MAIN AND DEVELOPMENT ESTIMATES OF SINGAPORE FOR THE FINANCIAL YEAR - 1ST APRIL, 1990 TO 31ST MARCH, 1991
Sir, Mr Chiam See Tong on Wednesday stated that there was no welfare programme in Singapore and that the Government does not support welfare. Fortunately his statement is untrue. Otherwise the Welfare Services Programme which constitutes a major section of the Ministry of Community Development would be non-existent, and we as the House would not today be debating the Welfare Services budget. Sir, hon. Members have dwelt on a wide range of topics, from destitute and low income families, to family service centres, before and after school care programmes, child care centres and programmes for senior citizens. Sir, the family is the basic building block of our society, as Mrs Yu-Foo has reminded this House very aptly. We must promote programmes and services to preserve the family unit and buttress the family to weather crises. When our families are strong, our nation will be strong. We need to ensure the retention of suitable core values which promote diligence, sense of responsibility for the family and the nation, and love and respect for elders. I wish to quote a 1988 United Nations publication on "Guiding Principles for Developmental Social Welfare Policies and Programmes in the Near Future". Sir, it states: 'Social welfare policies need to give greater attention to the family. Policies to meet the need of the family as a fundamental unit in society, as well as those who meet the needs of individual members, should be based on an accurate assessment of dominant as well as newly emerging family patterns and models. Greater recognition of the socially disruptive effects of weakening family links and of the increased rate of family break-ups calls for greater emphasis on programmes to strengthen families as well as better integration of the different services designed to meet both the common and the varying needs of children, young people, the aged and the disabled. Specific programmes are called for that will make it easier for parents to reconcile and combine family and work responsibilities.' I believe, Sir, that we in Singapore are on the right track in the emphasis we give to strengthening our families. My Ministry, together with the Singapore Council of Social Service, and various voluntary and grassroots organisations provide a range of services to achieve our objectives. These include public education programmes, child care services and social work services specially for families. My Ministry has accepted the recommendations of the Advisory Council on Family and Community Life to set up Family Service Centres (FSCs). The FSCs are one-stop family support centres at constituency level. FSCs provide an integrated range of remedial, preventive and developmental services for families and individuals in the community. The objective is to enhance family life and help families to be self-reliant through mutual care, concern and cooperation. The Committee of Family Life of the National Advisory Council on Family and the Aged is looking into the issue of training of staff and counsellors for FSCs. This will take the form of formal training in social work at the NUS as well as short workshops and training seminars for volunteers. For financial year 1990, the Government has set aside a sum of $220,000 as capital expenditure to set up three FSCs. A sum of $840,000 has also been set aside for the next three years to help meet recurrent expenditure of the FSCs. Three voluntary welfare organisations have indicated their interest in setting up these FSCs. Programmes for the Aged Sir, when we address programmes for the aged, Government's philosophy towards the care of the aged is that the family unit should be preserved and buttressed as a major provider of assistance for its members. The best setting for the aged is within the family. For the well and ambulant aged, the focus is on the maintenance of good health and social activity. Health screening examinations and dissemination of health information are readily available in the 32 health screening centres run by the Home Nursing Foundation, People's Association and grassroots organisations. Senior Citizens' Clubs have been promoted to keep the elderly socially active. These clubs have a total membership of 79,000. They are run by the PA, CCCs, RCs and some voluntary welfare organisations. A few Senior Citizens' Clubs will be embarking on the organisation of regular daily programmes to cater to the recreational and social needs of senior citizens in the neighbourhood. Senior citizens can drop in at these activity centres during the day and participate in organised fun and developmental activities. Such centres will provide a point of interaction for the elders and will be particularly useful to senior citizens whose children are away at work during the day and who have no one to interact with at home. There are also networks of befriender services, meal services, day care services, senior citizens' health care centres, home nursing services, respite services and home hospice care for the frail aged who live in our community. New programmes and services which are currently being developed include services for the confused elderly, family support groups and a multi-service centre providing a range of home care and agency-based services. Sir, to further encourage families to care for their aged and handicapped dependants, the Minister for Finance has announced in his Budget Statement that the tax relief will be further raised from $2,500 to $3,500. As for residential care for the aged, my Ministry's policy is to avoid placing an aged person in a residential institution, unless there is good reason to accept that he or she cannot be looked after in the home. My Ministry conducted a National Survey on Senior Citizens in May 1983. The survey showed that there is an overwhelming reluctance among elderly Singaporeans to stay in old folks' homes. 