots medical and health institutions in providing high-quality traditional Chinese medicine services for the elderly. We will strengthen the construction of the national geriatric medical center and arrange several regional geriatric medical centers. Strengthen the construction of geriatrics department in general hospitals. By 2025, the proportion of geriatrics department in general hospitals at level II and above will reach more than 60%. Through new construction, reconstruction and expansion, transformation and development, strengthen the construction of elderly hospitals, rehabilitation hospitals, nursing homes (centers, stations) and special care hospitals, and establish a two-way referral mechanism for medical treatment, rehabilitation and nursing. Accelerate the construction of friendly medical institutions for the elderly to facilitate the elderly to see a doctor. (the health and Health Commission, the Bureau of traditional Chinese medicine, the medical insurance bureau and the Department of veterans are responsible according to the division of responsibilities, and local governments at all levels are responsible)

（6） Strengthen long-term care services and security for the disabled elderly. Improve the long-term care service model from professional institutions to communities and families. Carry out health assessment and health services for the disabled elderly in accordance with the relevant requirements of the implementation of the national basic public health service project. Relying on nursing homes (centers, stations), community health service centers, township health centers and other medical and health institutions, as well as elderly care service institutions with service capacity, to provide long-term care services for the disabled elderly. We should develop Internet plus care services, actively develop family care beds and nursing care beds for disabled elderly care. Steadily expand the pilot of hospice care. We will steadily promote the pilot of the long-term care insurance system, guide local governments to focus on further clarifying the scope of insurance and protection, continuously improving the diversified financing mechanism, improving scientific and reasonable treatment policies, improving relevant standards and management methods such as treatment payment, and innovating management and service mechanisms, so as to strengthen exploration and improve the existing pilot, Actively explore and establish a long-term care insurance system suitable for China's national conditions. (the Ministry of civil affairs, the health and Health Commission, the medical insurance bureau, the Ministry of finance, the development and Reform Commission, the China Banking and Insurance Regulatory Commission, the China Disabled Persons' Federation, the China Association for the elderly, etc. are responsible according to the division of responsibilities, and local governments at all levels are responsible)

（7） Further promote the combination of medical care and nursing care. Health departments and civil affairs departments should establish a communication and coordination mechanism for the combination of medical care and nursing. Encourage medical and health institutions to carry out agreement cooperation with elderly care institutions, further integrate and optimize grass-roots medical and health and elderly care resources, and provide medical treatment, rehabilitation care, life care and other services. Support the transformation of secondary and lower medical institutions in areas rich in medical resources, and carry out rehabilitation, nursing and integrated medical care services. Encourage grass-roots organizations to actively explore the standardized conversion mechanism of pension beds and medical beds in relevant institutions on demand. According to the characteristics of serving the elderly, the medical insurance quota of medical institutions run by pension institutions shall be reasonably approved. By the end of 2025, each county (city, district and banner) will have 1 county-level support service institution for the extremely poor with the function of combining medical care and support. If eligible family members of the disabled elderly participate in the training of care knowledge and other related vocational skills, vocational training subsidies shall be given according to the regulations. Create a number of demonstration projects for the combination of medical care and nursing care. (the health and Health Commission, the Bureau of traditional Chinese medicine, the Ministry of civil affairs, the development and Reform Commission, the medical insurance bureau, the Ministry of veterans and the Ministry of human resources and social security are responsible according to the division of responsibilities, and local governments at all levels are responsible)

3、 Promoting social participation of the elderly

（8） Expand the supply of educational resources for the elderly. We will integrate the education for the elderly into the lifelong education system. The education department will take the lead in studying and formulating policies and measures for the development of education for the elderly, and take measures to promote qualified schools to carry out education for the elderly and support social forces to set up universities (schools) for the elderly, so as to promote the expansion of the supply of educational resources for the elderly. We will encourage qualified universities and vocational colleges to offer majors and courses related to elderly education, and strengthen discipline construction and talent training. Compile teaching materials related to elderly education. Relying on the National Open University, we will build a National University for the elderly and build a national platform for the sharing of educational resources and public services for the elderly. Innovate the mechanism and promote the opening of universities for the elderly run by departments, industrial enterprises and colleges and universities to the society. Give full play to the role of community party organizations and guide the elderly to practice the positive concept of aging. (the Ministry of education, the national Aging office, the Central Organization Department, the Ministry of culture and tourism, the Ministry of veterans and the China Aging Association are responsible according to the division of responsibilities, and local governments at all levels are responsible)

