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The final meeting of the Council on Trusteeship in the Social Sphere was held in the format of a video conference. Throughout the year, the council members have been actively working both within the framework of the plan and on solving the problems associated with the novel coronavirus pandemic.

Deputy Prime Minister Tatyana Golikova thanked the council members for their great contribution to the work to overcome the consequences of the COVID-19 pandemic. In the spring and summer of this year, the council sent materials to the Government with proposals for solving the most pressing problems that socially vulnerable categories of citizens have in connection with the spread of coronavirus infection. All proposals of the council were considered by the relevant ministries, after which operational decisions were made.

“Despite the difficulties, this year has given us the main thing – consolidation. He reminded everyone of kindness and mercy, united citizens in a desire to support each other, to help those who need it most, ”Tatiana Golikova said.

The Deputy Prime Minister added that in parallel with the solution of current issues, the planned activities of the council did not stop either. For example, with the participation of council members, the Ministry of Economic Development and Trade has developed a set of measures aimed at ensuring gradual access of non-governmental organizations operating in the social sphere to budget funds allocated for the provision of social services to the population for 2021–2024. “The results of this work will affect 146 thousand socially oriented non-profit organizations,” the Deputy Prime Minister noted.

Tatyana Golikova also recalled that in July of the outgoing year, the Ministry of Finance completed work on the federal law “On state (municipal) social order for the provision of state services in the social sphere.”

“A number of innovations contained in this law are the publicity of the order, the expansion of methods of organizing the provision of social services through the introduction of competitive procedures (competition and certificate), a unified approach to financing the contractor regardless of its organizational and legal form, as well as the principle of separation responsibility – facilitates the access of non-governmental and non-profit organizations to the social services market and makes this procedure more understandable, transparent and financially accessible, ”the Deputy Prime Minister said. In her opinion, another useful measure for NGOs was the amendments to the Budget Code, thanks to which uniform approaches to the provision of subsidies for the execution of the state order for the provision of services in the social sphere are established.

Another important achievement of the council in the past year concerns the development of palliative care. On behalf of the Council, work has been completed on an action plan to improve the quality and availability of palliative care until 2024. “This roadmap is aimed at improving the quality of life of more than 1.2 million patients in need of such care, increasing the availability of [palliative] care and drug provision,” said Tatiana Golikova, adding that the adopted document will speed up the development and launch the production of new drugs used to treat pain syndrome, as well as raise public awareness of the possibilities of pain relief.

The council did a lot of work in terms of improving conditions in psycho-neurological boarding schools. So, on behalf of the council, Rospotrebnadzor updated the sanitary rules. The purpose of the changes is to create living conditions in PNI as close as possible to home conditions, as well as to develop self-service and socialization skills among PNI residents.

In addition, from January 1, 2021, amendments to the Rules for organizing the activities of social service organizations and their structural units will come into force. The document, in particular, introduces norms directing workers to provide assistance to citizens who prefer to receive it at home. Also, the recommended standards for the staffing of social institutions and the list of equipment for equipping them are being improved.

Tatiana Golikova also highly appreciated the council’s activities aimed at helping people with diabetes and preventing this disease. She recalled that in accordance with the instructions of the council, amendments were made to the Rules for recognizing a person as a disabled person. Now, during the initial examination of children with insulin-dependent diabetes, the category of “disabled child” is established immediately before they reach the age of 18.

Among other things, changes have been made to the Procedure for conducting preventive medical examinations of minors, according to which the examination of children aged 6 years is supplemented by an examination by a pediatric endocrinologist. In addition, from 2021, if diabetes mellitus is suspected during the second stage of clinical examination, it is planned to study the level of glycated hemoglobin in the blood. The corresponding order of the Ministry of Health was registered by the Ministry of Justice on December 22. The issue of increasing the availability of insulin pumps has also been worked out. Starting next year, in the program of state guarantees, the installation of a pump is referred to high-tech medical care within the framework of the basic compulsory medical insurance program. “At the same time, for the first time, the state guarantees program includes the use of innovative pumps that stop the supply of insulin when blood glucose is lowered, which will significantly improve the care of young children with diabetes,” said Tatiana Golikova.

In turn, with the active participation of the “Older Generation” section of the council, a typical model of a long-term care system was developed and approved. “From 2021, its“ piloting ”will begin in 24 regions with a planned coverage of 133 thousand people. From 2022, the long-term care system will be introduced in all regions, but here we still have to work on developing this model so that it is permanent, continuous, ”said the Deputy Prime Minister.

The section of the council “Children in difficult life situations” was actively involved in the issues of family placement of orphans. The main task was to prevent the termination of the placement of children in families during the pandemic. The members of the section conducted public monitoring of the activities of 846 organizations for orphans (almost 71% of the total) in all 85 regions, during which information was obtained on the situation with the availability of protective equipment, maintaining the volume of services provided, and continuing family placement.

As noted by Tatyana Golikova, in order to preserve the volume of the family arrangement, on behalf of the council, recommendations were sent to the regions, which made it possible to arrange 21 788 orphans in families in 9 months of 2020.

The Council also joined in solving problems related to the transfer of the educational process to a distance format. According to Tatyana Golikova, distance learning required re-tuning the work of teachers and students, and in some cases – expert and methodological support, psychological and psychological and pedagogical assistance to children and adults.

The section of the Council “Education for Children” together with the Federation of Psychological Education of Russia and the Moscow State Psychological and Pedagogical University held more than 2 thousand psychological consultations related to the anxiety, fears, confusion of children and parents due to the spread of COVID-19. More than 15 thousand specialists of the education system and social sphere from all regions took part in special webinars.

In addition, on the initiative of the council, memos were prepared and sent to the regions for students, their parents and specialists who operate online.

Concluding the report on the results of the council’s work in 2020, Tatyana Golikova drew attention to the fact that advisory bodies similar to the council are being created in the regions under the executive authorities. This year, in addition to the existing ones (in the Kemerovo, Nizhny Novgorod, Vladimir regions and the Stavropol Territory), councils appeared on the issues of guardianship in the social sphere in the Leningrad and Samara regions.

EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.

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