Attachment 2： List of Major Tasks for the Development of the Aged in Lishui during the 14th Five-Year Plan

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Catalogue

I. Planning background　

(A) the basis for development　

(2) Facing the situation 5

Second, the basic idea 8

(1) Guiding ideology 8

(II) Basic Principles 8

(III) Overall objective 10

III. Main Tasks During the Tenth Five-Year Plan Period 12

(A) to speed up the construction of a multi-level social security system for the elderly 12

(B) improve the diversified pension service system 15

(C) to establish a sound health service system for the elderly 18

(D) Enriching and prospering sports and culture education activities for the elderly 21

(E) solidly promote the construction of a livable city for the elderly 24

(six) to create a friendly and inclusive social atmosphere for the elderly 27

(VII) Give full play to regional advantages and expand the aging industry 30

IV. Safeguards 33

(A) to strengthen organizational leadership 33

(B) to strengthen institutional safeguards 33

(3) Strengthen team security 34

(4) Strengthening factor protection 34

(V) Strengthening supervision and inspection 35

Appendix 1: Explanation of Nouns 36

Annex 2: List of Major Tasks for the Development of the Aged in Lishui during the 14th Five-Year Plan 37

Annex 3: List of Key Projects for the Development of the Aged in Lishui during the 14th Five-Year Plan 38

The 14th Five-Year Plan for the Development of the Aged in Lishui City

In order to implement the national strategy of actively responding to population aging, accelerate the comprehensive, coordinated and sustainable development of the cause of aging in our city, and help our city to build an important window of "two highs" and a demonstration zone of common prosperity, according to the National Medium and Long-term Plan of Actively Responding to Population Aging, the Opinions of the State Council, the Central Committee of the Communist Party of China on Supporting the High-quality Development and Construction of a Demonstration Zone of Common Prosperity in Zhejiang Province, the Tenth Five-Year Plan for the Development of the Cause of Aging in Zhejiang Province, the Fourteenth Five-Year Plan for the National Economic and Social Development of Lishui City and the Outline of the Vision for 2035, etc.

During the "Thirteenth Five-Year Plan" period, under the leadership of the Municipal Party Committee and the Municipal Government, the city’s aging cause has achieved gratifying results, and the objectives and tasks of the "Thirteenth Five-Year Development Plan for the Aging Cause in Lishui City" have been basically completed. The city’s social security system for the elderly has been continuously improved, and the coverage rate of basic old-age insurance has reached 99.12%, and the level of protection has been steadily improved; A diversified service system for the aged has been basically established, with 40 institutional beds for every 1,000 elderly people, 1,769 home care centers for the aged in villages (communities), 127 home care centers for the aged in towns (streets) and 19,300 institutional beds for the aged, including 10,600 nursing beds. Successfully selected into the fourth batch of pilot projects for the reform of home and community pension services in China, and formulated and implemented the Implementation Measures for the Cultivation of Pension Talents in Lishui City and the Implementation Opinions on Promoting the Construction of Pension Service System; The capacity of medical and health services for the elderly has been steadily improved. The health management rate of the elderly over 65 years old has reached 71.42%, and the number of nursing beds for the elderly has reached more than 4 per thousand elderly medical institutions. There are 16 medical institutions in the old-age care institutions with more than 100 beds, and the proportion of medical and nursing institutions has reached 40%. Five national-level psychological care projects for the elderly have been implemented and constructed. Professionalization is 100% for old service personnel with certificates; The Municipal Science and Technology Bureau has established 33 old-age science and technology projects; The spiritual and cultural life of the elderly is more abundant. The proportion of the elderly who regularly participate in educational activities reaches 20.6%, and the proportion of towns (streets) with schools for the elderly reaches 69%.It was rated as the sixth batch of national distance education experimental areas for the elderly; The construction of a livable city for the elderly has achieved remarkable results. The urban area has become the first old-age friendly city in the province, and the experience of promoting the construction of a livable environment for the elderly has been affirmed and praised by Vice Premier Sun Chunlan. Led the establishment of the regional cooperation alliance for green development in the hometown of longevity and assumed the responsibilities of executive director and secretariat, which further expanded the brand influence of the hometown of longevity; The rights and interests of the elderly are more fully guaranteed; The social atmosphere of respecting the elderly in the city has basically taken shape; The aging industry is gradually growing; It laid a solid foundation for the rapid development of the cause of aging in the healthy direction during the 14 th Five-Year Plan.

Accomplishment of Main Indicators for the Development of the Cause of Aging in Lishui during the 13th Five-Year Plan

1. Development opportunities

The "Fourteenth Five-Year Plan" period is the first five years after China has built a well-off society in an all-round way and achieved the first century-long struggle goal, starting a new journey of building a socialist modern country in an all-round way and marching towards the second century-long struggle goal. The Fifth Plenary Session of the 19th CPC Central Committee will actively respond to the rise of population aging as a national strategy. the Central Committee of the Communist Party of China and the State Council issued the Medium-and Long-term National Plan for Actively Responding to Population Aging and the Opinions on Strengthening the Aging Work in the New Era, which provided fundamental guidelines for our city to follow and act in response to population aging. The continuous exploration and practice of actively responding to the aging population in our city has laid a good foundation for promoting the better and faster development of the cause of aging. Yuan Jiajun, secretary of the provincial party Committee, has given instructions for Lishui to strengthen the construction of the hometown of longevity three times, and our city is actively exploring and promoting the construction of a higher level of longevity hometown; Our city’s application for actively responding to the key contact cities of population aging has passed the evaluation of relevant provincial departments and has been reported to relevant state departments for approval; The "Implementation Opinions on Promoting the Construction of a Livable Environment for the Elderly" was issued, and a leading group for the construction of a livable environment for the elderly, headed by the mayor, was established, and Lishui was vigorously promoted to build a livable city for the elderly that matched the longevity town of China; The Zhejiang Provincial Health and Wellness Committee and the Lishui Municipal People’s Government will carry out the joint construction of the Municipal Party Committee and the Municipal People’s Government, study and issue opinions on jointly promoting the high-quality development of health care in the old revolutionary base areas in southwest Zhejiang (Lishui), and emphasize the improvement of the integrated medical and health service system and the acceleration of the integrated development of health care for the elderly; The United Nations Population Fund, Lishui Municipal Government and Alibaba started cooperation to build together."Digital Lishui sample for helping the elderly"; The pilot project of digital distance education college in cooperation with China Digital Corporation is under way. The introduction and implementation of the policy of "a couple can have three children" is conducive to improving the population structure and implementing the national strategy of actively responding to population aging; The rapid development of information technologies such as 5G, artificial intelligence, big data and Internet of Things, as well as modern medicine, has provided new scientific and technological support and innovative impetus for coping with the aging population; The city has a profound cultural heritage of caring for the elderly, and the consumption power and demand of the elderly are growing; Diversification and diversified demand for old-age care are constantly emerging, and the market opportunities of health-care industries such as silver-haired economy and health-care and old-age care are prominent, which provide good opportunities for the high-quality development of old-age undertakings and old-age industries.

