Page 48 - Hospital Authority Annual Report 2019-2020

Strategic goal: 策略目標：
Drive accountable and efficient use of 推動負責任和有效地使用財政資源
financial resources
As with many other services in Hong Kong, HA has experienced 與香港許多其他服務一樣，醫管局在2019-20
an exceptional year in 2019-20. Besides the challenges of 年經歷了不平凡的一年。除應對醫護人手持
persistent healthcare manpower shortage and increasing 續不足，及因人口增長和老化而日益殷切的
service demand due to growing and ageing population, HA has 服務需求外，醫管局自2020年初起更要面對
been facing a sudden and rapid emergence of the COVID-19 2019冠狀病毒病疫情的爆發。
pandemic since early 2020.

In 2019-20, the HKSAR Government continued its strong 在2019-20年度，香港特別行政區政府繼續
commitment to public healthcare through providing subvention 承諾大力支持香港的公營醫療服務，按人口
to HA on a triennium basis, having regard to population growth 增長比例和人口結構變動，以三年為一周期
and demographic changes. Similar to previous years, HA, 向醫管局撥款。一如以往，醫管局審慎理財，
through annual planning exercise, adopted prudent financial 透過周年工作規劃確保資源用得其所及符合
measures to ensure the proper and efficient use of resources.
Priority was given to initiatives which aimed to improve clinical 成本效益。當中除了優先考慮旨在提高臨床
effectiveness and aligned with the strategic directions outlined 功效、配合醫管局策略計劃方針，及有助紓
in HA Strategic Plan, and those which helped address pressure 緩壓力範疇的措施，亦同時考慮包括人手和
areas, while taking into account prevailing constraints in 醫院設施狀況等限制服務量增長的因素。
manpower and hospital facility situations for capacity growth.

During the financial year ended 31 March 2020, HA’s 醫管局在 2019-20 財政年度的總收入為
total income was $80.7 billion (an increase of 13.5% from 807億，較去年度（711億元）上升13.5%，而
$71.1 billion in 2018-19) against total expenditure of $76.9 總營運開支則達769億，較去年度（697億元）
billion (an increase of 10.3% from $69.7 billion in 2018-19). 上升10.3%。醫管局在本年度錄得的38億餘
An underspending of $3.8 billion was recorded for the year, 款，除了由於人手供應持續不足而未能填補
which was mainly due to ongoing recruitment difficulties faced 職位空缺，令員工薪酬開支較預算為低外，
by HA as a result of persistent manpower shortage, coupled 最主要因素為大部分非緊急及非必要服務因
with the lowered public hospital activities for non-emergency 2019 冠狀病毒病疫情爆發而大幅縮減，而此
and non-essential services and reduced scale of winter surge
during COVID-19 pandemic. These unused resources were 疫情亦導致2019年的冬季流感高峰期較往
transferred to the Revenue Reserve, increasing it to $6.7 billion 年為短，令年內的整體營運開支減少。此年
as at 31 March 2020, which could support HA for around one 度錄得之餘款已撥入醫管局的收入儲備。截
month of its normal cashflow requirement. Such reserve is vital 至2020年3月31日，醫管局的儲備總額增
in maintaining HA’s liquidity in case of emergencies amidst the 至67億，大約為醫管局一個月的流動現金需
uncertainties brought by the ongoing COVID-19 pandemic and 求。累積的儲備能確保醫管局有能力應付來
the impending economic downturn. It also serves to safeguard 年持續不明朗之疫情發展，以及經濟下行所
HA’s financial sustainability as its workforce and infrastructure 帶來的挑戰。展望將來，當醫護人手供應逐
capacities continue to grow with the gradual stabilisation of 步改善，以及多項醫院增建與重建項目陸續
manpower supply and progressive commissioning of new 落成和啓用，醫管局未來的財務需要將與日
and redeveloped hospitals in the years to come. On the other 俱增，這些儲備就可確保醫管局財政的可持
hand, with the development of the COVID-19 pandemic in 續性。除此之外，因應本地疫情發展，政府
Hong Kong, the HKSAR Government allocated $4.7 billion to
HA from the Anti-epidemic Fund in February 2020 to provide 於2020年2月從抗疫基金中撥款47億元予醫
additional resources for HA in tackling the disease, in particular 管局，以提供額外資源予醫管局應付是次疫
for ensuring sufficient support and protection for frontline 情，特別是確保前線醫護人員得到足夠的支
healthcare staff. 援和保障。

Having regard to the importance of maintaining HA’s financial 為確保醫管局有充足的財政儲備，政府更在
stability, the HKSAR Government, as mentioned in its 2019-20 2019-20年度財政預算案宣布預留100億元
Budget, would earmark $10 billion to set up a public healthcare 作公營醫療撥款穩定基金，以便醫管局應付
stabilisation fund so as to prepare HA in meeting any additional 不時之需。感謝特區政府大力的財政支持，
funding requirement in case of unexpected circumstances. 醫管局會慎用現有資源，渡過今後的重重
Thanks to the continual staunch financial support of the HKSAR 挑戰。
Government, HA will stay vigilant in optimising its available
resources to weather through the anticipated challenges ahead.

46 Hospital Authority Annual Report 醫院管理局年報 2019-2020