Health and Elderly Care

1. Development Status
During the 12th Five-Year Plan period, Nanjing vigorously promoted construction of an elderly care service system and infrastructure, gradually improved the social security system for the elderly, enriched the spiritual and cultural life of the elderly, and explored development of the elderly care service industry, achieving significant development of the industry. In 2016, Nanjing had a total of 296 elderly care institutions, of which 227 were private institutions. Of the total number, 265 integrated health and elderly care services. There were 52,464 beds and 2622 elderly care personnel. The number of elderly care beds per 1,000 senior citizens was 40.

2. Development Advantages
(1) Gradually improved top-level design Nanjing Municipal People's Government issued a series of documents such as the Implementation Suggestions on Accelerating Development of the Elderly Care Service Industry to establish a policy framework for developing the elderly care service industry. The Ministry of Civil Affairs of the People’s Republic of China regarded Nanjing’s series documents as "the most favorable and effective ones in China." Nanjing has also launched policies such as fiscal subsidies, tax reductions or exemptions, and price discounts for elderly care service institutions, social organizations, investment enterprises, and the elderly themselves. In 2016, Nanjing issued the Nanjing's 13th Five-Year Plan for Developing the Elderly Care Service Industry.

(2) Considerable scale of the professional team Implement the provincial "222 project" for training elderly care service professionals, send staff of elderly care institutions in groups to vocational colleges and institutions for training, and actively recruit nursing graduates from colleges. Explore the possibility of establishing incentive policies such as a natural salary increase mechanism for elderly care service personnel and incorporating elderly care service personnel into public service jobs in batches. Continuously expand and improve the scale and quality of the elderly care service team.

(3) Large elderly population with long average life expectancies In 2016, 1.349 million people in Nanjing were over the age of 60, accounting for 20.08% of the registered population. The actual aging rate was 23.7%. Nanjing's elderly population is gradually featured by a large base number, high percentage, rapid growth, and a large number of very elderly people. During the 13th Five-Year Plan period, the actual population aging rate will exceed 26%. In 2016, the average life expectancy of Nanjing citizens was 82 years, with 80 years for men and 84 years for women.

(4) High per capita income and large market space In 2016, Nanjing residents' per capita disposable income was RMB 43,810, up by 8.3%. Urban residents' per capita disposable income was RMB 49,880, up by 8.2%. Rural residents' per capita disposable income was RMB 21,140, up by 8.5%.

(5) Intensified construction of public elderly care service facilities
During the 13th Five-Year Plan period, new building zones and new residential areas (communities) in Nanjing shall be equipped with elderly care service facilities in accordance with standard requirements. Nanjing encourages private capital to integrate and reconstruct enterprise workshops, commercial facilities, and other resources to provide elderly care services. Land for constructing elderly care facilities has been included in Nanjing's overall land utilization plan and annual land use plan, and will be arranged first in state-owned land supply plans.

3. Development Goals and Priorities
Focus on continuously meeting diversified and multi-level elderly care service demands and improving the quality of life for the elderly and the well-being index. Build more elderly care facilities, expand functions for serving the elderly, and effectively improve the social security level for elderly care services. By 2020, establish a comprehensive social elderly care service system based on at-home care, supported by communities, and supplemented by elderly care institutions. The system will be assisted by IT, backed up by the society, and guaranteed by the legal system. It will have complete functions, high-quality services, and coverage for both rural and urban areas. Ensure a more flexible elderly care service mechanism, better policies, more facilities, stable service teams, stronger industrial growth, and coordinated development of elderly care services from physical and cultural aspects. Build Nanjing into a friendly international city for the elderly, an elderly education and learning city, a smart elderly care service city, and an elderly care product R&D and distribution base.






