Tokyo Metropolitan Assembly 2020 1st Regular Assembly (general questions)

Akane Gaku Bokayoko General Question

February 16th Reiwa 4th year

You can see the state of the assembly in the video. ⇨https://www.gikai.metro.tokyo.jp/live/reg2022-1.html

I'm the second person on February 25th!

Dealing with worsening situation in Ukraine and high oil prices

Calls by countries around the world to avoid military action were in vain, and Russia's invasion of Ukraine has finally become a reality. The specific damage situation in the area is being reported one after another.

Therefore, in light of the recent deterioration of the situation,

(Answer 1: Governor Koike) As for countermeasures against soaring crude oil prices, Russia's invasion of Ukraine shakes the very foundations of the international order and cannot be tolerated. We are extremely concerned about this situation, and I believe that the international community is required to take a resolute response. For Japan and Tokyo, it was not a fire on the other side of the river, but rather a turmoil in the financial markets such as interest rates, stock prices, and exchange rates, and soaring prices of energy, materials, and even grains. increase. The impact of soaring crude oil prices has already appeared, and the damage to SMEs is immeasurable. We will request related organizations to conduct reasonable and appropriate transactions while considering price increases. In addition, in cooperation with industry groups, we will start "emergency support" to visit small and medium-sized enterprises and propose countermeasures on the spot. In addition, in order to promote energy conservation, etc., we will greatly expand the scale of subsidies for the purchase of vehicles with high environmental performance and the collection of insulation from houses, and we will encourage the active use of support measures. We will continue to monitor the international situation and request the national government to take necessary measures, while sharing our sense of crisis with other local governments, we will flexibly take measures to protect the economy and livelihoods of Tokyo.

Tokyo Metropolitan Government Management in the SDGs Era

Utilization of Financial Methods

Even more wise spending is required in response to a mountain of metropolitan government issues and increasing financial demands.

By using financial methods, it is expected that there is a possibility of producing great results with less expenditure. If we can secure financial resources by attracting private sector investment, using leverage, and creating a flow of funds to solve social issues, we can gain the understanding and empathy of many Tokyo residents rather than forcibly collecting them as taxes. is obtained.

The governor's administrative policy mentions the activation of "impact investment" that measures and visualizes how much impact is actually generated, rather than simply investing in companies that care about society and the environment. had.

(Answer 2: Governor Koike) Finance plays a role in supporting growth as the blood of the economy, and has the power to support the maturity of cities, such as responding to the climate crisis and promoting gender equality. An important growth strategy for Tokyo, which aims to achieve both growth and maturity. Efforts to create both economic benefits and a positive impact on society are a global trend, and in order to survive the competition between cities, it is necessary to accurately grasp these trends and revitalize sustainable finance. In the next fiscal year, we will form a “social impact investment fund” aiming for 10 billion yen scale with capital investment of 1 billion yen from the Tokyo Metropolitan Government, and will invest in companies in the wellness field such as medical care and nursing care. In addition, by setting sustainability goals and using loans that link the degree of achievement of the goals with loan conditions, we support the management transformation of small and medium-sized enterprises with consideration for sustainability. We will create a flow of funds that contributes to solving not only environmental problems but also various social issues, and will lead to the realization of sustainable recovery.

Financial demands in the welfare sector will continue to rise, but the measures of the Tokyo Metropolitan Government must be devised to be sustainable and allow each and every citizen to support each other comfortably.

The "Social Angel Fund" has a structure in which funds flow to projects of high social significance, such as employment support for single-parent households and support for the enrollment of young people in social care facilities.

If the method of generating business funds by utilizing financial methods works for fields where private funds are difficult to utilize under market principles, it will be a three-way win for beneficiaries, business operators, and investors. much expected.

(Answer 3) A social angel fund provides financial support to projects that are difficult to attract private funds. Specifically, the operators who receive donations from the management fees of the Tokyo version of the ESG fund will support the employment of single-parent households. At this year's Tokyo Financial Awards, a fund donated from trust fees to tree-planting organizations was selected for the newly established Green Finance Governor's Special Award. Going forward, we will continue to increase the momentum of investment that seeks to balance social issue resolution and economic benefits by disseminating such excellent initiatives, and will lead to further expansion of ESG investment.

