(Paper Cmd. 3 of 2002)
Sir, before I take Members through some of the initiatives that the Ministry is putting in place to help Singaporean families with care-giving responsibilities, let me answer some specific questions on the family that were raised yesterday. Dr Maliki asked if MCDS has a "family policy". We have widely-known principles that undergird all our social policies. May I take this opportunity to remind Dr Maliki that these are: One, family is the building block of society. Family ties are the key factors in rooting Singaporeans. They are the ties that bind us. Two, family is the first line of care and support. This principle is applied even in the implementation of our social safety net. So, whenever an applicant comes in through the CDC, we will check his family background to ensure the level of support that he has. So, family, as the first line of support, is a very important consideration in everything that we do. Three, strong and stable families are critical for the well-being of individuals, and for our nation. If families are weak, they will undermine the first two principles. Family, as a building block of our society, is an important principle for us in Singapore. But we know that family is a personal domain, and we respect that. But the health of society rests on the health of the family. This is something that we should not forget. Thus, the role of the Government is to provide the support, the infrastructure, to enable the family to fulfill its roles and responsibilities. I suppose we should support this, and not supplant it. Dr Maliki also asked about the role of fathers and husbands - a very interesting topic. There is the emotional tug-of-war between a father who feels he is doing everything and earning an income, and a homemaker, or a working mother, who is exhausted and frustrated, because she is not getting the support and involvement from her spouse. Couples need to examine not only how much time each parent spends with their children, but also the type of activities that they are engaged in. While it is much easier for mothers, because of the way a mother's role has been socially conditioned, it is unfortunately less straightforward for fathers. But I am pleased to note that, increasingly, fathers too want to enjoy the joys of parenthood or fatherhood. Judging from the good response the Centre for Fathering has been receiving, fathers want a role to play in the family too. More recently, I have been told by some mothers that the way to encourage good fathering is for mothers to withdraw from some areas of activities, in order to provide some opportunity for fathers to be good fathers. Sir, I would like to congratulate my parliamentary colleague, Dr Maliki, for having taken the first steps to start Forum Adam last year, a seminar aimed at empowering Malay men to embrace a fair-share of parenting. The event attracted the highest number of 300 Malay men attending any Family Life Education Conference. Today, the publication Visi Adam serves to empower many Malay fathers on their fathering skills. Having fathers who are equally involved as mothers in the parenting partnership is a fundamental tenet on what it means to be a family. Sir, my Ministry promotes this underlying principle in the various education programmes conducted by our community partners. Ms Irene Ng asked whether the civil service would extend the 5-day unrecorded paid leave for looking after a sick child to fathers as well. MCDS will work with the Public Service Division to review this. Also, Mdm Halimah asked about the implementation of family care leave. Again, MCDS cannot implement this unilaterally. We will have to consult the Public Service Division for the civil service, and the Working Committee on Work-Life, comprising officials from MCDS, NTUC, MOM and SNEF and, of course, Mdm Halimah who is a member of this committee. 12.45 pm Sir, I have discussed, so far, some of the programmes that we have embarked and will be embarking upon to strengthen the family. Let me now turn to the range of services and care options that my Ministry will implement in order to help Singapore families stay strong. We know that with the trend towards nuclear families, smaller families and dual-income households, families will require more assistance, especially in the area of childcare. I will describe what are the things that my Ministry is doing to increase some of the care options and improved access for childcare for families in Singapore. Sir, we are committed to increasing the range of the childcare options to help parents to fulfill their role. For a start, we have launched the Baby Bonus Scheme as a way to help parents to meet the financial needs of their children, especially when they are young. But parents do require more options in terms of childcare so that they will help them to balance their work and their life. Flexible work arrangements and part-time work for parents are becoming more prevalent these days, and this is because of the increased awareness among both families and businesses about family-work practices. More couples, especially women, are also working part-time during the early years of their children's development. Sir, in view of this, on top of the current subsidies for full-day and half-day childcare programmes which we have given to