85.7% of the elderly lived with immediate family members. When asked about whom they preferred to live with, 66.4% of the respondents indicated that they would prefer to live with their spouses and children, 2.3% with relatives, 9.2% live alone and only 1.6% indicated a preference for an institutional home. In a more recent sample household survey conducted by the HDB in 1987, amongst married respondents whose parents are alive, 57.1% stated that they would like to live with their children when they are old. 20.2% wanted to live within walking distance of their children or in the same or nearby estate, and 15.5% were unsure of their future living preferences. Sir, only a small percentage, about 1.7% of the aged are now in old folks' homes, and we in Singapore should strive to keep the percentage of elderly in such homes to this percentage, ie, well below 2%. Our philosophy on residential care for the aged is not merely an Eastern or a Singaporean one. In 1969, Charles Boucher, Senior Medical Officer in the British Ministry of Health, had this to say about residential care of the aged: 'Our philosophy is that old people want to remain at home in their own houses, surrounded by their own possessions, their own memories. We don't mind whether it is a good home, a bad home, a tiny home. That is where we believe they should be, where they are secure, where they have got confidence. It is tempting to think that it is a matter of institutions and that sort of thing. I think it is rather like condemning old cars to the scrap heap.' Sir, the Member for Tiong Bahru GRC and Dr Lee Siew-Choh have commented on services for the aged. I quote my Minister's speech yesterday: 'The Government will, over the next five years, provide grants of up to $92 million on a 50-50 cost sharing basis with the voluntary welfare sector to enable them to provide welfare services to the aged, the disabled, low-income families and other specific groups of people who need assistance. These include day care centres for the aged and disabled, new residential homes for the aged and family service centres.' I believe he has aptly answered both their queries. The National Advisory Council on Family and the Aged (NACFA) was set up in August 1989 under my chairmanship. It will coordinate, monitor and review services and programmes of the aged and monitor the implementation of the recommendations of the Advisory Council on the Aged. This will ensure that the issues of aging and the aged are kept socially relevant and current. NACFA has a special committee to look into the provision for residential care and housing arrangements for the elderly and their families. In the second half of this year, I will be leading a team of NACFA members to visit some Asian and other countries to look at alternative models of residential arrangements for the elderly and also the organisation of Family Service Centres in these countries. We can learn from others more experienced. After the studies have been completed, we will then be in a better position to determine the types of residential care arrangements for the elderly. The qualify of life of our senior citizens, especially the very old and frail, rests largely on the attitude and perception of our young towards them, as well as how the aged perceive themselves. I cannot over-stress the importance of public education and public support of the aged. The article in last Monday's Straits Times on mistreatment and neglect of the elderly is warning of the rot which has set in. The attitude of some residents shows that public sympathy for the aged is but skin-deep. We have had instances where residents have objected to the setting up of facilities for the aged in their housing estates because they feel that these facilities would depreciate the value of their properties. We face bigger problems when it comes to locating facilities for the disabled. What we must understand is that the siting of such facilities close to public housing estates will not only alleviate the problem of staff and volunteer recruitment, it is also convenient for their families to visit them in the evenings and weekends. This is in line with the concept that the aged, even those who are very frail, are part of the community and should be regarded as such. My Ministry's Public Awareness Programme on Aging (PAPA) is directed at correcting the misconception that senior citizens are mainly disabled, decrepit and dependent. The programme is aimed at gaining public understanding of the problems and needs of our aged. Both the Member for Tiong Bahru GRC and our NCMP have spoken at length on Assistance Plans for the Destitute. Our objective should be to teach the less able to fish and fend for themselves rather than to provide the fish. There are currently many job vacancies and those who want to can get jobs easily. Wages in Singapore are good. The person once employed will be self-supporting. There are also training opportunities for those who want to improve themselves. But, Sir, there are some who cannot or do not know how to improve themselves. My Ministry will be looking into how we can help the low-income, less able group by teaching them, using the same metaphor, "to learn to fish". Sir, I quote again from the UN paper, the section on Employment, Income Security and Eradication of Poverty. The UN paper states: 'Social welfare policy should be more clearly directed towards the root causes of poverty rather than its alleviation. It should be an integral element in a broad strategy of increasing employment and investment opportunities for both men and women, as well as the productivity of weaker segments of society. A central element in this strategy is productive employment. Social welfare needs to concentrate on helping young people to find meaningful work and become self-supporting and on assisting people with special problems, such as older or disabled workers, single parents, minorities, those without skills or former addicts or offenders, to find and keep jobs and to increase their earning capacity.' Sir, the Rent and Utility Scheme recommended by the Advisory Council on Family and Community Life has been accepted by the Government and my Ministry is working with the Singapore Council of Social Service and the Community Chest to set up a system and implement the scheme. Guidelines will be set for the disbursement of the temporary financial assistance. Three voluntary organisations have agreed to assist in counselling and follow-up assistance. Public Assistance Scheme For the truly destitute who have no means of their own and who cannot depend on friends and families, the Government gives them Public Assistance (PA) allowances. The PA allowances are kept low so that they will not be an incentive to those who are working to stop doing so and instead live on PA allowances. The PA rates, as explained by Dr Lee, are based on the minimum household expenditure as computed by the Chief Statistician. It covers basic items such as food, rent, utilities and other