Expansion of Workplaces (Social Firm) for Persons Having Difficulty Employing

"Tokyo Metropolitan Government Certified Social Firm" refers to people with disabilities, single parents, people with experience of social withdrawal, and various other people who have difficulty in finding employment. It is a socially significant initiative that creates jobs for

According to the proposal of our parliamentary group, we enacted related ordinances and started the certification system last year. We are working towards

Another feature is that we aim for corporate management and eventually operate on a self-supporting basis, which is different from conventional welfare offices.

However, when starting a business, it is not easy for many businesses to hire a large number of people who have difficulty working, provide the necessary support, and get the business on track.

In particular, there are many business owners who have difficulty matching people who have difficulty finding employment, so in cooperation with other departments of the city and national institutions such as "Hikikomori Support Net" and "Single Parent Support Center Haato", We believe that it is important to connect work and human resources.

(Answer 4 Governor Koike) A social farm that provides a place for people who have difficulty in working to work and play an active role as leaders of society. Tokyo residents have high expectations, and we will give impetus to its establishment. To that end, it is important to support businesses that are willing to establish social firms to secure workers who have difficulty working as employees and to build a foundation for autonomous management. For this reason, the Tokyo Metropolitan Government provides business operators aiming to establish social firms with a forum for interacting with certified business establishments, and provides know-how for employment of people with difficulty in working. In addition, in cooperation with relevant organizations in the Tokyo metropolitan government, the national government and private employment support groups, etc., we will newly implement matching support for various people who have difficulties in finding employment, such as those who have experienced social withdrawal, single parents, and people with disabilities. In addition, we will encourage economic organizations to promote transactions with social firms, and encourage them to develop sales channels by introducing their products and services on their websites. We will expand the circle of social inclusion.

Employment of people with disabilities (Type B business)

Conventionally, workplaces for people with disabilities are nothing more than welfare facilities, and efforts to improve profit margins and raise wages through management efforts I am aware that I was not asked to do so. However, we have received strong requests from people working at type B establishments to improve their treatment, such as wages.

So, in order to increase the management power of type B offices, I proposed that KURUMIRU should also work on online sales as a precedent at the Budget Special Committee three years ago (Reiwa 1). I was allowed to.

This time, due to the influence of Corona, we will start not only physical stores but also online shopping from next fiscal year, so we have high expectations for expanding sales channels and improving wages.

Q

(Answer 5) Until now, in order to improve wages at B-type business establishments that support continuous employment support for persons with disabilities who have difficulty working at companies, etc., the city has devised work processes based on the characteristics of persons with disabilities We held seminars to learn about product development and how to proceed with improvements, and from this year we added online shopping to the training content. In addition, the welfare and trial shop "KURUMIRU" will start online shopping in addition to physical stores next fiscal year in order to further expand sales channels and convey the appeal of independent products made at B-type offices in Tokyo. In the future, we will share the knowledge gained from this online shopping at seminars, etc., with a wide range of B-type businesses, and support their efforts to further expand sales channels and improve wages.

Efforts toward menopause

One of the factors that make women's lives difficult is that they are associated with life events such as menarche, pregnancy, childbirth, and menopause, which are far more complex than men's hormone systems. It is a physical characteristic that the numerical value changes drastically.

The Tokyo metropolitan government announced that it will start the Tokyo Youth Care Promotion Project next fiscal year, and it is attracting a lot of attention from the public.

QIt is said that the menopause of women is not only difficult for them, but also a big loss for society. I would like to ask how the city will deal with this.

(Answer 6) The metropolitan government responds to women's mental and physical health concerns from puberty to menopause by telephone and e-mail through the "Women's Health Hotline." In addition, we support municipalities working on consultation support, health education, and awareness-raising about the symptoms peculiar to menopause and gynecological diseases. In the next fiscal year, in order to further advance efforts by municipalities, the subsidy rate for consultation support will be increased from one-half to ten-tenths of the previous level. We will continue to enhance our support.

Securing medical personnel

The shortage of nurses engaged in public health care has become apparent due to the corona crisis. For some time, it has been pointed out that the referral fee for using private recruitment agencies is an excessive burden on hospital management, and that retention after changing jobs is not good.