families, my Ministry will now grant a pro-rated childcare subsidy to both working and non-working mothers for flexible childcare programmes in licensed childcare centres. Under this flexible childcare scheme, parents will be eligible for a pro-rated childcare subsidy when they place their children in a childcare centre that offers programmes for a minimum of two half-days every week. This scheme will be implemented in January next year, and my Ministry has set aside $5 million for this financial year. Mr Charles Chong and Dr Lily Neo have asked for more help for parents with young infants, especially below 18 months. As Members will know, childcare operators can offer infant care services for children as young as two months old, provided of course they comply with certain requirements, both physical and staffing, because these are very young children. Therefore, we need a certain type of skills set. Such requirements, as we know, are critical because of the safety and well-being of our young children. Currently, there are eight centres providing infant care services but, at the end of the day, we will have to allow market forces to dictate the supply and demand for infant care services. Dr Neo also asked whether higher subsidies could be provided for infant care. Besides the childcare subsidy of $150 and $75 for working and non-working parents respectively, there are two other subsidy schemes that can be used for fees at infant care services. First, of course, is the Baby Bonus Scheme, which provides cash payment for six years - $500 per year for the second child, and $1,000 per year for the third child. The Government also matches the parents' contribution, so it is a co-payment scheme, dollar for dollar, up to a maximum of $1,000 for the second child, and $2,000 for the third child. This works out to be about $125 and $250 per month for the second and third child respectively, and these can be used to pay fees at the infant care centres. The second scheme is what I mentioned yesterday. The Centre-Based Financial Assistance Scheme for Childcare (CFAC) is available for low-income families. Together, these subsidies can help families cope with infant care fees. Sir, while affordability is an issue, it is equally important that parents are provided with childcare options other than centre-based options. As Ms Irene Ng has pointed out, studies have shown that home care, especially by one or two of the parents, by a mother or father, or a consistent caregiver, is far superior to a centre-based option. Infants are better cared in a family setting where they receive individualised care. I am, therefore, pleased to announce that my Ministry is piloting the Family Day Care Service as a care option, especially for infants and toddlers who require greater individual care and attention. The Family Day Care Scheme provides home-based care for children by trained caregivers, who are mainly housewives and retirees. It will provide a flexible care arrangement that will allow parents to work and to work out mutually acceptable arrangements with the caregiver. So it is an arrangement whereby they can work together with the caregiver. Under this scheme, which we are piloting now with both the Southeast and Southwest CDCs, the councils will help us to recruit and maintain a list of caregivers who can care for children in their homes. The councils will also support them with information and training. After the training, the service refers and matches the caregivers with the parents who have no full-time care for their children. We are putting aside $150,000 this year for this initiative. So far, from what we have heard from the two CDCs, they have received many enquiries about this scheme, and the actual matching and referrals are expected to pick up soon. The two CDCs will also maintain a list of short-term or temporary caregivers to provide parents with occasional care services. Some parents may not need such a service on a frequent basis, but they may need such service because they have to go out and do something else and, therefore, they can rely upon this list. Sir, Mr Charles Chong and Dr Lily Neo also asked for more childcare centres. At the moment, there are 608 childcare centres operating in Singapore offering about 50,400 places, and the take-up rate is only about 76%. So there is still extra capacity. Since the delegation of childcare development to CDCs, the CDCs have played a significant role in identifying sites for childcare centres that are both convenient to parents and, at the same time, meeting the local needs. This year, we plan to develop another 60 childcare centres, which will give an additional 3,700 places for children. Mr Charles Chong also asked for better training for childcare teachers. I am pleased to inform Members that since 1985, MCDS has had a training system to ensure a steady supply of trained childcare personnel. The quality and level of their training have a direct impact on the quality of care provided by our centres. We stipulate the training requirements currently, and all centre supervisors have the required Certificate in Pre-School Management and Administration. In addition, 65% of all childcare teachers possess the Certificate in Pre-School Training. Last year, we took the process one step further. MCDS and MOE established a joint