168. Tuberculosis beds were distributed as follows during 1962:
Government Hospitals
Hong Kong Anti-Tuberculosis Association :
148
#99
Grantham Hospital
Ruttonjee Sanatorium (Including Freni Memorial
336
Tung Wah Hospitals
3.56
230
110
1,748
Convalescent Home)
Haven of Hope Sanatorium
Private hospitals
Total
169. The Lai Chi Kok and Tung Wah Eastern Hospitals provide emergency tuberculosis beds for the admission of acute emergencies. such as haemoptysis and pneumothorax, which are brought to the two Casualty Departments of the Queen Mary and Kowloon Hospitals. Such cases are admitted either direct or as soon as resuscitation has been effected at the receiving hospital and the patients are fit to move. These are temporary arrangements until such time as a new wing with emer- gency facilities is available at the Ruttonjee Sanatorium and the present Kowloon Hospital is converted to its future role, which will include a tuberculosis until of 184 beds, after the Queen Elizabeth Hospital has become fully functional early in 1964.
The Work of the Voluntary Agencies
The Hong Kong Anti-Tuberculosis „Association
170. This is the largest and longest-established of the voluntary agencies working exclusively in the field of tuberculosis. It maintains two hospitals and one convalescent home, containing a total of 904 beds, « B.C.G. Clinic, an outpatient clinic for the follow-up of discharged patients and a Tuberculosis Insurance Scheme. Supported by voluntary donations and some endowments, the Association also receives sub- stantial annually-recurrent subventions from Government,
171. The Association works very closely with the Government Tuber- culosis Service and now provides in its two hospitals almost exclusively the facilities for thoracic and orthopaedic surgery required for the treat- ment of tuberculosis. Admissions to both the medical and surgical beds of Grantham Hospital and, to a lesser extent, the Ruttonjce Sanatorium are now largely in respect of patients referred by the Government Chest Clinics although both hospitals also arrange admissions direct for their own referred cases.
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The Grantham Hospital
172. Opened in 1957, this hospital is equipped as a modern chest hospital. An extension which was completed early in 1963 provided an additional 84 beds to make the total 624, and also contains a physio- therapy department and a school for the training of nurses for the British Tuberculosis Association Nursing Certificate. Run on a fec-paying non-profit making basis, the hospital provides private, semi-private and general ward accommodation for fees of $35, $24 and $18 a day respec- tively. During 1962. Government maintained 492 of the beds in the general wards, including 48 beds in the new extension. Government also provides the clinical staff for 252 beds and undertakes the medical social work for patients in the 492 beds it maintains. The follow-up of patients discharged from those beds is undertaken at the Government Chest Clinics.
173. For purposes of clinical supervision of Government-sponsored patients within the hospital, there are the Grantham Pulmonary Unit of 240 medical and surgical beds, the Government Pulmonary Unit of 138 medical and 34 surgical beds and the joint Grantham-Government Ortho- paedic unit of 80 beds. The Medical Superintendent, responsible to the Grantham Hospital Management Board, is in charge of the medical ad- ministration of the hospital and has clinical charge of the Grantham Pulmonary Unit medical beds. The Grantham Thoracic Surgeon has clinical charge of the surgical beds in that Unit. The medical and surgical beds in the Clovernment Pulmonary Unit are under the clinical supervi- sion of the Government Senior Tuberculosis Specialist and the Govern- ment Specialist Thoracic Surgeon respectively. The orthopaedic beds are in the clinical charge of a visiting consultant in Orthopaedics. All staff throughout the hospital is provided by the Association with the excep- tion of Government Medical Officers posted to the Government clinical units whose salaries are recovered from the Association. The Government Specialists act as consultants and no charge is made for their services. The Ruttonjee Sanatorium and Freni Memorial Convalescent Home
174. These two units are the responsibility of the Ruttonjce Sana- torium Management Board and are run as one. In the Sanatorium of 226 beds, medical, surgical and orthopaedic work is carried out, while the Convalescent Home of 110 beds is for patients who are under drug treatment but sufficiently well not to be in need of special nursing care. Consultant services are supplied by the University Professorial Units of Medicine, Surgery and Orthopaedics. Medical and Senior Nursing staff are provided by the Sisters of the St. Columban Missionary Order.
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