Page 51 - Hospital Authority Annual Report 2019-2020

HONG KONG WEST CLUSTER (HKWC) NEW TERRITORIES WEST CLUSTER (NTWC) NEW TERRITORIES EAST CLUSTER (NTEC)
港島西醫院聯網（港島西聯網） 新界西醫院聯網（新界西聯網） 新界東醫院聯網（新界東聯網）
HKWC has put in tremendous efforts in enhancing its service capacity on all fronts in order to tackle various challenges. In 2019-20, NTWC has been facing soaring service demand for a wide range of medical Being the largest cluster in terms of geographical coverage, NTEC has been facing dauting challenge of escalating service demand
HKWC opened additional acute beds and day beds at QMH for haemopoietic stem cells transplant services, and set up a team in Hong specialties, acute services and rehabilitation services due to the rapid arising from population growth and ageing population.
Kong Island to provide 24-hour Primary Percutaneous Coronary Intervention for patients with ST-Elevation Myocardial Infarction. population growth in the catchment area of the cluster. NTWC has
For obstetrics services, one maternal special care bed was designated in the labour ward of QMH, and additional chromosome therefore continued its endeavors to elevate service capacity and In 2019-20, NTEC proactively expanded its service capacity by opening new hospital beds, adding operating theatre and endoscopy
microarray tests were provided for prenatal diagnosis. The capacity of orthopaedic services was expanded with comprehensive allocate more resources in staff training, so as to cope with the sessions, as well as augmenting outpatient attendances and other ancillary services. NTEC has all along taken initiatives to
care programme, as well as provision of additional specialist outpatient clinic new case attendances in MMRC. Besides, coverage enormous challenges ahead with enhanced service quality. develop service models with greater efficiency and introduced collaboration programmes to address the long waiting time issue.
of psychogeriatric outreach services was extended to Residential Care Homes for the Elderly with more service attendances. A collaborative Orthopaedics & Traumatology and Family Medicine service model was extended to NDH and a specialist-led team in
Nusinersen treatment and multidisciplinary care programme were offered to patients with Spinal Muscular Atrophy. To better manage the increasing demand for acute and the Accident & Emergency Department of PWH was formed to alleviate the long waiting time for Triage Category III (urgent cases)
inpatient services in the districts, NTWC added 70 beds in patients.
The ongoing redevelopment project of QMH aims at advancing the hospital facilities. The area nearby QMH was a target of air raids TSWH in the year, which covered 50 acute and 20 extended
during World War II. In this connection, QMH, together with the HA Head Office, Architectural Services Department, the contractor care beds. Rehabilitation service was strengthened with During the year, our staff made strenuous efforts to uplift the quality of patient care. Implementation of the nurse-led “Restraint
and the Explosive Ordinance Disposal Bureau of Hong Kong Police Force, conducted a joint risk inspection and assessment of the extended service coverage to weekends and public holidays Free Troops Programme” successfully reduced the use of physical restraint and the patient fall rate of the cluster. The “Bowel
concerned construction site prior to the formation work of the New Block construction project. Contingency plans were developed in for stroke patients at TMH with the provision of additional Preparation Quality Improvement Programme” in NDH facilitated better preparation by patients and improved the outcome of
th
collaboration with relevant departments of HKWC, and public announcement was made via a press conference held in August 2019. physiotherapy and occupational therapy attendances. colonoscopy, receiving positive feedbacks from patients. Both programmes were granted the Excellence Award by the 18 Hospital
We were thankful that nothing abnormal was discovered at the site, and that the exercise had successfully boosted up the morale and Management Asia Conference in the Nursing Excellence Category and Clinical Service Project Category respectively.
