Chapter Paragraph
3
18 to 21
3
4
28, 29
35,36
4 38
5
44 to 47
Recommendations
We recommend that the following new hospital construction be undertaken by Government in the order shown:
(a) a 1,200-bed general hospital in East Kow-
loon;
(b) a 1,200-bed general hospital at Sha Tin;
a psychiatric hospital with a minimum of 1,000 beds on Hong Kong Island;
(d) a 500 bed general hospital at Castle Peak,
capable of further growth.
We recommend that a number of maternity beds in selected existing clinics be converted to day- beds for the use of general, psychiatric, and geriatric patients as an experiment, and that if the experiment is successful 60 beds, with the mixture of specialties determined by experience and circumstances, should be added to clinics planned after 1976 and to any already approved whose construction has not proceeded so far that alteration is not feasible.
We make no firm recommendation for the con- struction of new clinics after the planned quartet: Ngau Tau Kok, Lam Tin, Lei Muk Shue and Ha Kwai Chung, pending further information on the growth of population in Kowloon and the new towns in the New Territories, but propose that in the interim the design of Government clinics should be reappraised.
Similarly, we recommend that before any further polyclinics are constructed their design should be reappraised.
We recommend that, subject to the agreement of the Government-assisted hospitals concerned, hospital services in the Colony be regionalised by the establishment of 4 regional units each con- sisting of clinics, polyclinics, district hospitals and
50
J
Chapter Paragraph
10
108
5
48 to 51
6 66,67
7 80 to 82
Recommendations
a regional hospital. This arrangement would also permit reorganization of the accident service, and we recommend that this aspect be kept under review.
We recommend an early increase of the daily fee for third-class Government hospital beds from $2 to $3, and a further increase to $5 within 12 to 18 months thereafter; secondly we recommend that the Government-assisted hospitals partaking in the regionalization scheme also charge their third-class patients $5 a day when that becomes the Government fee, regardless of whether this means charging fees where they were not charged before, raising fees, or lowering fees; thirdly we recommend that to meet the requirements of the preceding recommendation the Government- assisted hospitals concerned be subvented on a deficiency grant basis if this is not the basis of their subvention already.
We consider that during the next ten years the average annual increment in the shortfall between the supply of doctors available for the Govern- ment Service alone and the requirements for such will be about 40, and that unless a new local source of supply can be provided this shortfall will continue in the decade 1983-92, and probably get worse. We therefore recommend that consideration be given as to how a requirement for additional doctors in the public and private sectors of about 100 a year by 1982-83 is to be met.
We consider that the gap between the requirement for general nurses and the supply will increase annually in the next decade, and we therefore recommend that a third general nurses training school be constructed by Government, on a site adjacent to the Princess Margaret Hospital, with a minimum capacity of 150 students annual intake.
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