The Tokyo Metropolitan Government has entrusted the Tokyo Metropolitan Nursing Association with efforts to recruit nurses and support their return to work.

In a new business from this year, "Tokyo nurse plaza" has just begun to provide incentives for re-employment and retention.

In view of the fact that the recruitment of nursing jobs by the private sector is heating up, I think that it is useful as a measure to fill the gap with the private sector.

The existence of the Tokyo Nurse Plaza should be recognized by all nursing staff, including those who are not registered with the Q Nursing Association, and should be used preferentially over the private sector when seeking employment. I think it should be, but I would like to ask for your opinion on how to work on it.

(Answer) The Tokyo Metropolitan Government has entrusted the operation of the "Tokyo Nurse Plaza" to the Tokyo Nursing Association so that nurses can continue their careers in various workplaces according to their life events. We offer a free referral service. Utilizing opportunities such as nursing administrator liaison meetings, we provide a wide range of information on the business content, functions, and usage of the Tokyo Nurse Plaza. From January this year, we have enhanced the employment placement function of the Tokyo Nurse Plaza, and have secured a variety of employment opportunities, such as collecting information on facilities that allow short-time and part-time work. In addition, we will create and distribute business guides for individuals, and will continue to thoroughly promote the use and publicity of the Tokyo Nurse Plaza.

The Tokyo Metropolitan Government has enhanced training to support the reinstatement of potential nurses, but even so, the hurdles to reinstatement are high for those who have left the job due to childcare, etc.

When I listen to the voices of those involved, I can see that they are just one step away from receiving training, such as not being able to judge whether they can balance family and work, or wanting to hear the experiences of people who have returned to work.

QAs support for potential nurses to return to work, we not only provide practical training, but also incorporate experiences and consultation support from seniors so that we can solve problems for returning to work by staying close to the situation of the person concerned. I think that further ingenuity is required, but I would like to hear your opinion.

(Answer) At the Tokyo Metropolitan Nurse Plaza, individual counselors provide advice and information to nurses who have left their jobs. Specifically, we have created opportunities for casual consultations at two locations in Tokyo and employment counseling sessions, and experienced nursing counselors will provide career plans based on the work situation before leaving work. We give advice accordingly. In addition, in order to relieve anxiety about returning to work, we are conducting training that includes basic nursing science and principles, communication methods with dementia patients, and topics in the medical field. We will continue to support the return to work of

Measures for the elderly

Employment support for the elderly

Due to the refraining from going out due to the corona crisis, the amount of activity of the elderly has decreased, the progress of frailty, and the number of people requiring nursing care There is an increasing risk that it will increase.

In order to prevent long-term care, it is first to support the willingness of healthy elderly people to do something. However, despite the high motivation of the elderly to participate in society, the problem is that it is not connected to actual activities.

Also, the deterioration of the employment situation due to the corona wreck is affecting seniors, but some seniors do not know how to proceed because they are moving away from job hunting.

Based on this situation, the city has been focusing on recurrent and re-employment support for the elderly through "Premium College of Metropolitan University 100-year-old University" and "Second Career School".

Q In the era of 100-year lifespans, I would like to ask about the efforts of the Tokyo Metropolitan Government to support the employment of motivated seniors so that they can continue to provide opportunities for them to continue to actively participate in social activities without straining themselves. increase.

(Answer) It is important for the sustainable growth of Tokyo to support the employment of seniors so that they can utilize their wealth of experience and skills and play an active role in the workplace. For this reason, the Tokyo metropolitan government is holding lectures to learn how to find the strengths of the skills that have been cultivated so far and examples of how elderly people are active in the workplace, with the aim of re-employing senior citizens. We plan to expand. In addition, we have started a consistent program that includes seminars that provide useful know-how for job hunting for the elderly, counseling for effective self-promotion, and job interviews. We will support re-employment.

Homes for the Elderly

Although the number of elderly households is increasing, private rental housing tends to be refused entry, so there is an urgent need to address this issue.

Based on the concept of a comprehensive community care system, the Tokyo Metropolitan Government is working to promote the supply of housing for the elderly with services for elderly people who need nursing care and life support services.

In serviced housing for the elderly, it is also important to consider the needs of a variety of people, from those who need nursing care to independent elderly people.