team spirit in the Cluster. The capacity of radiotherapy service has also been expanded. Apart from additional mammogram and radiotherapy attendances provided for The outbreak of COVID-19 in Hong Kong in early 2020 brought tremendous
cancer patients, preparation works for the installation of Positron Emission Tomography-Computed Tomography scanner has been carried out
The good team spirit in HKWC was also exemplified during the works in fighting against the COVID-19 pandemic. Thanks to the challenges to the cluster. In NTEC, we gave the highest priority to protect staff
super-commitment of a cross-disciplinary team of colleagues from all hospitals in HKWC, as well as the efficient laboratory support, in TMH. In providing more clinical space to cope with service demand, the main works of TMH Operating Theatre Block are underway and the members by ensuring the judicious use of appropriate personal protective
we have successfully managed a high volume of confirmed cases in QMH. Colleagues including but not limited to Chief of Service, project is expected to be completed by 2021. equipment under different settings, and communicating with
Consultants and nurses volunteered to serve in high risk areas and helped hand in hand with our medical colleagues in treating The COVID-19 pandemic has posed significant pressure to healthcare services. NTWC colleagues weathered the storm by standing together them through regular staff forums, e-mail / e-poster
COVID-19 patients. during the tough times. In response to the disease, manpower, software and hardware deployment in NTWC were made in a timely manner. updates and site visits. Thanks to the dedication and
While TMH mainly provided treatment for COVID-19 confirmed patients, POH, on top of sharing this important task, has also provided full professionalism of our staff at all levels, we were
港島西醫院聯網一直竭力作好準備，從多方面加強服務，以迎接不同的挑戰。在2019-20年度，瑪麗醫院增設急症住院病床及日間 support to testing, bed arrangement and manpower in collaboration with TSWH. In addition to the 24-hour laboratory test, patient treatment able to cope with the highly demanding and
病床，以加強造血幹細胞移植服務。聯網成立港島區團隊，為患有心肌梗塞的病人提供24小時緊急冠狀動脈介入治療服務。在產科 and follow-up was arranged as early as possible. Besides, we are committed to maintaining close communication with patients and volatile situation throughout the COVID-19
服務方面，瑪麗醫院在產房設定一張產婦特別護理病床，以及提供額外的染色體微陣列測試作產前診斷之用。麥理浩復康院推行全 stakeholders, so as to enhance mutual trust and fight the pandemic together. outbreak and continued to provide all
面的護理服務計劃，並增加專科門診新症就診人次，以提高骨科的服務量。同時，聯網擴展老人精神科外展服務範圍，為居於老人 emergency and a majority of elective
院舍的病人提供額外服務人次；並為患有脊髓肌肉萎縮症的病人提供全面治療計劃及跨專業護理服務。 新界西地區的人口急速增長，對各專科服務的需求，以至急症和康復服務亦持續增加。新界西聯網積極提升服務量，更不斷投放資源為同 services to patients.
事進行培訓，以提高醫療服務質素應付未來的挑戰。
