[Commentary] FY6 Disability Welfare Remuneration Revision Proposal Announced

Hello. I am in charge of welfare.

The revised plan for disability welfare service fees for next year has finally been announced.

This time, we will review the operating standards of each service, set new units of basic compensation and additional units,
There have been major revisions, such as expanding the scope of deductions.

In a separate article, we will explain in detail the newly added addition and subtraction functions.
Please read this as well.

In this article, we will provide an easy-to-understand explanation of the basic philosophy and background behind this compensation revision.
First, read this article to understand the current state of the industry as a whole.

Three points to review

There are three main points to this review.

(1) Community development that realizes the community life desired by people with disabilities
(2) Detailed response to the needs of children and people with disabilities due to social changes, etc.
(3) Review of remuneration, etc. to realize sustainable and high-quality disability welfare services, etc.

For information on what kind of initiatives the above points refer to, etc.
This is explained in an easy-to-understand manner at the end of this article.

The highlights of this revision are:Positive revision of financial resources through unification and expansion of “treatment improvement additions”.
The Ministry of Health, Labor and Welfare will review basic remuneration for all services.
Overall +1.12%We are raising the price.
(Including the effects of the unification of treatment improvement premiums, etc., the revision rate exceeds +1.5%)

The nursing care and welfare industry is facing a chronic shortage of human resources, and there are hopes that this will be resolved as soon as possible.

Basic explanation of remuneration revision

• In the formulation of the FY1.12 budget, the remuneration revision rate for disability welfare services, etc. will be +XNUMX%,
  Treatment improvement additions have been unified, and the overall revision rate has exceeded +1.5%.
• Improvements in nursing care and treatment will be carried out, with the aim of realizing community life for people with disabilities.
  It has been decided that remuneration will be set taking into consideration the difference in the income and expenditure ratio between nursing care and nursing care.
• A new treatment improvement addition was created by unifying the addition,
  The allocation method will be devised to lead to a base increase of 2.5% in FY2.0 and XNUMX% in FYXNUMX.
• It has been decided that two years' worth of treatment improvements will be provided, and that measures for the third year will be considered in the fiscal year 2020 budget formulation process.
• Measures to secure human resources, realization of community life for people with disabilities, evaluation of expertise and systems, evaluation based on support hours and content, etc.
  It is emphasized that remuneration and standards for each service will be reviewed based on the basic idea in order to address various issues.

[Point 1] Community development that realizes the community life desired by people with disabilities

• In order to promote the realization of community life for people with disabilities, it is important to enhance support.
• Specifically, we will promote the transition from residential facilities and hospitals to the local community, develop community life support bases,
  Support for those living alone in group homes and appropriate responses to local needs will be provided.
• In consultation support, efforts will be made to improve the quality and improve the provision system, and promote decision-making support that respects the wishes of persons with disabilities and secures opportunities to make choices.
• Collaboration between medical care and welfare is also emphasized, and the simultaneous revision of medical fees and nursing care fees will be used to promote cooperation between medical institutions and consultation support, as well as to improve the medical care system and support community living for people with mental disabilities. The construction of a comprehensive system is also progressing.

[Point 2] Detailed response to the needs of children and people with disabilities due to social changes, etc.

• We will develop a developmental support system for children with disabilities in local areas, centering on child development support centers.
  Policies are underway to enhance support for children with disabilities.
• Comprehensive support that takes into account assessment and child characteristics and collaboration with related organizations will be strengthened.
  Providing high-quality developmental support tailored to individual characteristics and circumstances will be promoted.
• Enhance support for children with disabilities who require specialized support,
  We will create an environment in the community where people can live and grow with peace of mind, regardless of whether they have a disability or not.
• Family support for parents and siblings will be strengthened, and the overall well-being of the family will be improved.
  We will promote an environment where all children can grow together, regardless of whether they have a disability or not.
• In supporting children with disabilities for admission to institutions, we need to ensure a home-like nurturing environment and enhance professional support.
  Support for the transition to adulthood will be strengthened and progress will be made to support the development and living of people with disabilities in institutions.

[Point 3] Review of remuneration, etc. to realize sustainable and high-quality disability welfare services, etc.

• In order to reduce the burden on service providers and local governments, efforts will be made to simplify administrative procedures.
• Aiming to prevent abuse of people with disabilities and protect their rights, efforts will be made to promote appropriate physical restraint and same-sex assistance.
• In order to ensure the sustainability of disability welfare services, the establishment of a remuneration system that corresponds to long-term transitional measures is being considered.
  The aim is to improve evaluation and transparency according to the content and quality of services.

When will the new compensation revision come into effect?

The FY10 revision of remuneration for disability welfare services, etc. will be implemented on April XNUMX, XNUMX (revisions to employment selection support will be effective on October XNUMX, XNUMX), and will be implemented for newly added welfare and care workers. The unification of treatment improvement portions and treatment improvement additions will come into effect on June XNUMX, XNUMX.

If you have any questions about this compensation change, please contact us.