training framework for all pre-school personnel, and a joint pre-school qualification accreditation committee was formed to set training guidelines and accredit pre-school teacher training courses. To further enhance the professionalism and the quality of childcare in Singapore, MCDS announced in 1999 new training requirements for childcare centre personnel. All centre supervisors, and at least one teacher per centre, must possess a Diploma in Pre-School Education by the end of 2004, and all teachers must be trained at the Certificate in Pre-School Teaching by this date. Based on the projected number of training places provided by 15 training agencies that offer accredited training courses, there are sufficient training places to meet this current demand. Besides providing more childcare options, my Ministry is also committed to improving the quality of childcare. My Ministry, with the help of partners, such as the Association of Early Childhood Educators (Singapore) (AECES) will also be implementing training programmes for informal caregivers for children, such as maids or relatives. Short courses will be offered in different languages which will equip the caregivers with basic skills of caring for our young children. They will impart knowledge on physical care, hygiene, first-aid and, of course, child development. The course will be launched by the end of this year. Besides helping families in childcare, sometimes families have other concerns requiring temporary assistance. Mdm Cynthia Phua has raised some concerns about making accessibility better for families. She has also suggested the setting up of one-stop support centres to provide such frontline service for the families. Currently, this frontline function is undertaken by Family Service Centres (FSCs). Members of the public who need advice on family matters and they are not sure whom to contact, they can call the FSC helpline at the toll-free number 1800-8380100. This is a first-stop telephone hotline for families. Once they make the call, it will be directed to the FSC serving the area where the resident is living in. FSCs, as we know, are the first-stop neighbourhood-based focal point providing social services to families and they manage four core programmes - casework and counselling, information and referral, family education, and outreach. For example, if a family approaches an FSC for financial assistance, they will be counselled and, if necessary, referred to the nearest CDC which administers the various schemes. FSCs also have the expertise to deal with most family problems, but if specialised expertise or assistance is needed, they will work closely with CDCs and other organisations. So, coordination and networking among the social service providers are important steps to ensure that families get the help that they need, timely and effectively. At the moment, there are about 35 FSCs operating in Singapore. One more FSC will be established next year in Chua Chu Kang, and each FSC serves a population of between 80,000 and 160,000 residents. And based upon what we have seen, this is adequate to meet the needs of our family and our community. Sir, all these initiatives and programmes relating to the family that I have mentioned, must only be matched rightly by a change in mindset about care-giving roles within the family. We cannot but stress the impact of the couples' marital health on family well-being. In the first place, full and equal partnership in a marriage can help share stress and offer mutual support and this, of course, in turn contributes to work-life balance. Furthermore, children are affected by their parents' relationship to each other. Loving, cooperative 2-parent families are clearly the best environment for today's children to be raised. Both sets of parents, therefore, need to share the care-giving role. Father care is as important as mother care. If I can now turn to the subject on the elderly, I would like to thank all the MPs who have spoken on the issues pertaining to our seniors. Mr Charles Chong, Chairman of the GPC for Community Development and Sports, has asked about the progress of the work of the Inter-Ministerial Committee on the Aging Population. I am pleased to inform the House that the work of the Committee is bearing fruit. To date, over 80% of the recommendations have been or being implemented. I think we are quite familiar with some of them. The more recent developments include, of course, the Lift Upgrading Programme, the Five-year Eldercare Master Plan which was launched last year, the Severe Disability Insurance Scheme and, of course, the provision for barrier-free access in all our MRT and LRT stations. The infrastructure is being put in place to prepare for an aging population. But there are a few outstanding recommendations that are still being studied, and these pertain primarily to changes to the Central Provident Fund and the implementation of a portable medical benefits system. All these recommendations, as Members will agree, have a tremendous impact on Singaporeans. Therefore, we should take a prudent approach in implementing some of these recommendations. Hence, we should study them thoroughly before coming to a decision. Mr Charles Chong is probably aware that the CPF issues and the question of portable medical benefits are currently