Step 2 face challenges

The 14th Five-Year Plan is an important window for our city to cope with the aging. According to the statistics of registered population, by the end of December 2020, there were 551,000 elderly people aged 60 and above, accounting for 20.35% of the total population, and 401,000 elderly people aged 65 and above, accounting for 14.81% of the total population; According to the data of the seventh census, there are 532,500 permanent residents aged 60 and above, accounting for 21.24% of the total population, and 385,300 residents aged 65 and above, accounting for 15.37%. The elderly population is large and the aging degree is high. Our city has entered a moderately aging society. According to statistics, from 2010 to 2020, the elderly population in our city increased by 159,300, with an average annual increase of 15,900 elderly people, with an average annual growth rate of 4.07%. The elderly population and the aging rate showed a sustained growth trend. There are 94,000 elderly people aged 80 and above in the city, accounting for 17.89% of the total elderly population; At the same time, there are many elderly people in rural areas, and the proportion of disabled and demented elderly people is high. It is estimated that by 2025, the elderly population aged 60 and above will exceed 700,000, accounting for 28% of the total population. The growing elderly population will inevitably generate increasing demand for old-age care, medical care, spiritual culture, etc., and the requirements for social security and public services are also getting higher and higher. Compared with the yearning for a better life of the elderly and the high-quality development requirements of the elderly, there are still obvious shortcomings in the elderly cause in our city.It is mainly manifested in the unbalanced development of urban and rural aging undertakings, the low level of socialization of old-age services, the just-started construction of health service system for the elderly, the weak strength of aging work, the weak industrial foundation of aging, the insufficient understanding of the seriousness of population aging in the whole society, and the low social participation in the aging undertakings. It is urgent to solve the existing problems in the development of aging undertakings. The aging population will lead to an increase in the expenditure of government public finance on basic pension, retirement pension, insurance premium subsidy and medical care, an increase in the burden of family pension, a decrease in the supply of labor force, an impact on social vitality and innovation drive, and an impact that cannot be underestimated on the economic and social development of our city.

Hold high the great banner of the Supreme Leader’s Socialism with Chinese characteristics Thought in the new era, fully implement the policy of "Party Committee leadership, government leadership, social participation, and universal action", establish a positive outlook on aging, promote healthy aging, conscientiously implement the decision-making arrangements of the CPC Central Committee the State Council and provincial and municipal party committees and governments to actively respond to population aging, and focus on realizing the goal of learning, enjoying, teaching, feeling, providing security and medical care for the elderly. Enhance the sense of acquisition, happiness and security of the elderly and their families, continuously expand the supply of products and services suitable for the elderly, speed up the pace of filling shortcomings, accelerate the construction of a policy system and public environment for providing for the elderly, filial piety and respect for the elderly, and explore the development pattern of the cause of the elderly with local characteristics in Lishui, in order to further innovate and practice the concept of "Lucid waters and lush mountains are invaluable assets", accelerate the creation of an "important window for high-level construction and high-quality development", help Lishui to make overall plans and leap-forward development across mountains, and build Lishui into a common and prosperous society.

Firmly establish the ideological concept of actively responding to population aging, strengthen the sense of responsibility and mission of aging work, and enhance the sense of urgency, enthusiasm and initiative; Adhere to the party’s leadership over the cause of aging, actively play the leading role of the government, strengthen top-level design, incorporate the cause of aging into regional economic and social development plans, strengthen forward-looking planning and arrangements, respond to the aging of the population in a timely, scientific and comprehensive manner, and promote the comprehensive, coordinated and sustainable development of the cause of aging.

2. Multi-participation, joint construction and sharing

Efforts should be made to build a general pattern of aging work with unified leadership of the Party committee, administration by the government according to law, close cooperation of departments, active participation of mass organizations, and coordinated action from top to bottom, left and right, advocate nationwide action, stimulate the enthusiasm of the market, society, families and individuals, guide diversified participation, and realize the development of the cause of aging for everyone to participate and share.

Highlight the key points of work, make up shortcomings, strong and weak items, and consolidate advantages. First, firmly establish a problem orientation, focus on key areas and weak links in the development of the cause of the elderly, start from the existing problems and deficiencies, think about the starting point of work, and give priority to solving outstanding problems; Second, give full play to advantages, improve work standards, and make existing work strengths stronger and highlights brighter.

Guide and strengthen the relevant aspects of aging work to perform their duties and cooperate with each other, focus on solving the problems of data sharing, business collaboration and inter-departmental cooperation among different departments, and promote the mutual complementarity and orderly convergence of aging policies in different departments; Strengthen the overall planning of resources, guide the allocation of resources, and avoid the waste or fragmentation of elderly service resources; Strengthen the overall planning of urban and rural areas and promote the equalization of public services for the elderly; Pay attention to the overall development of aging undertakings and industries.

