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hospital places are planned by 1983. A longer term target is to

provide one day hospital place for every 1000 population aged 65

and over.

4.9

The Government believes that expansion of the general

community nursing service offers the greatest scope for improving

health services for the elderly, This scheme is designed to cover

basic nursing care of geriatric patients and the physically and

mentally handicapped, and post-hospitalisation medical and surgical

nursing care for discharged patients of all ages. On the advice

of the Medical Development Advisory Committee, the current pilot

community nursing scheme operated by voluntary agencies will be

replaced in April 1979 by a fully integrated scheme within the

overall medical and health services of Hong Kong. The Government

will participate directly in the scheme by establishing community

nursing services based on its regional hospitals, extending them to

the new towns as Sha Tin and Tuen Mun Hospitals come into operatica.

The expansion will be phased in over the next five years with a target

training figure of 350 additional nurses (in the ratio of 1

Registered Nurse to 4 Enrolled Nurses). With a total force of 380

nurses, it should be possible to provide a reasonable spread other

than in the more remote areas of the New Territories, for the elderly

as well as for the other categories that will be served by the

scheme. The Government will review this target and the scope of

the service in the light of experience and the resources available.

To facilitate expansion of the existing services provided by the

voluntary sector, an improved basis for subventing the agencies

involved is being considered.

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