Page 65 - Hospital Authority Annual Report 2016-2017
P. 65

NEW TERRITORIES WEST CLUSTER (NTWC)                                                                                                                                                                             North District Hospital (NDH)

    Expansion of service capacity is one of the key strategies adopted by  Siu Lam Hospital (SLH)                               Tin Shui Wai Hospital (TSWH)
    NTWC to address escalating service demand from the community.                                                                                    Pok Oi Hospital (POH)
    With TSWH commencing its services in phases in early 2017, the
    provision of public medical services in Tin Shui Wai community,        Castle Peak Hospital (CPH)
    in particular the support of emergency service has enhanced
    significantly. TSWH will continue to expand its services in coming                                 Tuen Mun Hospital (TMH)
    years to meet the demand of the residents in the district. Apart from
    this new service point in Tin Shui Wai, the Cluster also opened more                                                        Hospitals                                                                  NTWC       NTEC                           KEC
    than 100 additional beds in different hospitals in 2016-17 to cope
    with the increasing demand arising from the growing population                                                              Number of general outpatient clinics                                          8         10                             8
    and aging problem of the community.
                                                                                                                                Throughput                                                                 4,368      4,713                         2,543
    To strengthen its surgical facilities and service capacity, TMH                                                                                                                                       230,372    302,427                       197,087
    commenced the works of Operating Theatre Block Extension Project                                                            Number of beds                                                            346,668    385,432                       316,829
    in 2016-17. Upon completion of the project, additional operating                                                                                                                                     1,018,293  1,197,841                      869,710
    theatres, an expanded Accident and Emergency and Radiology                                                                  Patient discharges*                         *                             851,943    972,454                       997,733
    Department, as well as more clinical space will be available in TMH.                                                                                                                                   10,480     11,822
                                                                                                                                A&E attendances                                                                                                     7,835
    Another key strategy deployed by NTWC is enhancement in service
    quality. Various measures were taken forward in 2016-17, such as                                                            Specialist outpatient attendances (clinical)
    implementation of the Inpatient Medication Order Entry system to
    ensure medication safety; creating additional Associate Consultant                                                          General outpatient attendances
    posts and training additional nurses to retain experienced clinical
    staff; enhancing acute stroke, haemodialysis, peritoneal dialysis,
    operating theatre and endoscopy services for treatment of better
    quality.

    In future, NTWC will continue to strive for enhancement in service
    capacity and quality, and invest in adding new facilities to manage
    service demand of the patients in Tuen Mun and Yuen Long
    districts.

                                                                                                                                Full-time equivalent staff

                                                                                                                                * Total inpatient, day patient discharges and deaths
                                                                                                                                *

                                                                                                                                NEW TERRITORIES EAST CLUSTER (NTEC)

                                                                                                                                In 2016-17, NTEC spared no effort to optimise the management of          winter surge as a downstream measure to facilitate early discharge.
                                                                                                                                demand and improve service quality and safety.                           Patients ready for discharge are transferred to the discharge lounge
                                                                                                                                                                                                         and looked after by nurses, while beds in wards can then be vacated
                                                                                                                                Access block resulting from immense service demand due to population     for admission of other patients.
                                                                                                                                growth, in particular the aged population, continued to be a problem in
                                                                                                                                NTEC. The pressure was more acute during winter surge period.            During the year, the implementation of “Express Queue Dispensing” in
                                                                                                                                                                                                         PWH successfully shortened the overall waiting time for medications.
                                                                                                                                The Cluster has implemented the bed management enhancement               It was a collaborative endeavour of PWH frontline colleagues with
                                                                                                                                programme since November 2016. In addition to daily morning              the support of Head Office Chief Pharmacist’s Office and Information
                                                                                                                                meeting to monitor the hospital bed situation, staff are designated      Technology and Health Informatics Division. Since the introduction
                                                                                                                                on-site at all times to take charge of overall bed coordination, early   of the system, the average waiting time for drug dispensing has
                                                                                                                                bed arrangement and escalation of support whenever the need arises.      significantly reduced. The initiative won HA Outstanding Team Award
                                                                                                                                The programme proved to be effective in alleviating the problem.         in 2017.
                                                                                                                                Promising results were observed in the percentage of access block
                                                                                                                                * 12 hours dropping to zero, while that of * 4 hours also declined in    Seasonal influenza vaccination achieved improved uptake rate among
                                                                                                                                AHNH, NDH and PWH. Apart from tackling the admission problem,            patients and staff in 2016-17. NTEC will keep up vigilance against
                                                                                                                                NTEC also continued the initiative of discharge lounge during the        influenza.

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