policy, and an official member of the Legislative Council. He is a member of a number of the Boards and Committees of voluntary organizations engaged in medical and health work whose activities receive substantial support by way of Government subventions. He is also the Chairman of the Radiation Board and of the Statutory Boards dealing with the registration and disciplinary control of Medical Practi- tioners, Dentists, Pharmacists, Nurses and Midwives.
23. The Deputy Director of Medical and Health Services is the chief executive medical and health officer who co-ordinates the work of the Medical and Health Divisions, each of these divisions being in charge of an Assistant Director. The Deputy Director is also Vice- Chairman of the Urban Council and is the principal adviser to that body on health matters. The Principal Matron is the Chief Nursing Officer and administers the Nursing Division which provides nursing. midwifery, health visitor and health sister services.
24. The Health Division, which is the administrative responsibility of the Assistant Director, Health. is concerned with infectious disease control, personal health services, rural hygiene and certain ancillary services. The Medical Division is the responsibility of the Assistant Director, Medical, and is concerned with the provision of curative and specialist clinical services. Each Assistant Director is assisted by a Principal Medical and Health Officer at Headquarters, and each division is divided into units which are individually under the charge of a Specialist or of a Medical and Health Officer with special experience and training. The respective spheres of responsibility of the two Divi- sions are outlined in Appendix 2.
25. The Principal Medical and Health Officer (Planning) assisted by a Senior Hospital Secretary, is responsible for the co-ordination of all requests for accommodation and equipment for new Medical and Health Department institutions, for the processing of building plans and for the detail of the forward planning of expansion of the Department's activities. In addition, advice and assistance are given on request to voluntary and private organizations engaged in the planning and erection of medical institutions.
26. The Auxiliary Medical Service, which is a branch of the Civil Defence Service, is administered by the Medical Defence Staff Officer who is a member of the Medical and Health Department Headquarters staff. The Director of Medical and Health Services is the Unit Controller.
27. The routine administrative secretarial, establishment and clerical work of the Department is under the general direction of the Secretary
while the Principal Accountant and his staff deal with the financial and accounting duties. The work of the Board section is co-ordinated by the Boards Secretary.
28. The pharmaceutical and dispensing activities are the responsi- bility of the Chief Pharmacist who also has inspectorial duties in con- nexion with the Dangerous Drugs and Pharmacy and Poisons Ordin- ances. The Government Chemist is responsible for the work of the Government Chemical Laboratory.
29. The Chief Hospital Secretary is responsible for the supply of equipment and the day-to-day lay administration of the hospital and clinic services. The hospitals and clinics are at present grouped into two large units to each of which is posted an Hospital Secretary. Assistant Hospital Secretaries are posted to the larger and more important institu- tions within these groups.
30. Appendix 1 shows the establishment at 31st March, 1961.
FINANCE
31. The actual expenditure of the Medical and Health Department for the financial year ended 31st March, 1961 was $56,573,091 to which should be added a further $21.910.889 disbursed in the form of sub- ventions. Capital expenditure on medical projects under the Public Works Non-Recurrent head totalled $12,369,272. These amounts rep- resent 10.75% of the Colony's total expenditure during the year. This does not include expenditure on environmental sanitation by the Urban Services Department.
32. A Statement of Expenditure for the five years from 1956-57 to 1960-61 is shown at Appendix 3.
33. The total revenue collected from all sources by the Department totaled $3,311,019.
34. The largest subventions was made to the Tung Wah Group of Hospitals which received $11.317.366; in addition, a further capita! grant of $4,317,732 was made towards the cost of continuing work on the redevelopment of the Kwong Wah Hospital. Other large subventions were $2,882,750 to the Grantham Hospital, $1,000,000 to the Hong Kong Anti-Tuberculosis Association and $575,000 to the Mission to Lepers. Hong Kong Auxiliary,
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