（9） Improve the quality of cultural and sports services for the elderly. The elderly should be actively supported in sports, shopping malls and cultural exchange activities through parks and shopping malls. Cultivate grass-roots cultural and sports backbone serving the elderly, improve the participation rate and quality of cultural and sports activities for the elderly, and cultural, tourism, sports and other departments should do a good job in standardization and management. Develop tourism products and routes for the elderly and improve the quality and level of tourism services for the elderly. Counties (cities, districts and banners) should integrate existing resources and set up educational, cultural, fitness and communication places suitable for the elderly. (the Ministry of culture and tourism, the Ministry of housing and urban rural development, the Ministry of natural resources, the General Administration of sports and the China Association for the elderly are responsible according to the division of responsibilities, and local governments at all levels are responsible)

（10） Encourage older persons to continue to play their role. We should combine having a sense of security for the elderly with having a sense of security for the elderly, improve policies and measures such as employment, voluntary services and community governance, and give full play to the role of young elderly people. Explore a flexible employment model suitable for the elderly in schools, hospitals and other units, community housekeeping services, public place service management and other industries. All localities are encouraged to establish an information database of elderly talents to provide employment introduction, vocational skill training and innovation and entrepreneurship guidance services for the elderly who are willing to work. We will deepen the "silver age action" and guide the elderly to actively participate in grass-roots democratic supervision, changing customs, civil mediation, culture, education and health in the form of voluntary services. Give play to the positive role of the elderly in family education and family style inheritance. Strengthen the construction of grass-roots party organizations for retired cadres and workers, encourage veteran party members to transfer their organizational relations to their habitual residence in time, guide veteran party members to play a role in combination with their own reality, and do a good job in spiritual care and ideological guidance for the elderly. Comprehensively clean up unreasonable regulations that hinder the elderly from continuing to play their role. (the Ministry of human resources and social security, the Ministry of civil affairs, the Ministry of education, the health and Health Commission, the Ministry of veterans, the China Aging Association, the all China Women's Federation, the Central Organization Department, the national Aging office, etc. are responsible according to the division of responsibilities, and local governments at all levels are responsible)

4、 Strive to build an elderly friendly society

（11） We will strengthen the protection of the rights and interests of the elderly. When formulating specific measures involving the interests of the elderly, all localities shall solicit the opinions of the elderly. Establish and improve the early warning, investigation and mediation mechanism for contradictions and disputes involving old marriage, family and infringement. We will strengthen publicity on the protection of the rights and interests of the elderly, improve their awareness of using legal means to protect their rights and interests, improve their ability to recognize and prevent fraud, and severely crack down on illegal and criminal acts such as telecommunications network fraud in accordance with the law. Improve the guardianship system for the elderly. Advocate law firms, notaries and grass-roots legal service institutions to reduce or exempt legal service fees for the elderly and provide door-to-door services for the elderly with mobility difficulties. Establish an age appropriate litigation service mechanism to provide protection for the elderly to facilitate their participation in litigation activities. (the Ministry of justice, the national Aging office, the Ministry of civil affairs, the Ministry of industry and information technology, the Supreme People's court, the Supreme People's Procuratorate, the Ministry of public security, the all China Women's Federation and the China Aging Association are responsible according to their respective responsibilities, and local governments at all levels are responsible)

（12） Create a livable environment for the elderly. All localities should implement laws, regulations, standards and norms for the construction of barrier free environment, integrate the construction of barrier free environment and aging transformation into urban renewal, the transformation of old urban communities, the transformation of dilapidated rural houses and the improvement of rural living environment, so as to make it safer and more convenient for the elderly to participate in social activities. Encourage places where conditions permit to implement barrier free and aging appropriate transformation, provide life AIDS, install emergency rescue facilities and carry out regular visits to families of the disabled, disabled, elderly and other elderly with economic difficulties. Guide all localities to introduce standards for family aging transformation in combination with the actual situation, and encourage more families to carry out aging transformation. While encouraging the promotion of new technologies and methods, we should retain the traditional service methods familiar to the elderly, and accelerate the aging transformation of Internet applications, mobile terminals and app applications commonly used by the elderly. Implement the action of "wisdom to help the elderly", strengthen digital skills education and training, and improve the digital literacy of the elderly. (the Ministry of housing and urban rural development, the Ministry of natural resources, the national development and Reform Commission, the Ministry of agriculture and rural areas, the Ministry of industry and information technology, the Ministry of civil affairs, the Ministry of human resources and social security, the China Disabled Persons' Federation, the National Office for aging and the China Association for aging are responsible according to the division of responsibilities, and local governments at all levels are responsible)

