A regional organiza- tion.
New hospitals and clinics.
CHAPTER 4
SUMMARY OF THE PROPOSALS
4.1 The following chapters set out the Government's proposals towards meeting the objectives described in Chapter 3; these will be carried out as fast as is permitted by the Government's capacity to build, staff and finance them. The main proposals
are-
(a) medical and health services will be organized on a
regional basis;
(b) the aim will be to serve each region with all appropriate
general and specialist facilities;
(c) Government, and some Government-assisted, hospitals will be brought together in an integrated (regionally based) structure with uniform charges for third class beds;
(d) the accident and emergency services will be reorganized
within the regional structure;
(e) the ratio of 5.5 hospital beds per 1,000 population should be regarded as a desirable standard for long term planning purposes;
(f) general hospitals will be built at Sha Tin and Tuen Mun and then in East Kowloon; further psychiatric facilities will be provided in the psychiatric wing of the Princess Margaret Hospital at Lai Chi Kok and later a hospital at Shau Kei Wan;
(g) "day" beds will be introduced on an experimental basis in
selected clinics;
(h) polyclinics, besides the Tang Chi Ngong Specialist Clinic on Hong Kong Island, will be opened in East Kowloon, South Kwai Chung, Sha Tin, Tuen Mun and Kwun Tong; (i) clinics will be provided at Ngau Tau Kok, Lam Tin, To Kwa Wan, Ha Kwai Chung, Lei Muk Shue and Sha Tin; (j) the Violet Peel Clinic, Central Dispensary and the clinics
at Sham Shui Po and Sai Kung will be reprovisioned; (k) provision for medical rehabilitation will be expanded and further requirements will be reviewed in the context of services to the disabled;
(D) a second medical school will be established at the Chinese Medical
University of Hong Kong;
(m) a third nurses training school will be built;
(n) a Health Education Unit will be established;
(0) action will be taken to increase public awareness of the
need to reduce accidents of all kinds;
(p) family planning services will be expanded;
(q) the Government will play the leading role in the medical
treatment of drug addiction;
training.
The health services.
Dental
(r) further consideration will be given to the development of
community nursing;
(s)
a school dental service will be introduced; and
health.
(t)
a dental school will be established at the University of Hong Kong.
4.2 These proposals involve the following modifications of the recommendations made by the MDAC:
(a) a revised distribution of the 1,000 psychiatric beds, originally planned for the proposed hospital at Shau Kei Wan;
(b) priority being given to the hospitals at Sha Tin and
Tuen Mun;
(c) the hospital proposed for Tuen Mun to be planned for
1,200 beds; and
(d) the ratio of 5.5 beds per 1,000 population to be achieved
over a longer period.
4.3 The progress of these proposals will clearly require to be kept under close review. In view of the long time between a decision to build and the completion of a major project, it is essential to include items in appropriate categories of the Public Works Programme at the earliest time. The MDAC will review progress each year, revising the plans to ensure that they keep in step with the developing requirements of the population. The first such review will begin in 1975.
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