Older People To honor older people as we do our own aged parents. 老吾老以及人之老 Population ageing China UK World Ready for Ageing? Research for Ageing Care Service in UK Xia Lin (the People’s Congress of Minhang District) The example of Age UK Characteristics of ageing service system in UK Lessons to learn for the services to the aged in Shanghai Age UK History Age UK History The 1930s Depression and World War II brought hardship to everyone in Britain, and older people were especially vulnerable. Many families had lost their main breadwinner, or become separated. There was no welfare state and the remaining 'poor law' provision up to this time was woefully inadequate. In 1940 a group of individuals, governmental and voluntary organisations came together to discuss how this situation could be improved. The Old People’s Welfare Committee was born. In the 1950s to 1960s, with the advent of the welfare state, government money became available to fund work with older people. It also became involved with projects for older people in the UK, establishing day centres and pioneering the building of better housing for older people. Age UK History In the 1970s to 1980s, much of it became completely independent of government, continued to develop successful fundraising and awareness-raising initiatives, was launched to raise funds through commercial activities. Since 1990s, when the UK Government market-oriented reforms, it had a larger space for development, and launched many new services. In particular, it provided warmly services for the elderly people almost 100 million pounds during the winter, and pushed the Government to take a new public welfare. Age UK Vision A world in which older people flourish is a world in which older people will: be equal citizens with equal rights have enough money for a secure and decent life, and have access as consumers to the products and services they need at a price they can afford have access to the healthcare and social care they need have the opportunity to live healthier longer lives and to enjoy a sense of well-being Age UK Vision A world in which older people flourish is a world in which older people will: live in homes and neighborhoods that are safe and comfortable and which enable them to lead fulfilling lives have opportunities to participate and contribute as volunteers, active citizens, good neighbours, family members, and workers enjoy the benefits of longer life, wherever they are in the world Age UK Services Age UK Achievements in 2011/2012 The most influential Charity in Westminster Characteristics Characteristics of Ageing Care Service System in UK Governmental guidance Diversified ways of ageing care Supervision system Training mechanisms 1. Governmental guidance UK Government has taken the major steps to address the challenges of and ageing society in 2013. Government (public service) 1. Governmental guidance Policies making supervision Money input …… 1. Governmental guidance Age UK Warwickshire Care Services Incoming 2012-2013 council and NHS 0% charity 49% 48% 3% fees charged to clients others From another point of view, organisations have always been in a good cooperative relation with the government, have undertaken many service projects from the government. Thus, the government can free itself from the general services and spend more time to focus on the policy making, money input, management, supervision, etc. 2. Diversified ways of ageing care Home Care Sheltered Housing Care Home Nursing Home Hospice 2. Diversified ways of ageing care Community Care Pattern Home care and sheltered housing basically belong to the family-service-based community care pattern. 2. Diversified ways of ageing care Institution Care Pattern Care home, nursing home and hospice basically belong to institutional-servicebased institution care pattern. 3. Supervision system Money comes from all social sectors to Age UK, not only from business sectors, but from the government, donations, charity shops, and some individuals as well. 3. Supervision system money supervision service supervision Charities Commission Care Quality Commission Social Organisations Volunteers Government 4. Training mechanisms 4. Training mechanisms Social Care Worker Nurse Manager Volunteer Issues —— fiscal support Issues —— fiscal support Issues —— family culture Jeremy Hunt, Secretary of state for Health, considered the social contract is stronger because as children see how their own grandparents are looked after, they develop higher expectations of how they too will be treated when they get old. Lessons What kind of care service system can be selected by Government? China to improve elder-service industry By 2020, the country will have an improved service system covering daily tendency, medical care, psychological counseling and emergency aid. The multi-level service system Government should adhere to the people-oriented principle, and carry out its work in a classified and hierarchical way according to the different needs of older people. Basic level Middle level High level The multi-level service system Basic level Sustainable services Government responsibilities Social fairness The whole society should be covered by promoting the virtue of honoring older people and caring the people in need. The multi-level service system Middle level Sufficient services Improving demands Diversified demands All kinds of social resources should be utilized in order to provide sufficient services in the community. The multi-level service system High level Wider-range services The path of market oriented To cancel the policyrelated allowance Relying on comprehensive advantages, the government manages to have efficient supply. The individualized need of the higher-income group should be concerned. Lessons to learn for the services to the aged in Shanghai Government—— Transformation of functions Organisations—— the professional and independent Transformation of government functions By “small government”, I mean that government should position itself as a main sponsor, policy and regulation market as well as supervisor. By “big society”, I mean government should effectively organize the society and market to offer diversified services meeting all kinds of needs and requirements. The social and professional organisations Fiscal support Government purchase of services Set up charity shops The social and professional organisations Operation and implementation Standardizing the entry requirements Continuity in assessment Publicizing all the information Setting up a system of credit file Raising the salary of social workers Attention the chronic disease