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PRIDAY, FEBRUARY 8, 1985

THE FIRM WILL PROVIDE A SUPPORTING TEAM OF NINE OTHER CONSULTANTS OFFERING SPECIALIST ADVICE IN AREAS SUCH AS HEALTH CARE COSTS, NURSING AND HEALTH INSURANCE, THE SPOKESMAN ADDED.

THE SPECIFIC TERMS OF REFERENCE FOR THE CONSULTANCY ARE AS FOLLOWS:

+HAVING REGARD TO THE PLANNED INCREASE IN HOSPITAL SERVICES OVER THE NEXT TEN YEARS.

(A) TO REVIEW THE ORGANISATIONAL STRUCTURE FOR MANAGING GOVERNMENT AND SUBVENTED HOSPITALS, WITH THE AIM OF ASSESSING THE POTENTIAL FOR ACHIEVING BETTER INTEGRATION BETWEEN THESE HOSPITALS ON A FUNCTIONAL BASIS AND TO ADVISE WHETHER THIS AIM SHOULD BE MET THROUGH THE ESTABLISHMENT OF AUTONOMOUS AUTHORITIES FOR MANAGING GOVERNMENT AND SUBVENTED HOSPITALS;

(B)

(c)

TO EXAMINE THE INTERNAL ADMINISTRATION OF GOVERNMENT AND SUBVENTED HOSPITALS, WITH PARTICULAR REGARD TO THE ROLES OF THE SENIOR MEDICAL AND NURSING STAFF AND OF NON- MEDICAL ADMINISTRATORS, AND TO ADVISE ON THE CHANGES NEEDED TO STRENGTHEN HOSPITAL ADMINISTRATION, INCLUDING THE TRAINING REQUIRED TO ENHANCE THE ADMINISTRATIVE SKILLS OF SENIOR MEDICAL AND NURSING STAFF

TO ADVISE HOW MORE EFFECTIVE USE MIGHT BE MADE OF EXISTING RESOURCES IN ORDER TO OVERCOME THE PROBLEMS ARISING FROM OVERCROWDED CONDITIONS IN GOVERNMENT AND SUBVENTED HOSPITALS AND TO SUGGEST WHAT ALTERNATIVE METHODS OR FACILITIES SHOULD BE PLANNED TO RELIEVE THE LOAD ON HOSPITAL BEDS:

(D) TO PROPOSE MORE EFFECTIVE METHODS OF CONTROLLING COSTS

IN GOVERNMENT AND SUBVENTED HOSPITALS AND TO SUGGEST HOW STAFF AT ALL LEVELS MIGHT BE MADE MORE PRODUCTIVE

(E)

(F)

TO ADVISE WHETHER THERE ARE BETTER ALTERNATIVES TO THE PRESENT METHOD OF STAFFING HOSPITALS;

TO ADVISE WHETHER THE UTILISATION OF GOVERNMENT AND SUBVENTED HOSPITALS MIGHT BE IMPROVED IF THERE WERE A STRUCTURE OF CHARGES THAT TOOK ACCOUNT OF THE SERVICES PATIENTS RECEIVED AND OF THE IR ABILITY TO PAYI

(G) TO DEVISE PLANS TO IMPROVE THE WORKING ENVIRONMENT IN

HOSPITALS, INCLUDING TEACHING AND RESEARCH FACILITIES, AND TO IMPROVE PATIENTS' COMFORT AND STAFF MORALES AND

(H) TO INDICATE HOW SUITABLE PROVISION SHOULD BE MADE FOR

THOSE PATIENTS WHO SEEK A HIGHER STANDARD OF ACCOMMODATION THAN THAT PROVIDED IN THIRD-CLASS WARDS IN GOVERNMENT AND SUBVENTED HOSPITALS AND WHO CAN AFFORD TO MEET PART OF THE COST OF HOSPITAL ISATION, INCLUDING ENLISTING THE HELP OF THE PRIVATE SECTOR AND THE DEVELOPMENT.OF MEDICAL INSURANCE.+

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