Budget supports elderly care strategies

In his Budget on February 1, the Financial Secretary highlighted a number of strategic measures that will strengthen support for the elderly, as Hong Kong copes with a rapidly ageing population.

Recurrent government expenditure on social welfare as a whole in 2012-13 will rise by 9% year-on-year to $44 billion. That represents a substantial increase of about 30% compared with the provision of $34 billion in 2007-08.

Elderly care continues to be a key focus of the annual fiscal blueprint. In 2012-13, recurrent expenditure on elderly services alone (excluding public housing and public health services) will amount to $5 billion, compared with $4.4 billion for the current financial year. In other words, 11% of total recurrent social welfare spending will be dedicated to the elderly. If you include social security payments (Comprehensive Social Security Allowance, Old Age Allowance and Disability Allowance) this sum rises to a hefty $23.4 billion.

We are meeting the challenge of an ageing population through a three-pronged strategy.

First, we will promote active ageing and harness the social capital of our senior citizens. Many of our baby boomer generation are able, willing and ready to continue contributing to society in a variety of valuable ways after they reach retirement age. We should make the most of this phenomenon and explore the full potential of developing our "silver-hair" market.

Second, we will continue to spare no effort in providing much-needed subsidised residential care home places to meet growing demand. Some 2 600 such places will come on stream between 2011-12 and 2014-15. We will also upgrade the quality of residential places in private homes under the Enhanced Bought Place Scheme (EBPS).

Third, we must take visionary and bold steps to better facilitate the elderly to age at home and remain in a community setting. This is in keeping with the wishes of most elderly people and in line with our policy objective of "Ageing in place as the core, institutional care as the back-up".

The Community Care Service Voucher Pilot Scheme for the elderly will be launched in two phases starting from 2013-14. This will test the new funding model of "money-follows-user". It will also enhance the flexibility and quality of home and day-care services and encourage the participation of more and new service providers, including social enterprises. The first phase will target elderly people with moderate impairment. They will each receive a single value voucher worth $5,000 per month, with the Government contributing between $2,500 and $4,500 depending on their financial capacity. More complex features may be introduced to cater for different care needs of the elderly in the second phase.

The Budget has earmarked $900 million from the Lotteries Fund to improve the physical setting and facilities of up to 250 elderly centres. Through computerisation and upgrading leisure and sports facilities, these centres will enable users to engage more fully in community life. By giving these centres a facelift, we also hope to draw out more "hidden elderly".

Upgrading facilities at elderly centres, coupled with the launch of the $2 Public Transport Concession Scheme later this year, will encourage more elderly people to get out and about and lead a fuller and richer golden age.

Another important area is to significantly enhance support for elderly people with dementia. The Budget increases recurrent funding for the Dementia Supplement by $137 million. This will enable subvented residential elderly care homes, day care centres and private homes under the EBPS to improve their services, benefiting some 5 000 elderly people.

Manpower planning is essential in coping with the mushrooming demand for elderly care and rehabilitation services. We are addressing the issue on various fronts. The number of first degree places for physiotherapy and occupational therapy in 2012-13 will rise by over 70%. The Social Welfare Department will sponsor 60 students of Masters Degree programme in these two disciplines at the Hong Kong Polytechnic University on condition that they would serve at non-governmental organisations for no less than two years. The Department has also joined hands with the Hospital Authority to train some 1 500 enrolled nurses specifically for the social welfare sector. The Employees Retraining Board has stepped up efforts to train health care workers and personal care workers. The Government is working towards the setting up of a qualifications framework for the sector so as to enable industry workers to obtain recognised qualifications and attract more new blood to the sector.

Currently, over 900 000 people in Hong Kong, or about one-in-eight of us, are aged 65 or above. This figure is expected to soar to a staggering 2.1 million people within two decades. The Government and the community should work together to create an environment in which our senior citizens can age gracefully and continue leading meaningful and rewarding lives.

Ends/Monday, February 13, 2012