（13） Strengthen social respect for the elderly. We will carry out in-depth education on the situation of an aging population. Implement the inheritance and innovation project of the Chinese culture of filial piety and respect for the elderly. Continue to promote the series of activities of "respect for the elderly month" and the creation of "respect for the elderly civilization", and select and commend the advanced models of filial piety and respect for the elderly in combination with the selection of models of the times and moral models. Volunteer service for the elderly will be included in the comprehensive practical activities of primary and secondary schools and the practice of college students. We will strengthen preferential treatment for the elderly, encourage qualified places to further expand preferential treatment projects, innovate preferential treatment methods, set preferential treatment signs for the elderly in eye-catching places, and promote the elderly to enjoy various preferential treatment policies with valid documents such as ID cards on the basis of convenient travel, bus concessions and ticket reduction. Where conditions permit, we should actively implement projects in which the elderly in other cities enjoy the same local preferential treatment. Give play to the role of radio and television and online audio-visual media, strengthen publicity and guidance, and create a good social atmosphere of respecting the elderly. (the Central Propaganda Department, the Ministry of education, the Ministry of transport, the Ministry of natural resources, the Ministry of culture and tourism, the Ministry of public security, the State Administration of radio, film and television, the development and Reform Commission, the national office for the elderly and the China Association for the elderly are responsible according to the division of responsibilities, and local governments at all levels are responsible)

5、 Actively cultivate silver economy

（14） Strengthen planning guidance. Prepare relevant special plans, improve the support policy system, and comprehensively promote the development of aging industry. Encourage all localities to make use of the advantages of resource endowment to develop characteristic aging industries with comparative advantages. Make overall use of existing capital channels to support the development of aging industries. (the national development and Reform Commission, the Ministry of civil affairs, the Ministry of industry and information technology, the Ministry of finance, the national office for aging and the China Association for aging are responsible according to the division of responsibilities, and local governments at all levels are responsible)

（15） Develop industries suitable for the elderly. Relevant departments should formulate the catalogue and quality standards of articles and services for the elderly, and promote the certification of elderly care services. All localities should promote the standardized development of food, medicine and elderly products industries closely related to the life of the elderly, improve the function and quality of traditional elderly care products, and meet the special needs of the elderly. Enterprises and scientific research institutions should strengthen the R & D and manufacturing of elderly products, support the transformation of key technical achievements and service innovation of elderly products, and actively develop intelligent, auxiliary and rehabilitation products suitable for the elderly, so as to meet the needs of the elderly to improve the quality of life. Enterprises are encouraged to set up counters and experience stores for online and offline integration and services for the elderly, and vigorously develop new models and formats for the integration of pension related industries. Commercial insurance institutions are encouraged to develop health insurance products for the elderly on the premise of controllable risk and commercial sustainability. Market supervision and other departments should strengthen supervision, severely crack down on violations of intellectual property rights and the production and sale of fake and shoddy commodities, safeguard the consumption rights and interests of the elderly, and create a safe, convenient and honest consumption environment. (the national development and Reform Commission, the Ministry of civil affairs, the Ministry of industry and information technology, the Ministry of Commerce, the health and Health Commission, the China Banking and Insurance Regulatory Commission, the State Administration of market supervision, the China Association for the elderly, etc. are responsible according to the division of responsibilities, and local governments at all levels are responsible)