Closely follow the development theme, strengthen the support and leading role of science and technology, use high technology to empower smart and healthy old-age care, and use digital and intelligent technology to revitalize the cause of aging. Based on Lishui, looking at China, connecting with the international community, benchmarking the highest standard and the best level, actively exploring, forming local characteristics, and promoting the development of our city’s aging cause to informationization, intelligence, high level and high quality.

By 2025, the overall level of the cause of aging in our city will be significantly improved, and a development system for the cause of aging will be established to match the economic and social development process of Lishui. Develop a multi-level and multi-pillar old-age insurance system and build a social security system with more comprehensive coverage and greater protection; The old-age care service system with the coordination of home, community and institution and the combination of medical care and health care is more perfect; A sound medical service network for the elderly has been established, and a convenient, high-quality, comprehensive and continuous health service system for the elderly has been fully established; The supply of cultural and physical education for the elderly is more abundant; The aging level of homes, communities and public facilities has been further improved, and the construction of a safe, green, convenient and comfortable livable environment for the elderly has achieved remarkable results; The protection mechanism for the legitimate rights and interests of the elderly has been continuously improved and the protection is effective; The concept of respecting, loving and helping the elderly is deepening, and the social fashion of self-esteem, self-reliance and self-improvement of the elderly is formed; The environment for the elderly to exert their waste heat to participate in social development is continuously optimized; The aging industry has developed rapidly, the old-related industries and products have been increasing and enriching, and the silver-haired economic highland has been initially established; The standardization of the cause of aging has been continuously improved.

Main indicators of the development of the cause of aging in Lishui during the 14 th Five-Year Plan

Improve the multi-level, multi-pillar and sustainable social security system that is suitable for Lishui’s economic and social development level, and enhance the social security capacity of the elderly.

Strengthen the accurate expansion of the insured and uninsured personnel, realize the full coverage of the legal population of the basic old-age insurance for urban employees, and basically realize the full coverage of the old-age insurance for urban and rural residents. We will improve the basic old-age insurance system for urban workers that combines social pooling with individual accounts, promote the coordinated and sustainable development of the urban and rural residential insurance system, and further improve the old-age insurance system and policies of government agencies and institutions. Coordinate the development of enterprise annuities, occupational annuities, personal pensions and commercial old-age insurance, and accelerate the construction of a multi-level old-age security system. According to the economic and social development level of our city, we will adjust the treatment in a timely manner, further promote the determination of urban and rural residential insurance treatment and the implementation of the normal adjustment mechanism of basic pensions, and encourage overpayment and overpayment. Standardize the collection and payment of funds according to law, expand the financing channels of funds, and promote the long-term balance of basic old-age insurance funds.

In accordance with the unified deployment of the whole province, we will speed up the improvement of the city-wide, fair, unified, urban-rural and sustainable medical security system for the elderly, constantly improve the basic medical insurance system for employees and urban-rural residents, improve the participation rate of the registered population in the city, and comprehensively implement the municipal-level overall planning of basic medical insurance. Establish a multi-level medical security system, actively carry out national health supplementary medical insurance, implement the critical illness insurance system for the elderly, further promote accident insurance for the elderly, and guide the elderly to actively participate in insurance. Improve the security mechanism for chronic and special diseases of the elderly and reduce the burden of medical expenses for the elderly. We will improve the medical security service system for the elderly, actively optimize the online and offline service channels of medical insurance, accelerate the direct settlement service for medical treatment across provinces and different places in the basic medical insurance relationship, and do a good job in outpatient settlement services for special diseases of the elderly. Support the development of commercial health insurance and promote the diversification of health insurance.

Continue to pay attention to the health service needs of the disabled and demented elderly, according to the unified arrangements of the state and the province, on the basis of the long-term care insurance pilot in the province, based on local conditions, learn from the pilot experience, improve the system design, and explore the establishment of a long-term care insurance system and policy that adapts to the economic development level and aging development trend of our city. Encourage commercial insurance to develop and launch long-term care insurance products and services to meet the diversified and multi-level security needs of the elderly. Accelerate the establishment of a long-term care service system, actively integrate the resources of medical institutions, and provide centralized or home-based medical rehabilitation and long-term care services for the elderly; Encourage secondary vocational colleges and technical colleges to cultivate and train nursing talents, and explore the establishment of long-term care service object reporting system and long-term care service institutions management norms and access and exit mechanisms.

Improve and perfect the hierarchical and classified social assistance system for the elderly in our city, innovate the ways of assistance, improve the assistance system, standardize the assistance standards, and improve the assistance mechanism to ensure that all eligible elderly people are included in the scope of social assistance. Give full play to the role of social assistance funds, make overall use of welfare lottery public welfare funds and lottery public welfare funds used by governments at all levels for social welfare undertakings, and guide social forces to participate in assistance. Improve the long-term care service guarantee policy for the elderly with special difficulties and disabilities. By 2025, the centralized support rate for poor elderly people who cannot take care of themselves will reach 95%. Priority is given to ensuring the needs of elderly care services such as widows and orphans, disabled, the elderly and family planning special families with financial difficulties. Improve the social welfare system and welfare system in our city, improve the welfare treatment and welfare level of the elderly, and plan to improve the subsidy standard for the elderly in our city. Encourage charitable activities for the elderly to be actively carried out.

Upgrade the file to make up for the shortcomings, and improve the quality and build the system. Construct an old-age service system that coordinates home community institutions and combines medical care with health care. Improve the old-age service network, focus on service quality and service quality, and promote the development of old-age services in the direction of specialization, standardization, branding, diversification and diversification. Pay attention to the needs of the disabled and demented elderly, further enhance the family pension function, and strive to create a "benchmark area for happiness and support" in the province.

