LCQ9: Public healthcare services in Hong Kong East – MIL Asia Pacific Publishing Engine

Source: Hong Kong Government special administrative region

LCQ9: Public healthcare services in Hong Kong East
Question:

The Hospital Authority (HA) has earlier on announced its plan to merge the Hong Kong East Cluster (HKEC) and the Hong Kong West Cluster in anticipation of a decline in the demand for healthcare services due to a reduction in the catchment population in the two clusters to about one million in future. It has also indicated that it is necessary to re-examine the plan to expand the Ambulatory Care Block of the Pamela Youde Nethersole Eastern Hospital (PYNEH) under the Second Ten-year Hospital Development Plan. However, there are views that population is not the only indicator of service demand, and if the decline in population is accompanied by an increase in the proportion of the elderly population, this may lead to an increase in the demand for chronic disease treatment, long-term care and services of the accident and emergency departments, etc, and there are concerns about whether the suspension of the expansion project of PYNEH will adversely affect the local community. In this connection, will the Government inform this Council:

The catchment population of HKEC in 2024(3) whether it knows the following information on the services provided by PYNEH in the past three years: (i) the numbers of beds for ambulatory services and beds for inpatient services and (ii) their utilisation rates, (iii) the ratio of the use of these two types of beds by elderly people aged 65 and above to the total number of people using such beds, (iv) the average waiting time for patients to be admitted to wards and (v) the average inpatient days;

(4) given that HA has proposed in the Hospital Authority Strategic Plan 2022-2027 to re-orientate service models to reduce the reliance on inpatient care by promoting ambulatory care to cut down on unnecessary hospital stay and enhance the efficiency of bed usage, whether the Government knows if HA has assessed the impact of suspending the expansion project of the Ambulatory Care Block of PYNEH on the efficiency of bed usage and patients’ waiting time for admission to wards, and of the relevant corresponding measures; and
The catchment area population of the HA clusters (including the HKEC) in 2024 and 2031 are set out in the table below (Note 1 and 2):

Hospital clusters and the catchment areaEastern, Wan Chai, Islands (excluding Lantau Island)Central & Western, Southern (For reference) Kowloon City, Yau Tsim Mong, Wong Tai Sin Kwun Tong, Sai Kung Sham Shui Po, Kwai Tsing, Tsuen Wan, Lantau Island Sha Tin, Tai Po, North Tuen Mun, Yuen Long

Year(General (acute and convalescent))
(as at March 31 of respective year)(General (acute and convalescent))(General (acute and convalescent))(acute and convalescent))(including cases of unknown age)

YearNote 3: The HA had adjusted its services to cope with the outbreak of COVID-19 in Hong Kong in early 2020. The above situation should be taken into consideration of when comparing the volume of services provided by the HA in the relevant years. As the COVID-19 epidemic situation in Hong Kong gradually subsided and various epidemic control measures were lifted in early 2023, the HA had been dovetailing with the Government’s measures in resumption of normalcy and gradually resuming its public healthcare services.

Note 4: Bed information covers only the general beds in the HA. Infirmary, mentally-ill and mentally-handicapped beds are special in nature and the 400 mentally-ill beds at PYNEH are hence not included herein. As the public hospitals will deploy the hospital beds flexibly having regard to service needs, the number of beds for in-patients and day in-patients are combined in the compilation.Issued at HKT 17:51

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