expenses. The Advisory Council for Family and Community Life has recommended a review of the minimum household expenditure and so have several Members today. My Ministry reviews the Public Assistance rates every two years and it has got nothing to do with general elections. The last review was implemented in 1988. The next review is due this year and increases would be made to the PA rates, if justified. Sir, I wish to explain to hon. Members who have commented on the strict PA criteria that the PA scheme is meant for the destitutes, those who have no resources of their own and no one to turn to for help. Public assistance is not meant for low-income families. Those on PA are mainly the aged, the disabled, the chronically ill, and widowed or distressed wives with young children. Far from being stringent in our allocations, 53% of those who applied were given PA last year. Only 10% were rejected; 26% of those who applied withdrew their applications and 11% were referred to other agencies for assistance. In answer to the concerns of the Member for Tiong Bahru GRC, we do pay particular attention to the children of PA recipients who are in schools. We want to help these children to improve and we will give them every opportunity to do so. My Ministry gives these children monthly educational grants of $30 per child up to a maximum of $120, and yearly grants of $50 per child up to a maximum of $200 for purchase of school uniforms and shoes. The Ministry of Community Development has a referral system with the Ministry of Education where school-going children of PA recipients are referred to the Ministry of Education for special assistance. The MOE assistance includes a combination of the following; exemption of school and examination fees, free textbooks, transport subsidies, bursaries, free milk, free uniforms and special attention to their needs, eg, remedial and supplementary lessons. Schools do not provide breakfast and lunch. A large number of PA recipients are not interested in receiving financial aid from the Government. Rather they are more interested in the benefits they perceive as being available to PA recipients. They use the Public Assistance scheme to get priority allocation for school tuckshop stalls, HDB accommodation, waiver of hospital charges and other benefits. Sir, several Members have risen to question our Government's policy of working with and through welfare organisations and the community in dispensing welfare aid. I return again to the UN paper section on "Relationships between Governments and other Sponsors of Social Welfare." It reads: 'Social welfare is the concern not only of Governments but also of numerous other sponsors. Non-governmental and voluntary organisations, trade unions, co-operatives and community and social action groups are major sponsors of social welfare programmes that must be recognised, supported and consulted. Enterprises and employers also provide social benefits and welfare services for their employees and dependants and sponsor community programmes. In some countries, individuals and groups can also enter into private contractual arrangements or purchase services in the market. There are advantages to such a diversity of sponsors and approaches, including the potential for a more precise identification of needs, innovation in strategies, generating broader participation and the involvement of more resources. Government should recognise, acknowledge and encourage the manifold contributions of non-governmental organisations in developmental social welfare policies and programmes and make every effort to involve them in the planning and implementation thereof at both the local and national levels.' I need not say more, Sir. The paper has said it all. In Singapore, we shall continue to work hand in hand with voluntary welfare organisations and the community in the mission of caring for the needy in our society. The Member for Marine Parade GRC asked for assistance from the Ministry to help the management of homes for the aged. He referred specifically to the Geylang East Home for the Aged. From my past experience working with voluntary welfare organisations (VWOs), I have found that VWOs, like any other registered societies, value the right and liberty to run and manage their affairs in accordance with the wishes of their general membership. These organisations generally do not welcome directions from the Ministry on how to run their services. This is rightly so and we should respect their independence and integrity. With regard to homes for the aged, we in Singapore legislated for minimum standards of care in the Homes for the Aged Act. The Act and its Regulations provide guidelines to VWOs running homes for the aged on acceptable standards of care. Sir, my Ministry has set up an Inspectorate Unit and officers of the Unit offer the management committees and staff of the Homes advice and guidance in the management of their Homes. Last year, an officer from this Unit visited the Geylang East Home for the Aged on five occasions to inspect its facilities, monitor standards of care, discuss issues and offer advice to problems raised by the Management Committee and staff. I would like to congratulate Encik Othman Eusofe and members of the Management Committee for doing an excellent job in running the Geylang East Home which is one of the better run Homes for the Aged. Given that there are 42 of such homes and more than 100 other types of voluntary organisations, the Government would be hard pressed to assist in administrating them. It is far better for homes to manage independently. seeking assistance from volunteers in areas of need identified. The House will recall during the Budget Debate on 12 March, Mr Philip Tan (MP for Paya Lebar) encouraged senior citizens and former MPs to help plan and spearhead projects for senior citizens as they have the necessary wisdom and leadership. Perhaps the MP for Marine Parade GRC may wish to take up the proposal and invite these suitably qualified honourable citizens to assist him in the management of the Geylang East Home for the Aged. Sir, the Members for Yuhua, Changi and Potong Pasir have spoken on our child care services. I wish to update them on an evergreen issue since 1982. As at 13 March this year, there are 199 child care centres of which 20 are workplace child care centres. I agree with the Member for Yuhua that more should be done to encourage private corporations to run more workplace child care centres. Of