In addition to providing medical and nursing care services, there is a demand for exchanges with multiple generations such as students and child-rearing generations, and for relieving the anxiety of families living apart.

Q Regarding serviced housing for the elderly, we should proceed with the supply based on such a perspective, but I would like to ask about the future efforts of the Tokyo Metropolitan Government.

(Answer) It is important for the elderly to secure a place to live in a familiar area while receiving support such as living, nursing care, and medical care. For this reason, the Tokyo Metropolitan Government has set a supply target of 28,000 units by the end of FY2025 for housing for the elderly with services, etc., and has supplied 23,000 units by the end of last year through public awareness and subsidy systems. In the future, in response to the wide range of needs of residents, business operators will enhance the living environment, such as revitalizing interaction with the local community in collaboration with various entities such as NPOs, and providing efficient and effective monitoring services using IOT. We will continue to promote the further supply of serviced housing for the elderly.

DX for nursing care prevention and dementia prevention

Everybody wants to be able to extend their healthy life expectancy and live with dignity until the very end. However, medical research on dementia is only halfway through, and prevention methods have yet to be elucidated.

Therefore, at the Tokyo Metropolitan Geriatrics and Gerontology Center, we established an organization to conduct dementia research in 2020, and have been conducting research to help prevent it.

About a year ago (January 27, 2021), joint research between a national research institute and the University of Tokyo succeeded in developing an AI model that can distinguish the faces of patients with cognitive decline. Did.

From next fiscal year, the metropolitan government will automatically collect vital data such as blood pressure, pulse rate, and amount of physical activity of the elderly using smart watches, etc., and will begin to elucidate the relationship with health risks such as frailty. You have answered the representative questions.

In this way, research and initiatives for an aging society, such as prevention of frailty and dementia, are being promoted by multiple entities, even at institutions related to Tokyo.

Q Towards the common goal of extending the healthy age, the data obtained from each initiative should be made open as much as possible and put into practical use at an early stage, rather than being limited to the use of only the implementing body. I think that we should promote cooperation so that we can do it, but I would like to hear your opinion.

(Answer) At the Tokyo Metropolitan Geriatrics and Gerontology Center, we are conducting research to prevent geriatric syndromes such as frailty and dementia. We have achieved results such as developing a dementia screening method that utilizes this. In the future, we will create a database of big data such as medical information, biological samples, and images that the center has accumulated so far, and make it widely available to universities, research institutes, and companies. We will promote initiatives that lead to Furthermore, from the next fiscal year, we aim to put research results into practical use by cooperating with private companies, etc., and starting initiatives to support health management by having elderly people wear digital devices.

Takaido Park

Finally, I would like to ask about metropolitan parks.

My hometown, Suginami Ward, is an area blessed with a rich natural environment while being a living environment near the city center. On the other hand, since there are many narrow roads with a width of less than 4m and densely wooded areas, it is essential to prepare for an earthquake directly below the capital, and the ward is working together.

The centers of the rich natural environment are metropolitan parks such as Wadabori Park, Zenpukuji Park, and Zenpukujigawa Ryokuchi.

The addition of Takaido Park, which is currently under construction, has received great joy and expectations from the residents of Suginami Ward.

For example, you can spend time from children to the elderly, you can enjoy with pets, you can play sports such as full-fledged ball games.

Q Regarding the development of Takaido Park, I would like to collaborate with Suginami Ward to realize the needs of Tokyo residents as much as possible.

(Answer 12) Takaido Park is a base for forming a network of water and greenery that is continuous with the Kanda River and the Tamagawa Waterworks, and is an important park for disaster prevention as it is also designated as an evacuation site in the event of a disaster. be. The project area of ​​1.9 hectares is being gradually developed, and in the north area of ​​5.9 hectares, in addition to playground equipment and lawn squares, disaster prevention toilets etc. In this area, Suginami Ward plans to set up a multi-purpose plaza in the 5th fiscal year that will also serve as the school grounds for the adjacent elementary and junior high schools. In the 5-hectare area on the south side, development of a baseball field has been underway since last fiscal year, and from this fiscal year, construction of a soccer/rugby field, a parking lot, an administrative building, etc. will begin. Towards the completion of the south side area in 2021, we will steadily work on the maintenance of Takaido Park in cooperation with the local ward.