LCQ4: Ten-year Hospital Development Plan
****************************************
Question:
The Government has implemented the first 10-year Hospital Development Plan (HDP) since 2016, setting aside $200 billion for the construction, redevelopment and expansion of a number of hospitals and the provision of other healthcare facilities. In 2018, the Government invited the Hospital Authority to commence planning for the second 10-year HDP, which is expected to cover 19 projects involving about $270 billion. In this connection, will the Government inform this Council:
(1) of the implementation of the first 10-year HDP, the estimated final expenditure, the additional annual recurrent expenditure involved and the assessment of the effectiveness of HDP;
(2) of the planning for the second 10-year HDP, the projects to be covered and the expenditure (including recurrent and non-recurrent expenditures) to be involved; and
(3) whether the formulation of the second 10-year HDP has taken into account circumstances and development trends emerged in recent years, including: the latest projections on the population and the supply and demand of healthcare manpower; the community's greater emphasis on mental health, Chinese medicine and Chinese-Western medicine collaboration (especially for cancer treatment); the public's demand for public dental services; the Government's more proactive promotion of preventive and primary healthcare services; the continuous improvement in the quality of Mainland's healthcare services and their enhanced accessibility to the Hong Kong public; the increasing number of Hong Kong people who are willing to go north for medical treatment and age in the Mainland; as well as the financial positions of the Government and Hospital Authority?
Reply:
President,
Having consulted the Hospital Authority (HA), my consolidated reply to the question raised by the Hon Tony Tse is as follows:
(1) In 2016, the Government and the HA commenced the implementation of the First Hospital Development Plan (HDP) with $200 billion set aside for a total of 16 projects, covering the redevelopment and expansion of 11 hospitals, the construction of a new acute hospital, three community health centres and one supporting services centre.
Up till now, 14 out of those 16 projects have been upgraded to Category A with a total commitment of about $186,339 million (in money-of-the-day prices). Approval for upgrading the remaining health centre and community health centre building projects to Category A will also be sought later. Upon completion of the First HDP, it is anticipated that a total of about 2.2 million square metre of additional construction floor area, including an addition of 6 557 bed spaces (Note) and 94 operating theatres, will be provided for the whole public healthcare system. It is also anticipated that the total number of public hospital bed spaces under the HA will increase from about 30 000 in March 2022 to about 35 000 in 2031, while that of operating theatres from about 250 to about 350. Meanwhile, there will be more room for increasing service quotas of specialist and general out-patient clinics.
Among the projects, the new Phase 1 Building of the redevelopment project of Kwong Wah Hospital (KWH) was completed in late 2022, providing a construction floor area of about 145 000 square metre. As compared to the old KWH, four operating theatres, one cardiac catheterisation room, four endoscopy rooms, one magnetic resonance imaging room and a one-stop ambulatory care centre are provided additionally. For the new Accident and Emergency (A&E) Department, which is approximately three times the size of the old one, it has an additional Emergency Medicine Ward with 40 beds, isolation areas for infection control and other supporting facilities. With the commissioning of the new A&E department, the average waiting time for patients who, after treatment at the A&E department of KWH, need to wait before being admitted to the hospital has dropped by 24 per cent in the previous two quarters (i.e. the third and fourth quarters of 2024) as compared with the same period in 2023. Besides, upon the full operation of the North District Community Health Centre Building following its completion in the end of 2024, it is estimated that the total number of attendances of the general out-patient and family medicine specialist clinics of the North District Family Medicine Centre will increase by approximately 143 000 and 44 000 respectively.
Some capital works projects under the First HDP involve in-situ redevelopment. Taking the expansion of United Christian Hospital as an example, certain facilities have to be temporarily closed or adjusted and workspace is limited, with clinical services being maintained under limitations. The Health Bureau (HHB) and the HA would like to express their gratitude towards all healthcare staff for their patient-oriented spirit and standing fast at their posts to provide high-quality services under such conditions during the construction period, as well as towards the public for their understanding of the importance of the construction works in improving healthcare services and their patience towards the inconveniences arising from the construction works.