the 20 workplace child care centres, only two are run by private companies, the rest are set up by the Government, statutory boards and Government agencies. It is understandable that private corporations are not keen to run child care centres. This is not their business and they do not have the necessary expertise. However, they can overcome their lack of expertise by having a contract arrangement with experienced operators of child care centres to operate the centre for the company. The Ministry of the Environment and the Jurong Town Corporation have such arrangements. My Ministry will only be too ready to act as matchmaker to assist companies to identify suitable child care centre operators to run workplace child care centres for them. Furthermore, I have good news for companies who wish to operate child care centres. The Ministry of Finance has just advised my Ministry that, firstly, the employer may claim industrial building allowance on capital expenditure for renovating and converting premises. Secondly, the employer may claim capital allowance on capital expenditure and renewal allowance for the replacement of the furnishing or equipment. Thirdly, losses incurred in running workplace child care centres will generally be regarded as losses of the trade. Fourthly, subsidies given to employees to help them defray the cost of child care are regarded as deductible expenses to the employer. These are, however, a taxable benefit to the employee. The Member for Changi has asked about child care givers and there have been calls for an increase in the $100 subsidy given to parents who use child care centres. Whilst there is no reason to increase the subsidies given directly to parents, the Government is increasing its subsidy for training of child care staff. In answer to the concerns of the Member for Changi, for the basic, intermediate and advanced in-service courses run by the Institute of Education, the Government subsidises 70% and 50% respectively. This year, the Government has stepped up the training of child care teachers by introducing a full-time pre-service course on child care. The pre-service course is meant for those who are not already teaching in child care centres. The pre-service course will provide a pool of trained staff for our child care centres. The Government pays for the full cost of this new programme. In answer to the Member for Potong Pasir, we not only need buildings for the new child care centres, we need also to train child care teachers. And currently, the greater need is for more child care teachers. There are many child care centres in Singapore which are operating at 70-80% capacity because they do not have sufficient staff. So this is why this year we have addressed the urgent situation of providing more training for child care givers. The Member for Yuhua has asked whether the National Institute of Education will provide degree courses in early childhood education. The pressing need today is to train child care staff at basic and intermediate level. The IE will continue to provide training to child care and kindergarten staff at this level. It is premature to introduce degree programmes for child care personnel. However, I do agree with the Member for Yuhua that trainers of child care givers should have degrees and post-graduate specialisation in early childhood education. The IE has in-service tutorships for post-graduate students and also overseas scholarship training schemes. And we will heed her advice and encourage post-graduate education students to take up specialities in early childhood education. The Member for Changi asked about the quality of services provided by child care staff. The Child Care Centres Act and Regulations introduced in 1988 stipulate clear guidelines for quality of care in child care centres. Only centres which meet the minimum requirements for health, safety, manpower and programmes are given a licence to operate. The licences are for specified periods of up to two years and a centre needs to be re-certified every two years to qualify for a new licence. Two such licences have not been renewed because these centres have not met our minimum requirements. Yes, Sir, we do supervise closely the child care centres and we do monitor education, health, dietary and personnel requirements. The Advisory Council on Family and Community Life recommended that community and voluntary organisations and the schools be encouraged to provide programmes for before and after school care. The Government does not have special financial assistance schemes for such programmes. The Government will continue, however, to assist the VWOs and community organisations to obtain premises for the development of before-and-after school care programmes. When we referred this issue to the Ministry of Education, in answer to the Member for Yuhua, the Ministry's answer is that it does not have formal programmes to look after school children within school premises before and after school hours. However, a few schools are providing before-and-after school care programmes on their own and with the help of volunteers. The Ministry of Education will give encouragement to other schools which want to set up similar programmes in their schools. The Ministry of Community Development will be encouraging family service centres to set up programmes of this nature. The Member for Yuhua has also called for the integration of the three family education programmes run by the Community Development, Health, and Education Ministries. I wish to assure her that the three Ministry groups work closely together. But as the three programmes have different foci, Community Development on building up the family unit, Health on procreation, and Education as part of moral education, it is best that these programmes be separate. Finally, Mrs Yu-Foo has highlighted the problems of the divorced women and Dr Ho Tat Kin has brought up the problems of single parent families where often the single parent is the woman. The Member for Yuhua has asked that my Ministry considers setting up a unit to service the needs of the woman who is in hardship and distress. I am glad to be able to reply in the affirmative. Beginning 1st April 1990, there will be a Women's Welfare Services Unit under the Family and Social Support Branch of the Ministry of Community Development. This Unit will provide social assistance and will be a direct point of contact for women who need help, including assistance for single parent families.