being studied by the Economic Review Committee (ERC). And as the Chairman of the Inter-Ministerial Committee, Mr Mah Bow Tan, will be releasing a more detailed progress report on the work of the IMC soon. Sir, if I can turn to the issue of social integration, Ms Irene Ng spoke passionately yesterday about making sure that there is a place for the elderly, and not for us to be overly focusing on the young. I think we need a balance. Social integration and active aging are the corner-stones of our national effort to achieve successful aging in Singapore. We want to achieve this with three strategies. First, of course, promoting positive mindsets and attitudes towards aging and older people. Second, creating opportunities to stretch the productive potential of our seniors and tap their wealth of experience, particularly in ways in which we can promote inter-generational contact and bonding. Finally, as Mr Charles Chong has rightly pointed out, strengthening our community-based services to support families in caring for their frail elderly members in their own homes. 1.00 pm Let me elaborate on these three strategies. One key success factor, of course, is society's mindset, and Dr Lily Neo has rightly raised that as a challenge for us to discuss. We have already taken a systematic approach to have a public education programme year round, in order to promote positive attitudes towards aging and older people. Our target audience is across all sectors, including the elderly. We have and will continue to collaborate with various Government and non-Governmental organisations to promote positive public attitudes through public and professional forums, talks, media campaigns and production of resource materials on aging issues. We also have the annual Senior Citizens' Week and Grandparents' Day as forums to promote active aging and respect for our seniors. But Members will agree that changing mindsets will take time, and it will require the collective effort of everyone in our society, including the elderly. To this end, I am glad to learn that many community organisations are taking the lead to promote positive aging and senior volunteerism. For example, in last year's Senior Citizens' Week, more than 40 community clubs organised programmes and activities for the elderly and their families. The Central Singapore CDC, which I was closely associated with, has launched a programme to rope in elderly volunteers, who then read to primary school children every week, a programme called Read and Reach Programme. The Retired Seniors Volunteer Programme (RSVP) conducts a mentoring programme for school children. Last year, the People's Association Senior Citizens' Network launched the SPICES for Life Programme. This programme is designed to motivate older people to learn to pick up new skills, such as IT. I hope that we could see more of such community organisations coming forward to help us spread the message. We must recognise that in the life cycle, at different times, at different points in our lives, our needs will be different and therefore, we need to prepare for them. Therefore, my Ministry will intensify all our efforts to work together with other agencies to promote what we call, a culture of planning for the various transitions in our life, including aging or the so called "third age". The key, as Mr Maidin has rightly pointed out, is to start early. Sir, on the second thrust, both Mr Maidin and Mr Zainul have spoken about giving our seniors productive and meaningful roles to play. Over the next 4-5 years, MCDS will place greater emphasis on programmes to develop the potential of our seniors. We have launched the Active Seniors Programme. We have set aside $5 million for this programme over the next four years to pilot innovative projects designed to tap the talents and the experience of older Singaporeans for the benefit of our community. I am pleased to inform the House that the first six projects are currently being implemented. We welcome any other proposals from anyone or any community organisations. These projects will involve over 2,000 senior volunteers. Dr Lily Neo has asked specifically if senior volunteers can be reimbursed for incidental expenses, such as transport and what have you. Some of the VWOs, for example, RSVP, Singapore Action Group of Elders (SAGE) and Lions Befrienders, are already doing so and we will promote this as a best practice for others to consider. Mr Zainul and Ms Irene Ng also raised issues about grandparenting and the need to foster greater inter-generational interaction. Besides community involvement, our elderly can continue to play a valuable role in the family, by promoting family value and transmitting positive values to their grandchildren. The role of grandparents will evolve in tandem with our more educated elderly population. Towards this end, MCDS supports public education programmes related to grandparenting. Ms Irene Ng will also be happy to learn that we are also developing more facilities that will bring the young and old together. The Neighbourhood Link is one such facility, located in studio apartments and HDB void decks. The Link mobilises volunteers of all age groups to help needy residents in the community. I visited one in Toa Payoh, well-located, not too far from the town centre, and they have lots of