We will implement a new round of special planning for the city’s old-age service facilities, highlight the construction of embedded small-scale old-age care institutions in communities, and adopt the methods of "rebuilding idle real estate, building new land for planning, and allocating (resettling) land for construction". The compliance rate of supporting the construction of old-age service facilities in new urban areas and new residential (small) areas will be 100%, so that the elderly can stay at home and enjoy convenient and professional old-age services nearby. The rural areas highlight the transformation and upgrading of nursing homes, and transform them into regional comprehensive service centers for the aged. On the basis of realizing the protection of the extremely poor, they provide services for the elderly in society, fill the shortcomings of rural old-age facilities, and promote the balanced development of urban and rural areas. By the end of 2022, all nursing homes will meet the national second-class standards for nursing homes, with 55% of nursing beds in the city’s old-age care institutions and 58% in 2025, with 20 beds for every 10,000 elderly people with cognitive impairment. Mobilize the enthusiasm of all sectors of society, give play to the role of the market, attract the society to actively participate in the supply of aged care services for the old service forces, deepen the reform of public-run and private-run aged care institutions, innovate the service mode of "aged care manager", promote social organizations and volunteers to participate in aged care services, cultivate a number of localized chain-based aged care service operators and aged care service brands, and form a diversified aged care service market.

Innovate the long-term operation mechanism of township (street) pension service centers, integrate resources such as township (street) pension service centers, village (community) care centers and elderly canteens within the region, rely on the chain operation of professional institutions, give full play to the overall regional resource advantages and institutional professional advantages, and realize the "housekeeper docking, professional service and accessible supply" of community and home-based pension. Solidly promote the supporting construction of home care service facilities in residential quarters, give full play to the six functions of township (street) home care service centers, and vigorously develop services such as helping meals, bathing, emergency, medical care, transportation and cleaning. We will promote the effective coverage of catering services for the elderly by upgrading or building new dining halls for the elderly, community catering service points, and home delivery by social catering enterprises. Support professional home care service organizations and promote the participation of various market players in service supply. Promote the pilot construction of kangyang consortium, and build 100 kangyang consortia in the city by 2025. Explore the establishment of family nursing beds, and establish an evaluation and operation mechanism for the orderly transfer of family nursing beds and institutional nursing beds. Strengthen the family pension function, explore and improve relevant policy support, and encourage adult children and the elderly to live nearby or live together. Formulate and promulgate the Regulations of Lishui Municipality on Home Care for the Aged.

We will implement the plan to promote the integration of old-age care in mountainous areas, increase the capital investment and service supply of rural old-age care services, speed up the construction of rural old-age care facilities, fill in the shortcomings of rural old-age care facilities, and improve the level of old-age care services in rural and remote mountainous areas. Select a group of natural villages to set up mutual support points for the aged to make up for the shortcomings of home care services in remote mountainous areas. We will vigorously develop rural mutual assistance and old-age care services through the modes of mutual assistance of silver age, neighborhood, relatives and friends, and voluntary service. Give play to the overall coordination role of village committees and village collectives in strengthening rural old-age services, and promote the establishment of a care and assistance system and a service system for the elderly in rural areas. We will promote the combination of medical care and nursing care in rural areas through various forms, and encourage the continuous exploration and establishment of various mutual assistance and old-age care models suitable for the needs of local people, such as villagers using their own idle real estate to carry out old-age care services. Strengthen the basic role of rural families in providing for the elderly, and give free care knowledge and skills training to those who return to their families to take care of the elderly.

Promote healthy aging, implement the principle of "great health, great health" and "prevention first", focus on all-round health services for the elderly, optimize the allocation of medical and health resources for the elderly in the city, solidly promote the combination of medical care and nursing, promote the establishment of a comprehensive and continuous health service system for the elderly covering urban and rural areas, and provide comprehensive and continuous services for the elderly, such as health education, preventive health care, disease diagnosis and treatment, rehabilitation care, long-term care and hospice care.

We will earnestly promote the health promotion activities for the elderly in our city, vigorously carry out health promotion activities for the elderly, incorporate health education into the curriculum system and educational content of all levels of education, including universities and educational institutions for the elderly, publicize and popularize health knowledge and epidemic prevention knowledge for the elderly in various ways, channels and angles, improve their health literacy and guide their healthy lifestyles. We will implement basic public health services for the elderly and combine medical care with nursing care, improve the working mechanism of family doctors’ contract service, and strengthen screening intervention and health guidance for common and chronic diseases of the elderly. Establish a continuous, comprehensive and dynamic health management file for the elderly, and regularly carry out health assessment for the elderly. The standardized health management service rate of urban and rural communities for the elderly aged 65 and over has reached the provincial average. Give full play to the role of Lishui Alzheimer’s Disease Diagnosis and Treatment Alliance, and promote the diagnosis, treatment and prevention of Alzheimer’s disease. Pay attention to the mental health of the elderly, carry out mental health assessment and follow-up management, and continue to promote mental health and spiritual care services for the elderly.