瑪麗醫院重建工程繼續進行，以
改善硬件設施。由於瑪麗醫院附 為更有效管理新界西居民對急症及住院服務的需求，聯網持續增加病床，其中天水圍醫院在年內開設約70張病床，包括50張急症病床及
近為二戰時期的空襲區，院方在 20張延續護理病床。在康復服務方面，屯門醫院為中風病人擴展服務至周末及公眾假期，增加物理治療及職業治療服務人次。 新界東聯網是地理上覆蓋面積最廣的聯網。區內人口快速增長
相關地段進行土地平整工程以興 聯網亦提升放射檢查服務的承載力，屯門醫院除了額外提供乳腺 X 光造影服務人次，及為癌症病人加強放射治療服務外，
建新大樓前，聯同醫管局總辦事 也為安裝一部正電子電腦斷層掃描器進行前期預備工程。為進一步擴展臨床空間提升服務能力，屯門醫院手術 及老化，對醫療服務需求與日俱增，令聯網面對極大挑戰。
處、建築署、承建商及香港警務 室大樓擴建計劃正進行主要建造工程，項目預計於2021年落成。 在2019-20年度，聯網積極提升服務量，包括增設病床、加開手
處爆炸品處理課進行實地視察及 術及內窺鏡節數，以及增加門診及其他支援服務。為提升服務
評估。院方亦聯同相關部門檢視 2019冠狀病毒病疫情對醫療服務造成極大壓力。在「疫境」下，新界西聯網同事上下一心，通力合作， 質素，聯網一直積極發展更有效率的服務模式，以及推行各項
及制定突發事故應變計劃，於 渡過了一個又一個難關。為了應付新冠疫情，聯網迅速調配所需的人手及軟硬件配套，屯門醫院 協作計劃以改善病人輪候時間過長的問題，例如擴展骨科及家
2019年8月的新聞發布會公布。 主力治療確診病人，而博愛醫院除了分擔部分治療重任外，亦聯同天水圍醫院在檢測、病床調 庭醫學協作服務模式至北區醫院；於威爾斯親王醫院成立急症
慶幸最終在工地沒有發現異 配及人手方面全力支援，加上化驗室24小時無間斷地進行化驗，迅速安排病人接受所需治療 專科團隊以改善第三類分流（緊急）病人輪候時間過長的問題。
物，是次演練更凝聚了聯網 及跟進。我們也致力與病人及社會人士保持密切溝通，增加互信，同心抗疫。 聯網致力提升病人護理質素。由聯網中央護理部同事推行的
同事的士氣。 「減綁奇兵計劃」，不但減少約束衣的使用，聯網醫院的病人跌
聯網的團隊精神在對抗2019冠狀病毒病疫情期間進一步 倒比率亦大大下降。此外，北區醫院推行的「大腸鏡檢查腸道
發揮。來自聯網各醫院的同事，包括部門主管、顧問 Hospitals 醫院 HKEC 港島東聯網 HKWC 港島西聯網 NTWC 新界西聯網 NTEC 新界東聯網 準備改善計劃」，成功幫助病人在接受大腸鏡檢查前做好準備，
醫生、護士等，組成跨專科團隊，與內科部門的同事 並獲病人正面評價。兩項計劃於第18屆亞洲醫院管理大會上，
同心協力，自薦到高風險區服務；加上優秀的實驗室化 Number of general outpatient clinics 普通科門診診所數目 12 6 8 10 分別獲頒卓越護理項目組別及臨床醫療服務項目的卓越大獎。
驗支援，大大提升瑪麗醫院的服務能力，接收及治療相 Throughput 服務量 於2020年初爆發的2019冠狀病毒病疫情，為聯網帶來巨大的挑
當數量的確診病人。 Number of hospital beds 醫院病床數目 3 275 3 128 4 618 4 927 戰。面對疫情，聯網非常重視保護員工免受感染，我們盡力確
Patient discharges* 出院病人數目* 183 208 213 185 239 055 305 419 保同事因應場合審慎地使用適當的保護裝備，又透過定期的員
Total A&E attendances 急症室就診總人次 196 321 118 213 393 878 334 359 工論壇、電郵 / 電子海報，以及實地探訪，加強與員工溝通，齊
GH – Grantham Hospital 葛量洪醫院 Total specialist outpatient (clinical) attendances 819 039 880 052 1 068 639 1 227 981 AHNH – Alice Ho Miu Ling Nethersole Hospital 雅麗氏何妙齡那打素醫院 心抗疫。感謝全體同事堅守崗位，展現無私的奉獻及專業精神，
MMRC – MacLehose Medical Rehabilitation Centre 麥理浩復康院 專科門診（臨床）就診總人次 BBH – Bradbury Hospice 白普理寧養中心 讓我們能夠克服重重困難，有效地應對疫情並繼續為病人提供
QMH – Queen Mary Hospital 瑪麗醫院 General outpatient attendances 普通科門診就診人次 559 670 367 879 868 085 987 588 CPH – Castle Peak Hospital 青山醫院 SCH – Cheshire Home, Shatin 沙田慈氏護養院 緊急及非緊急服務。
DKCH – The Duchess of Kent Children’s Hospital at Sandy Bay 大口環根德公爵夫人兒童醫院 POH – Pok Oi Hospital 博愛醫院 NDH – North District Hospital 北區醫院
TYH – Tsan Yuk Hospital 贊育醫院 Full-time equivalent staff 等同全職人員數目 8 767 8 466 11 839 13 087 SLH – Siu Lam Hospital 小欖醫院 PWH – Prince of Wales Hospital 威爾斯親王醫院
FYKH – Tung Wah Group of Hospitals Fung Yiu King Hospital 東華三院馮堯敬醫院 * Total inpatient and day inpatient discharges and deaths TSWH – Tin Shui Wai Hospital 天水圍醫院 SH – Shatin Hospital 沙田醫院
TWH – Tung Wah Hospital 東華醫院 住院及日間住院病人出院人次及死亡人數 TMH – Tuen Mun Hospital 屯門醫院 TPH – Tai Po Hospital 大埔醫院
Head Office and Cluster Reports 總辦事處及醫院聯網工作匯報 49