Since some of the projects under the First HDP remain underway while some other are pending commencement, there is currently no complete information on its final expenditure and evaluation of its effectiveness. As for the operating expenses of the new hospitals, they will be covered by the subvention allocated by the Government to the HA. The HA will enhance and provide additional services and make good use of the recurrent provision from the Government having considered the growth of service demands of clusters, the scale, progress and plans of various hospital redevelopment and expansion projects. The Government also reviews and administers the subvention to the HA in accordance with the prevailing mechanisms.
(2) and (3) The Government announced under the 2018 Policy Address and set out in the 2018-19, 2019-20 and 2020-21 Budgets that it has invited the HA to commence planning for the Second HDP. The preliminary idea of the projects under the Second HDP was presented by the then Food and Health Bureau (FHB) to the Legislative Council (LegCo) Panel on Health Services in April 2019. The preliminary planning idea back then, which was based on the 2014-based Territorial Population and Employment Data Matrix compiled by the Planning Department and population projections by the Census and Statistics Department up to 2031, was to implement the Second HDP within ten years from 2026 to 2035 to meet the projected service demand up to 2036. A total of 19 projects were covered in the plan back then with an aim to provide over 9 000 additional beds and other necessary healthcare facilities.
With the changes in the population structure, planning and development situation of Hong Kong, the HHB and the HA are currently reviewing the Second HDP. Amongst others, in view of the territory-wide and regional planning and development strategies as announced by the Planning Department, including the "Hong Kong 2030+: Towards a Planning Vision and Strategy Transcending 2030" and the Northern Metropolis Development Strategy, the corresponding population projections of Hong Kong including the latest changes in overall population, its distribution and demographics, as well as the population policy and talent attraction initiatives of the Government and more, the HHB and the HA have to adopt a planning horizon of up to 2040 and beyond for the Second HDP, and to project healthcare service demand and consider the supply and conditions of the land required, thereby optimising the Second HDP.
The Government also considers factors such as the needs for and cost-effectiveness of renovation, refurbishment, redevelopment or addition of facilities for individual hospitals, and the convenience of public access to healthcare services under various major transport infrastructure development plans for determining the distribution, scale and priority, etc. of various hospital development projects under the Second HDP. Upon completion of the review, the Government will announce the revision details of the Second HDP in due course. In the course of planning, the HA will forecast future service demand and corresponding healthcare manpower requirements and make corresponding assessments and planning, with a view to flexibly deploying manpower and recruiting additional staff during the commissioning of new hospital facilities and phased introduction of services.
In planning and implementing the Second HDP, the HA will proactively tie the projects in with the policy initiatives of the Government, especially those for healthcare reform, including the development of primary healthcare services, mental health services, and Chinese medicine services, integrated Chinese-Western Medicine, the third medical school and development into an international health and medical innovation hub, while providing better healthcare services to the public by reserving spaces in newly built hospital facilities to facilitate the development of various services, increasing resources as appropriate and optimising services. As for the use of healthcare services provided in the Mainland by Hong Kong citizens, the HHB has a strong determination to enhance local healthcare and shoulder the primary responsibility for the health of all citizens, while offering convenience to Hong Kong citizens across the boundary and closely monitoring the needs for cross-boundary healthcare services and the progress of the healthcare collaboration initiatives in the Guangdong-Hong Kong-Macao Greater Bay Area under the principles of complementarity and mutual benefits.
Thank you, President.
Note: The figures include the additional beds at Kai Tak New Acute Hospital, which are provided for the relocation of the services from Queen Elizabeth Hospital (QEH). Currently, QEH has around 1 940 beds and the reprovisioning of these beds will depend on the reallocation or redevelopment plan of its vacated buildings after its service relocation.
Ends/Wednesday, February 12, 2025
Issued at HKT 19:15
Issued at HKT 19:15
NNNN