Optimize the allocation of medical and health resources for the elderly, and give priority to supporting the allocation of bed resources such as medical care, rehabilitation and nursing for the elderly. Integrate regional medical resources, fully tap the potential, promote the construction of continuing medical institutions such as geriatric hospitals, rehabilitation hospitals, nursing homes and hospice care through new construction, reconstruction and functional transformation, and support medical institutions to carry out rehabilitation care, long-term care and hospice care services. By 2025, the city will add more than 6 continuing medical institutions such as geriatric hospitals, nursing homes and rehabilitation hospitals. Carry out rehabilitation and nursing services for the elderly with Chinese medicine characteristics. Further strengthen the construction of geriatrics, and by 2025, the standard setting rate of geriatrics in secondary and above general hospitals and dimethyl and above Chinese medicine hospitals will reach 60%. Promote the construction of rehabilitation department in traditional Chinese medicine hospitals. Taking the establishment of Southwest Zhejiang Geriatric Medical Center as the starting point, we will promote the establishment of Lishui Geriatric College Alliance. Actively promote the pilot project of hospice care in primary medical institutions, strengthen the construction of special departments and wards (beds) in primary medical and health institutions, such as geriatrics, rehabilitation, nursing, traditional Chinese medicine and hospice care, improve the function of hospitalization service, and enhance the service capacity of diagnosis and treatment of senile diseases and rehabilitation care. By 2022, the proportion of nursing beds in primary health care institutions will reach 30%. By 2025, at least one hospital in each county (city, district) and more than 20% primary medical and health institutions will provide hospice care services.

Accelerate the integration and development of medical and health care and old-age care services, and explore the mode of combining medical care and nursing in mountainous areas. Promote the establishment of medical institutions in old-age care institutions, support medical institutions to set up branches and medical service points in old-age care institutions, or provide old-age care services by using existing resources. Encourage old-age care institutions to cooperate with neighboring medical and health institutions through various forms such as signing services, and further standardize the cooperative relationship between home care centers for the aged and medical and health institutions. We will steadily carry out the combination of medical care and nursing in the hospitals of mature primary medical institutions to provide healthy old-age care services for the disabled and demented elderly in rural areas. Encourage social forces to set up institutions that combine medical care with nursing care. Implement the project to improve the ability of community medical care and improve the service facilities of community home medical care and maintenance. Promote the extension of medical and health services to communities and families. Support qualified medical and health institutions and capable medical and nursing institutions to establish family beds and carry out on-site services for elderly people who are at home and disabled. Together with the United Nations Fund and Alibaba, we will build a digital city to help the elderly, take the digital platform of China Digital New Media as the carrier, and steadily promote the new service model of "internet plus Elderly Health" to provide the elderly living at home in mountainous areas with a combination of medical and nursing services. Promote the development of traditional Chinese medicine combined with medical care and promote the construction of forest rehabilitation hospitals.

Starting from the needs of the elderly, we should integrate resources, strengthen the construction of cultural and sports teaching facilities for the elderly, increase the supply of services, promote the vigorous development of cultural and sports teaching activities for the elderly, enhance accessibility and convenience, guarantee the rights of the elderly to participate in cultural and sports education activities, and meet the growing spiritual and cultural needs of the elderly.

Develop old-age education with innovative ideas, innovate management mechanism, build a public service system for old-age education with wide coverage and obvious characteristics, and gradually form Lishui mode of old-age education. Further guide senior universities, senior TV universities and senior open universities to give full play to their respective advantages and become bigger and stronger; Encourage social forces to fully participate, set up educational institutions for the elderly, and form a joint force for running schools; Relying on the platform of "the third age school" to promote "the education for the elderly in internet plus", and making full use of modern science and technology and network resources to vigorously develop distance education for the elderly; Give full play to the functional advantages of the national distance education experimental zone for the elderly and regional adult technical schools in our city, and improve the distribution network of elderly education; We will promote the establishment of teaching points for elderly education in township (street) home care service centers, pension institutions and rural cultural auditoriums. By 2025, elderly education will cover all towns (streets) in the city. Improve the education level and school-running ability of the elderly education, give full play to the advantages of universities and other educational institutions in education management and curriculum development, encourage in-service and retired teachers and other experts and scholars to participate in the education for the elderly, provide rich educational resources for the elderly, encourage social forces to explore the development of high-end and high-quality education for the elderly, and guide the stratified and characteristic education to meet the needs of the elderly for high-quality education services. Continue to promote the construction of the photography branch of the Provincial University of Literature and Art for the Aged. In combination with the "red and green dual-color culture", we will actively set up research and study bases for the elderly, develop education courses for the elderly implanted with the revolutionary spirit in southwest Zhejiang and the concept of "Lucid waters and lush mountains are invaluable assets", and carry out research and study activities for the elderly.Encourage all localities to give full play to their local characteristics and advantages, and explore and develop the contents of old-age education courses such as wooden play and celadon. By 2025, the proportion of elderly people who regularly participate in educational activities will reach more than 25%.

Actively play the role of public culture in serving the elderly, incorporate the cultural construction of the elderly into the basic public cultural service system, improve the service capacity of public welfare cultural places such as cultural centers at all levels, libraries and township comprehensive cultural stations for the elderly, and increase the content of serving the elderly in major cultural projects such as rural film screenings, farmer’s bookstores and cultural auditoriums. Reasonable layout of urban and rural cultural venues for the elderly, improve the adaptability of public cultural facilities, all counties (cities, districts) to achieve full coverage of elderly activity centers, public cultural venues for the elderly free of charge or preferential opening. Support the construction of cultural and artistic groups and societies for the elderly, and strengthen the training of literary and artistic backbones for the elderly. Encourage all localities to hold regular cultural and art festivals for the elderly, cultural performances for the elderly, photography competitions and exhibitions for the elderly; Promote the organization of cultural activities for the elderly under the community and grassroots; Make full use of modern science and technology and digital resources to provide richer and more accessible cultural service resources for the elderly; Encourage the creation and distribution of literary and artistic works loved by the elderly, and make excellent cultural works for the elderly suitable for the spread of new media. Stimulate the new vitality of the cultural and entertainment market for the elderly.