activities for the senior citizens to engage themselves in. With the help of the VWOs, we can continue to engage them in other types of activities. The co-location or close location of services for different age groups also promotes social integration, as does joint programming. The Tampines 3 in 1 Family Centre is an example of co-location of services for the young and the old under one roof. Children from the student care and childcare centres are brought to the eldercare centre daily for them to mingle with the seniors. Another example is our Singapore Boys' Home located in Jurong, next to the Saint Joseph's Home. This proximity allows our boys to help out regularly at the home and befriend the elderly residents there. The experience has been a mutually beneficial one. The elderly are able to share with the young their experiences, the history of Singapore and, in some instances, we found that they act as mentors to the boys. And the boys, in turn, bring companionship to the old. Mr Zainul also asked whether we have studied the experiences of other countries with regard to inter-generational programming. Sir, we have visited several countries, including Japan and Hong Kong, which face similar ageing challenges as we do. We will be visiting Australia and the United Kingdom to learn not just about inter-generational issues, but also about aged care and policy measures. Where feasible, we will adopt some of these learning points. We have to adapt them to the local context and perhaps also expand on our range of programmes. Sir, now onto care for the aged. Mr Charles Chong also highlighted the impact the ageing society will have on the care-giving role. Currently, our range of eldercare programmes, services and facilities are run by close to 70 voluntary welfare organisations. Over the next four years, we will step up these services to better support families in the care for the elderly at home. The initiatives being planned for include 400 additional day care places, more home help services, gerontological counselling, case management and a wide range of respite care services. In planning these services, my Ministry will work closely with the respective CDCs. However, to meet the rising demand, not only for a wider range, but for a higher quality of services, I think we need to bring new players into the field of community-based services. This will, of course, inject fresh ideas on how services can better meet changing demands, and be more cost-effective in meeting these demands. Starting this July, my Ministry will introduce a new incentive framework to encourage more cooperatives to provide eldercare programmes for seniors in the community, beginning with day care and home help services. The incentive framework will have two elements. First, the extension of Government subsidy to cooperatives that run these services. Second, making subsidised premises available to cooperatives to set up and run the services. Over the next 2-3 years, MCDS will also implement further measures to encourage private operators to enter the eldercare field. One key initiative is a user-subsidy system in which an elderly Singaporean, who meets the eligibility criteria, will receive a subsidy, regardless of which service provider he goes to. So there is portability. Another initiative is to set aside 10-20% of the premises reserved for eldercare services for commercial operators to bid over the next five years. My Ministry is also constantly reviewing our subsidy policy to ensure that services remain affordable to Singaporeans. Last year, we introduced differential subsidy rates for elderly services such that lower income users receive a higher level of subsidy. MCDS has recently reviewed the eligibility criteria and I am pleased to announce that we will be raising the income ceiling for the 50% subsidy from $500 to $700. This revision will potentially benefit our seniors who are in the per capita family income range of $500-$700 and who need day care services or sheltered accommodation. Finally, I will address the specific suggestion of Mr Ang Mong Seng to set up a community senior citizens' institute. I agree that our community facilities should also cater to the needs of older Singaporeans. Currently, there is already an infrastructure in place to organise various activities for our seniors. For example, as Members know, they can sign up for courses in community clubs, participate in sports, social and recreational activities organised by our Senior Citizens' Clubs. Today, there are 112 Senior Citizens' Clubs or groups in the Southwest CDC alone. Among them, 73 have set up mutual care and support groups among their members. For those who need a job, they can approach the CDC concerned for assistance. I am happy to inform Mr Ang that my Ministry is now working with Southwest CDC to set up two Neighbourhood Links at Jurong East and Chua Chu Kang respectively. Instead of building a new facility, we would like to suggest that Mr Ang may want to work with the CDC first to see how best we can leverage on the existing infrastructure and facilities and the two neighbourhood links that we are proposing with Southwest CDC, so that we can better coordinate the programmes and services to meet the needs of our elderly. Sir, I think I have addressed most of the concerns raised yesterday.