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Appendix 3
附錄
3
職權範圍
1
審查及檢討市民對公立醫院和機構所提供的、不斷變
化的醫療服務需求，並作出建議；
2
根據現行可提供的科技、職員人手及其他資源，並顧
及作為知識為本機構所需提供的「以病人及成效為中
心」的優質醫護服務，就提供、規劃及發展公立醫院
及相關服務的整體政策、方針和策略，提供意見及作
出建議；
3
審議規劃發展公立醫院及相關服務的整體優先次序，
並作出建議，確保最有效地運用所獲資源；
4
審議及檢討規劃發展公立醫院及相關服務的任何其他
事宜，並作出建議；
5
定期審議醫療服務發展範疇的相關風險、風險管理及
風險緩減事宜；及
6
就以下事宜行使醫院管理局大會授予的權力：
(a)
批核撒瑪利亞基金管理委員會建議的基金涵蓋
範圍；
(b)
批核專科服務及重建項目的臨床服務計劃，惟
涉及財政撥款的決定者除外。
2012-13
年度工作概況
醫療服務發展委員會在
2012
年
8
月修訂其職權範圍，因應外
部顧問就醫管局機構管治檢討所作的建議，加入有關風險管
理及緩減措施的內容。委員會修訂後的職權範圍於
2012
年
10
月經醫管局大會通過。
在
2012-13
年度，委員會共召開五次會議，討論臨床服務的
規劃、發展及管理事項。在臨床服務規劃及發展方面，委員
會考慮及審議港島西醫院聯網的臨床服務計劃、葵涌醫院及
瑪麗醫院的重建計劃、瑪麗醫院眼科門診服務遷至葛量洪醫
院事宜、醫管局紓緩護理服務發展，以及在兩間教學醫院發
展臨床試驗中心第一期計劃。
委員會審議不同醫療管理事項，並提供意見，包括撒瑪利
亞基金在
2012-13
年度起納入新藥及適應症、醫管局藥物名
冊管理檢討、非合資格人士對產科及相關服務需求、改善手
術室效率顧問研究、手術用具消毒服務檢討、醫管局保密程
序、護士專科培訓、急救指引，以及
2013
年病人服務及護
理風險與風險防範計劃建議。
委員會亦收閱各項臨床服務計劃的進展報告，包括社區健
康電話支援服務中心、三方合作中醫藥發展、天水圍（天業
路）社區健康中心發展，以及多個公私營協作服務計劃的進
展。
Terms of Reference
1.
Examine, review and make recommendations on the changing needs of
the community in respect of clinical services provided by public hospitals
and institutions;
2.
Advise and make recommendations on the overall policies, directions
and strategies relating to the provision, planning and development of
the public hospitals and related services, having regard to the availability
of technology, staff and other resources and the need to provide a
patient-centred, outcome-focused quality healthcare service by a
knowledge-based organisation;
3.
Consider and make recommendations on the overall priorities for the
planning and development of the public hospitals and related services
in order to ensure an optimal utilisation of available resources;
4.
Consider, review and make recommendations on any other matters
related to the planning and development of the public hospitals and
related services;
5.
Consider periodically matters relating to risk, risk management and risk
mitigation relevant to medical services development; and
6.
Exercise powers delegated by the Board on the following matters:
(a)
Approve the scope of coverage of the Samar itan Fund as
recommended by the Management Committee of the Samaritan
Fund;
(b)
Approve cl inical ser vice plans on special ty ser vices and
redevelopment projects, except those involving decisions on
financial provisions.
Focus ofWork in 2012-13
In August 2012, the Medical Services Development Committee revised its
Terms of Reference (TOR) by including matters relating to risk management
and mitigation measures as follow-up actions to the recommendations of
the external consultant’s review of HA’s Corporate Governance Practices. The
updated TOR of the Committee was approved by the HA Board in October
2012.
In 2012-13, the Committee met five times to discuss issues relating to the
planning, development and management of clinical services. On clinical
services planning and development , the Committee considered and
deliberated on the clinical services plans for the Hong Kong West Cluster and
Kwai Chung Hospital; redevelopment plan of Queen Mary Hospital; relocation
of eye out-patient services from Queen Mary Hospital to Grantham Hospital;
service development of palliative care in the HA; and the development of Phase
I Clinical Trial Centres in two teaching hospitals.
The Committee considered and advised on clinical management issues relating
to the inclusion of new drugs and indications under the Samaritan Fund from
2012-13; review of the management of the HA Drug Formulary; demand for
obstetric and related services by Non-eligible Persons; consultancy study
on enhancing operating theatre efficiency; surgical instrument sterilisation
service review; credentialing in the HA; specialty training of nurses; guidelines
on resuscitation; and the patient service and care risks and the proposed risk
reduction plans for 2013.
The Committee also received progress reports of various clinical programmes,
including the Community Health Call Centre; development of Chinese
Medicine under the tripartite arrangement; development of Tin Shui Wai (Tin
Yip Road) Community Health Centre; and progress of the various public-private
partnership service programmes.
163
醫院管理局年報
2012-2013