Create a healthy aging atmosphere of "physical education and medical care" and improve the policy system of promoting health by sports for the elderly. Implement the sample project of sports for the elderly, and achieve the development requirements of "six haves" of "organization, system, funds, venues, personnel and activities" for sports for the elderly. Strengthen the construction of sports venues and facilities for the elderly, incorporate the construction of sports venues for the elderly into the sports development plan, plan to build a sports fitness complex for the elderly in Lishui, embed the sports activities space for the elderly based on the ecological resources of parks and green spaces, and improve the supporting facilities for sports. In urban public sports spaces and community sports facilities, a number of sports venues suitable for the elderly, such as gateball and balloon volleyball, are planned and built. Urban and rural parks and communities are generally equipped with fitness and recreation facilities suitable for the elderly, and efforts are made to build a 10-minute fitness circle in urban communities and a 15-minute fitness circle in rural towns and villages to achieve coverage of urban and rural sports and fitness facilities for the elderly. Establish and improve sports organizations for the elderly, strengthen the construction of mass organizations such as sports associations for the elderly, continue to strengthen the construction of sports clubs and modern villages (communities) for the elderly, give play to their leading role, and form a network of sports organizations for the elderly covering urban and rural areas. Actively organize and carry out a wealth of physical fitness activities for the elderly, and run the seventh sports meeting for the elderly in Lishui. Innovate sports activities and events suitable for the elderly, actively undertake national and above sports competitions for the elderly, and plan to build a nationwide exhibition, performance and competition base for the elderly. Strengthen the training of sports coaches and referees for the elderly, and strengthen scientific guidance for sports and fitness for the elderly. By 2025,The proportion of elderly people who regularly participate in sports activities has reached more than 25.5%.

We will strengthen the construction of a livable environment for the elderly, improve the aging infrastructure such as living, traveling and living service environment for the elderly, continuously optimize the environment of "living, traveling, medical care and raising" for the elderly, optimize the formation of a safe, convenient and comfortable livable environment for the elderly, and basically build a livable city for the elderly with Lishui characteristics.

Guide the elderly families to carry out aging transformation and upgrading of living facilities, give appropriate subsidies to the poor, low-income and low-disabled, elderly (80 years old and above) and key special care recipients in this city, carry out in-depth aging transformation of the elderly families with difficulties, and complete the aging transformation that the elderly families with difficulties need most urgently in 2025, and should be reformed. Encourage the development of universal housing to meet the needs of family members of all ages. We will promote the construction of elderly-friendly communities and solidly promote the installation of elevators in existing houses. Comprehensively promote the aging transformation of public facilities closely related to the daily life of the elderly. Accelerate the aging transformation of public service facilities and old communities in the city. Actively promote the creation of barrier-free communities, villages and scenic spots. Improve the aging level of public transport, strengthen the barrier-free construction and transformation of urban and rural roads and public transport infrastructure, and improve the barrier-free facilities of public transport. By 2025, the barrier-free rate of bus stops will be 100%, and the integration rate of urban and rural public transport will reach 85%. Airports, railway stations, bus stations, docks, tourist attractions and other crowded places set up green passages and waiting areas for the elderly, and appropriately equipped with travel AIDS for the elderly to provide voluntary, polite and friendly services for the elderly.

Promote the "Garden Neighborhood Center" to increase points and expand areas, and create a 15-minute convenience life circle. Promote the establishment of a five-minute social emergency rescue circle for "Lishui Mountain Residence" homestays and tourist attractions. The 96345 comprehensive service platform of "Lishui Residential Care" was built and operated to provide "menu-style" diversified pension services for the elderly. Establish a municipal geriatric medical center, promote "Internet+medical health", and build a community and family health service platform. General hospitals, rehabilitation hospitals, nursing homes and primary medical institutions all set up green channels for the elderly to seek medical treatment, optimize the process of seeking medical treatment for the elderly, and provide multi-channel registration for medical treatment. Strengthen the construction of elderly-friendly medical and health institutions. By 2022, more than 80% of general hospitals, rehabilitation hospitals, nursing homes and primary medical and health institutions will become elderly-friendly medical and health institutions. Strengthen the construction of mobile hospitals, explore "mobile small medicine boxes", and alleviate the problem of difficult medical treatment for the elderly in remote mountainous areas.

Effectively solve the difficulties of the elderly in using intelligent technology, join hands with the United Nations Population Fund and Alibaba Company, and rely on Alibaba’s digital technology and innovative service advantages to jointly carry out a series of digital services for the elderly, and create a "Lishui model of digital 4 services for the elderly". Using digital means to help the elderly cope with emergencies and adding networked fire detectors for the elderly living alone in the city; Equipped with anti-lost positioning bracelet for Alzheimer’s patients; We will build a "Silver Age Guard" service platform, and use digital means to provide the elderly with protection against fraud, loss and accidents. Promote the construction of smart communities, relying on community digital platforms and offline community service institutions to provide better smart services for the elderly; Focus on high-frequency issues and service scenarios such as travel, medical treatment and consumption for the elderly, and promote the design, development and transformation of digital service applications for the elderly; Support the development and application promotion of terminal equipment for healthy old-age care, promote the aging transformation of Internet applications, focus on the aging transformation of Internet websites and mobile Internet applications closely related to the daily life of the elderly, and encourage enterprises to provide "caring mode" and "elder mode" of related applications. Popularize the application of intelligent technology for the elderly, effectively improve the application ability of intelligent technology for the elderly, and help the elderly to cross the "digital divide."

Practice a positive outlook on aging, treat the elderly positively, guide the elderly to treat their life positively, pay attention to exploring the human resources of the elderly, broaden the channels for the elderly to participate in economic, social and cultural life, and guide the elderly to play a positive role and make new contributions. Carry forward the tradition of filial piety and respect for the elderly, advocate intergenerational harmonious social culture, and build and share an inclusive and friendly society for the elderly.