(1)At-home elderly care 


Information network coverage for at-home calling service and emergency and rescue services (%)  



Built-up rate of standard at-home elderly care service centers in communities (%)  



Built-up rate of AA-level at-home elderly care service centers in communities (%) 

Urban: 80; rural: 40  


Number of built-up AAA-level at-home elderly care service centers  



Number of built-up AAAA-level at-home elderly care service centers  



Number of built-up AAAAA-level at-home elderly care service centers  


 (2) Community support for elderly care  


Percentage of the area of community office buildings used for elderly care services (%)  



Percentage of community buildings for elderly care that are independently operated by nongovernmental actors (%)  



Built-up rate of elderly rehabilitation centers in communities (%)  

Urban: 70; rural: 50  


Openness of community facilities with a variety of services for the elderly (%)  


 (3) Institution-based elderly care  


Number of elderly care beds per 1,000 registered senior citizens  



Percentage of privately operated beds (%)  



Percentage of nursing beds (%)  



Percentage of regional elderly care service centers built up by rural nursing homes for the elderly (%)  



Privatization rate of publicly owned elderly care institutions (%)  


 (4) Integration of health and elderly care  


Percentage of elderly care institutions covered by medical and health services (%)  



Percentage of at-home elderly care service centers in communities (%) 


 (5) Team construction  


Pre-job training rate of elderly care personnel (%)  



Percentage of elderly care personnel working with required certificates (%)  



Annual centralized training rate of elderly care personnel (%)  



Percentage of elderly care personnel with intermediate and senior professional titles (%)  



Number of volunteers serving the elderly  


 (6) IT-based services  


Coverage of information call and life monitoring terminals for very elderly people (%)  



Built-up rate of virtual nursing homes in districts (towns) (%)  


 (7) Elderly care industry  


Investment attracted to the elderly care industry (RMB 100 million)  



Number of jobs provided by Nanjing’s elderly care service industry  


 (8) Service satisfaction  


Satisfaction rate of the elderly with elderly care services (%)  



4. Supportive Policies
(1) Opinions of Jiangsu Provincial People's Government on Measures for Expanding Opening and Positively Using Foreign Investment Expand opening-up of the service industry. Accelerate the promotion of pilot projects to expand opening-up of the province's service industry, and actively negotiate for national policies for exploration and experimentation. Encourage foreign capital to invest in the consumer services industry such as health and elderly care services.

(2) Nanjing Municipal Implementation Suggestions on Accelerating Development of the Elderly Care Service Industry For elderly care service investment projects with over 200, 500, and 1000 beds provided by nongovernmental actors, such projects may be included in key projects of district-level, municipal, and provincial service industries. The respective government authorities will preferentially guarantee land for constructing such projects. From 2015 onward, private elderly care institutions with an occupancy level of over 70% can receive the following maintenance (rent) subsidy: RMB 500/bed per year for six urban districts; RMB 400/bed per year for five suburban districts. The required funds are shared at municipal and district levels at a ratio of 5:5.

(3) Nanjing's 13th Five-Year Plan for Developing the Elderly Care Service Industry
Non-profit organizations that qualify for tax exemption of income are exempt from enterprise income taxes. House estates and land used by non-profit elderly care institutions are exempt from house property taxes and urban and rural land use taxes. Non-profit elderly care institutions are exempt from related administrative and institutional fees for construction, and for-profit elderly care institutions are charged 50% of administrative and institutional fees for construction. Elderly care institutions are charged water, electricity, and gas fees at the same rates provided for citizens. Nanjing will bring in foreign technologies such as rehabilitation nursing, product design, and R&D and conduct international cooperation in R&D, production, and services to improve the elderly care technology level.

(4) Encourage social forces to participate in developing the elderly care service industry. Encourage individuals and institutions to set up small urban nursing homes, individuals to set up family-scale and small-scale elderly care service institutions, and urban and rural residents to engage in neighborhood mutual-aid community elderly care activities. Encourage development of small and medium-sized elderly care service enterprises, support development of leading enterprises, and implement brand strategies to form a number of elderly care industrial clusters with a long industrial chain, wide coverage, and significant economic and social benefits.