6、 We will strengthen security for the elderly

（16） Strengthen the construction of talent team. Accelerate the construction of professional and technical personnel, social services, business management, scientific research personnel and volunteer teams to meet the needs of the aging work in the new era. Employers should earnestly guarantee the salary of elderly care service personnel, establish a salary distribution mechanism based on post value, ability and quality and performance contribution, and improve the attractiveness of elderly care service posts. We will vigorously develop relevant vocational education and carry out elderly care services and nursing staff training. For medical personnel working in medical institutions run by elderly care institutions, relevant incentive policies for grass-roots medical personnel can be implemented with reference. (the Ministry of human resources and social security, the Ministry of education, the Ministry of civil affairs, the health and Health Commission and the Ministry of finance are responsible according to the division of responsibilities, and local governments at all levels are responsible)

（17） Strengthen the supply of facilities for the elderly. All regions and relevant departments should strengthen the construction of facilities for the elderly and accelerate the realization of nursing beds in elderly care institutions and universities (schools) for the elderly in accordance with the requirements of the national medium and long term plan for actively responding to population aging. All localities should formulate and issue standards and Implementation Rules for the setting of supporting elderly care service facilities in new urban areas, new residential areas, old urban areas and completed residential areas, and implement the requirements for the setting of elderly care service facilities. New urban areas and new residential areas shall be built with supporting elderly care service facilities according to the standard requirements to achieve full coverage. By 2025, a number of elderly care service facilities will be built in the old urban areas and built residential areas in combination with the transformation of old urban communities and the action to make up for deficiencies in residential area construction, and the "quarter hour" home-based elderly care service circle will be gradually improved. Relying on and integrating existing resources, develop Street (township) regional elderly care service centers or service complexes for the elderly, coordinate relevant policies and funds according to regulations, and provide comprehensive services for the elderly. Explore the centralized layout, co construction and sharing of service facilities for the elderly and children. (the national development and Reform Commission, the Ministry of housing and urban rural development, the Ministry of civil affairs, the Ministry of natural resources, the Ministry of education, the health and Health Commission, the Ministry of veterans and the China Association for the elderly are responsible according to the division of responsibilities, and local governments at all levels are responsible)

（18） Improve relevant support policies. To meet the financial needs of the development of the cause of aging in the coming period, we will improve the financial investment policy and multi-channel financing mechanism for the development of the cause of aging, continue to increase investment support in the central budget, and further increase the proportion of lottery public welfare funds used for social welfare undertakings by the Ministry of civil affairs and local governments at all levels for elderly care services. All localities should coordinate the development of the cause of aging, increase financial investment, and all relevant departments should make good use of relevant funds and resources to actively support the work of aging. We will study and formulate housing and other support policies, improve the stepped electricity price, water price and gas price policies, encourage adult children to live nearby or live together with their elderly parents, fulfill their maintenance obligations and take care of them. For zero employment family members with heavy maintenance burden, priority shall be given to public welfare posts according to regulations. Implement relevant fiscal and tax support policies, and encourage all kinds of public welfare social organizations or charitable organizations to increase investment in the cause of aging. Carry out national demonstration activities for the establishment of elderly friendly communities, and incorporate the construction of elderly friendly society into the important content of the selection of civilized cities. (the Ministry of finance, the national development and Reform Commission, the Ministry of civil affairs, the Ministry of housing and urban rural development, the Central Propaganda Department, the Ministry of human resources and social security, the Ministry of veterans, the State Administration of Taxation, the national Aging office and the China Aging Association are responsible according to their respective responsibilities, and local governments at all levels are responsible)

（19） Strengthen scientific research and international cooperation. Increase the support of national science and technology plans (special projects, funds, etc.) and social science funds for scientific and technological innovation, basic theory and policy research in the field of aging. Support research institutions and universities to set up think tanks on aging. We will promote the sharing of data related to the elderly across fields, departments and levels, and improve the statistical investigation and release system for the living conditions of the elderly. Actively participate in the governance of global and regional aging issues, and promote the effective connection between the implementation of the national strategy to actively respond to population aging and the implementation of relevant goals of the 2030 agenda for sustainable development. (the Ministry of science and technology, the Central Propaganda Department, the Academy of Social Sciences, the Ministry of education, the Bureau of statistics, the Ministry of civil affairs, the Health Commission, the development and Reform Commission, the Ministry of foreign affairs and the China Association for the elderly are responsible according to the division of responsibilities, and local governments at all levels are responsible)

Source: National Health Commission, Department of aging health