Advocate intergenerational harmonious social environment and culture, carry out selection activities such as warm family for the elderly and publicity and exhibition activities of "good family style and good family training", strengthen family virtue education, and strengthen family members’ ethical and moral concepts of respecting the elderly; Strengthen the publicity and education of the active concept of aging, establish and publicize the advanced model of old age, guide the whole society to treat the elderly correctly, actively accept and strongly support the elderly to participate in social development and enhance their sense of social belonging. Strengthen the education on the aging population, the situation of the country, the situation of the province and the city, and the propaganda on respecting the elderly, enhance the awareness of the aging population of the whole society, regularly carry out the selection of filial piety figures, widely publicize the advanced deeds of respecting the elderly, explore the introduction of preferential policies for filial piety figures, and strengthen the guidance and incentives for respecting the elderly. Carry out the "six advances" of filial piety culture in depth, and build a number of filial piety culture campuses, filial piety culture villages and filial piety culture units. Establish a number of filial piety culture and education bases, and build a number of filial piety culture theme parks. Governments at all levels regularly organize visits to the elderly who are in difficulty, empty nest, disabled and very old. In government agencies, state-owned enterprises, and social organizations, Party branches will carry out activities of caring for and helping left-behind elderly people in villages. Cultivate and support old volunteer service organizations. We will further promote the creation of the "Respect for the Elderly Civilization" and strive to achieve full coverage of the "Respect for the Elderly Civilization" by 2025 in government agencies, institutions and state-owned enterprises.

Encourage the elderly to play their strengths and actively participate in cultural and sports activities, community work, technical consultation and social voluntary activities, make suggestions for social governance, economic development and cultural and educational development, guide and support the establishment and standardized development of organizations for the elderly, and encourage the elderly to participate in economic and social development through various organizations to give full play to their residual heat. On major policies involving the rights and interests of the elderly, listen to the opinions of the elderly and their organizations. Incorporate the development and utilization of elderly human resources into the outline of Lishui’s medium-and long-term talent development plan, establish an information base for elderly talents, and build a docking platform for employment information for the elderly. Explore the establishment of a policy system to ensure the employment of the elderly. Encourage organs, enterprises, institutions and social organizations to develop jobs suitable for the elderly, and build a platform and provide convenience for the elderly to participate in economic and social development to a greater extent and in a wider field. Help the elderly who are willing to receive job skills training, and include those who do have employability and training needs and do not receive the basic pension for urban workers on a monthly basis (there is no upper age limit) into the scope of vocational skills upgrading action subsidies. Regular four-state organization selection "old-fashioned" character selection. Support the development of associations for the elderly, deepen the activities of "helping each other in silver age", explore the establishment of a "time bank", and stimulate the social responsibility of the whole society to help the elderly and save service time for themselves.

Improve the policy system and strengthen the protection of the rights and interests of the elderly and the construction of supporting policies and regulations. Strengthen the publicity and education of policies and regulations for the elderly, further strengthen the special publicity and education on financial safety knowledge and traffic safety knowledge for the elderly, improve the awareness and ability of the elderly to protect their rights and suffer illegal violations according to law, and enhance the awareness of the society to protect their legitimate rights and interests according to law. Timely handle reports and complaints against the consumption rights and interests of the elderly, and create a safe, convenient and honest consumption environment for the elderly. Intensify the crackdown on illegal acts against the elderly, punish theft, fraud, looting, extortion of property of the elderly, illegal fund-raising, telecommunication network fraud, pyramid schemes and other illegal and criminal acts against the elderly according to law, and ensure the personal and property safety of the elderly. Establish and improve the legal aid service network for the elderly, strengthen the construction of grassroots legal aid workstations and contact points for the elderly, further lower the threshold and expand the scope of legal aid for the elderly. We will focus on legal services, legal aid and judicial assistance for special elderly people such as urban and rural poor, disabled and semi-disabled, old and suffering from major diseases, and implement relevant preferential policies. Pay attention to and do a good job in letters and visits from the elderly.

Seize the opportunity brought by the aging population to industrial development, give play to the brand influence and industrial driving force of "China’s Longevity Town", stimulate the vitality of the aging industry market, attract and cultivate a number of aging enterprises, build a number of aging industry clusters and service brands, develop the aging industry with regional characteristics based on local reality and local resource endowment advantages, promote the coordinated and rapid development of the aging industry and the aging industry in our city, and strive to build a nationally famous aging industry highland.

Prepare the development plan of Lishui’s aging industry, and further establish and improve the supporting policies for the aging industry. Strengthen cooperation with relevant national and provincial industrial societies, associations and scientific research institutes, increase support and investment in capital, technology and services, strengthen research incubation and development, vigorously cultivate new technologies, new formats and new models of aging industries, and build a distinctive aging industrial system. Promote and develop a number of advantageous industries for the aged, such as edible fungi, Chinese herbal medicines and other health-preserving agriculture, forestry and aquatic products industries, and cultivate a number of new industries for the aged with outstanding characteristics, such as biological extraction and modern Chinese medicine. Proceed from the actual needs of the aged, increase support for enterprises and projects such as aged care services and smart aged care, guide and cultivate new growth points in the fields of rehabilitation care, education and training, culture and entertainment, and financial insurance for the aged, and support clothing, daily care products, and health rehabilitation AIDS for the aged. By 2025, there will be exhibition centers for rehabilitation AIDS and articles for the elderly and regional rehabilitation AIDS decontamination centers. Plan to build an old-age industrial park integrating R&D, production, trading, exhibition, training and other functions. Encourage local governments to combine local industrial bases, give full play to their resource advantages, and develop aging industries with regional characteristics, such as wooden toys for the elderly.

