Caring for the Aging: Japan & Singapore News Update
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Japan is relaxing staffing standards to maintain care services in shrinking regions, while Singapore is scaling up long-term mental health care and integrating one-stop support services.
Japan and Singapore Care Market News Briefing — June 12, 2026
Japan Care and Nursing Market Trends
1. Relaxing staffing standards to sustain care in depopulated areas
Japan is pushing for a new amendment to the Long-Term Care Insurance Act, currently under review in the Diet, to relax staffing requirements for operators in areas with declining populations. Concerns have been raised regarding the potential impact on service quality.

2. Tsukui strengthens training for self-reliance support care
Chochuoku (有限会社最中屋) and Tsukui (株式会社ツクイ) are collaborating with Japan Management to establish a practical framework for self-reliance support care. The initiative aims to address labor shortages and improve the quality of care.

3. Leveraging "Spot Work" to prevent a 2035 care collapse
As care shortages accelerate toward 2035, Spot Work (Taimi Spot Work Research Institute) reports that spot work is gaining attention as more than just a way to fill vacancies; it is becoming a tool for rethinking organizational structures. It is viewed as "next-generation infrastructure" for regional care.
4. Implementation of 2026 Long-Term Care Fee Revision
The 2026 revision of nursing care fees and unit values took effect in June 2026, applying a new payment system to various services, including facility-based care for residents.
5. Mandatory cooperation with medical institutions
Key issues include "staffing standard deficiency deductions" for care facilities and the mandate for cooperation with medical institutions, which takes effect in April 2027. New unit values and requirements for medical facility collaboration incentives have been defined.
Singapore Care and Nursing Market Trends
1. 62% of long-term care policyholders are under 50
Data from Great Eastern shows that 62% of claimants for long-term care plans are under 50, suggesting that long-term care needs are not limited to older age groups.
2. Expanding mental health care facilities
Singapore opened a new mental health nursing home in May and plans to open a mental health rehabilitation facility in July. A second nursing home is scheduled for 2029, strengthening long-term mental health capacity and shifting the focus toward social care.
3. Rise of senior caregivers supporting other seniors
As the population ages, more seniors are taking on the role of caring for other elderly individuals. The challenges they face and the support systems available are gaining focus.

4. Evolution of poverty reduction policies
According to the latest update on SDG 1 (No Poverty), Singapore's PAP-led poverty reduction efforts are evolving beyond simple cash assistance.
5. Multi-layered care support from the AIC
The Agency for Integrated Care (AIC) is using 2025 Annual Value (AV) data to determine 2026 subsidy levels. They provide multi-layered financial support, including the Seniors’ Mobility and Enabling Fund (SMF), the Home Caregiving Grant (HCG), and the Interim Disability Assistance Programme for the Elderly (IDAPE).
Policy and Market Implications
1. Different approaches to demographic shifts
Japan is addressing the supply crisis caused by depopulation through standard deregulation, while Singapore is pursuing proactive investment through facility expansion and integrated service models. Japan’s approach focuses on short-term solutions, whereas Singapore focuses on building long-term systems.
2. Quality of labor vs. Priority on recruitment
Japan is focusing on the qualitative improvement of personnel (such as self-reliance support care) and new labor utilization models via spot work. Singapore is increasing the overall care capacity of society through inclusive models, such as increasing the number of senior caregivers.
3. Strengthening integration of mental health and social care
Singapore’s move to expand mental health facilities and shift toward social care reflects an understanding that emotional and psychological health is just as important as physical health. This is a policy direction mirroring the need for holistic care in an aging society, which may become an future agenda for Japan as well.
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