Actively perform the duties of the executive chairman and secretariat of the Green Development Regional Cooperation Alliance in the Hometown of Longevity, and further cooperate and integrate resources to launch the brand of Lishui "Hometown of Longevity". As the hometown of longevity, we should further tap the potential in ecological environment, health promotion, respect for the elderly and filial piety, etc., and further promote the high-level and high-standard construction of the hometown of longevity in our city, so as to become a model and model of the hometown of longevity in China. Relying on the good ecological environment of our city and the brand advantage of the hometown of longevity, we will vigorously develop the health care industry. Establish a comprehensive strategic cooperative relationship with China Pharmaceutical University, Zhejiang University of Traditional Chinese Medicine, Chinese Society of Traditional Chinese Medicine and other units, introduce and set up the workstation of Academician Wang Qi’s work team, plan to build the College of Traditional Chinese Medicine and Health Industry, the new Chinese medicine incubation base, train talents for the development of Chinese medicine industry, develop the Chinese medicine health industry, guide and support our city to carry out standardized, standardized planting and intensive processing of authentic Chinese medicines, and guide and support Lishui Chinese medicine-related enterprises, scientific research institutions and medical institutions to develop Chinese medicine products and build the brand of "Lishui Yam". With the development idea of integrating primary, secondary and tertiary industries, we will cultivate and develop emerging economies such as forest tourism, forest health care and climate health care, and continuously enhance the economic value of forests. Build a high-end health care base, and accelerate the cultivation and promotion of new modes and new formats such as "internet plus Chinese Medicine" and "Chinese Medicine+Health Care+Tourism". At the same time, actively seek support from provincial departments and formulate measures to facilitate tourists to visit Lishui for medical treatment and recreation.Empower the development of innovative comprehensive medical and health care industry integrating medical care, rehabilitation and health care, leisure and health care, and tourism.

Promote the integration and development of aged care services with health, health preservation, culture, tourism, sports, leisure, housekeeping and other industries. Promote the transformation of traditional tourism to compound tourism such as health care, pension, leisure, vacation and recreation, and design and launch tourism products suitable for the elderly. Develop livable industries for the elderly, support social capital to participate in aging transformation and construction, build old-age communities, and develop old-age real estate. Use cloud computing, big data, artificial intelligence, etc. to promote the intelligent upgrading of the aging industry, especially to promote the integration of artificial intelligence application and elderly health management, realize the intelligence, convenience and accuracy of personal health management, and actively develop and develop intelligent aged care service products such as domestic service, entertainment and leisure, security monitoring and rehabilitation training around different scenes of the family life of the elderly. Support relevant enterprises and institutions to develop innovative educational products through online learning and interactive communication through websites, mobile phones and televisions.

Give full play to the leading core role of party committees at all levels in taking the overall situation and coordinating all parties, and provide a strong guarantee for the implementation of the plan. The development of the cause of aging will be included in the important agenda of all localities, and will be included in the overall plan for economic and social development, the annual work plan and the special work plan of the department. Strengthen the functions of the Committee on Aging, such as overall coordination, supervision and inspection, refine the division of labor, clarify the responsibilities of departments, and promote the relevant departments to perform their duties and cooperate closely.

Promote the relevant departments to introduce and improve a number of policies and measures for the elderly, strengthen the connection between related departments, and establish and form a relatively complete policy system for the elderly. Formulate the working rules of the Municipal Working Committee on Ageing, and improve the working mechanism, target mechanism and evaluation mechanism for ageing. Strengthen the formulation of standards in various fields of aging work, and provide standards and norms for the development of services for the elderly.

Improve the network of aging work at all levels, fully equip and strengthen the work force of aging institutions at all levels, and strengthen the construction of grassroots associations for the elderly. Effectively implement the "Implementation Measures for the Cultivation of Old-age Talents in Lishui City", innovate the evaluation incentives for relevant talents’ titles, and improve relevant incentive policies; Strengthen the cultivation of aged care service personnel, carry out vocational skills upgrading training for aged care personnel, and accelerate the cultivation of professionals in geriatrics, rehabilitation, nursing, nutrition, psychology and social work, relying on universities and secondary vocational and technical schools and technical colleges in Li. Strengthen the professional capacity building of the elderly social workers, and actively develop the volunteer team for the elderly.

Take the cause of aging as an important part of public financial expenditure, and establish a stable guarantee mechanism for the investment of the cause of aging; Guide the participation and investment of social capital, advocate charitable donations from all walks of life to the cause of the elderly, ensure that more than 60% of welfare lottery public welfare funds at all levels are used to develop old-age services, and form a diversified investment mechanism for the cause of the elderly. Strengthen scientific research and research on aging issues, pay attention to the application of Internet, big data, artificial intelligence and other technologies, promote the information sharing among relevant departments concerning the elderly, and ensure the essential guarantee for the development of the cause of aging.

Strengthen the coordination, supervision and inspection of planning implementation. Implement the annual inspection, mid-term evaluation and final summary of the plan, grasp the progress of the implementation of the plan in time, inform the implementation of the plan, and coordinate and solve the problems and difficulties faced. In the process of implementation, we should pay attention to listening to the opinions and suggestions from all walks of life and accept public supervision.

Appendix 1: Explanation of Nouns

"Time Bank". In order to promote the sustainable development of volunteer service, the time access mechanism of volunteer service was established.

"Kangyang Consortium". Relying on the institutions for the aged or rehabilitation, integrating the resources of rehabilitation doctors, rehabilitation therapists, rehabilitation nurses and nurses, and providing personalized and professional rehabilitation nursing services for the elderly.

"Silver Age Guard". It is a safety early warning platform for emergencies of the elderly, aiming at the three major problems of the elderly, such as "lost travel, hard to find people", "weak awareness of prevention, easy to be deceived" and "being alone at home, with great risks", and establishing a regular early warning of loss, fraud and difference at home.

"Silver hair economy". Also known as the old-age industry, the old-age industry refers to the industry that is produced with the aging of society and specifically serves the consumption of the elderly. The silver-haired economy can be roughly divided into commodity economy, health care product economy and service economy.

"Silver Age Mutual Assistance". The way of helping the younger elderly to help the older and the healthy elderly to help the disabled elderly.

Policy interpretation: http://www.lishui.gov.cn/art/2022/3/art _ 1229430065 _ 2395298.html.