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Building Trust: Challenges and Obstacles

Building Trust: Challenges and Obstacles. Mr. Michael Lai Chief Executive Officer St. James’ Settlement. An Experience: Collaboration in Elderly Services. St. James’ Settlement an illustration. The Ageing Population. 資料來源：香港政府統計處香港人口推算 1999-2029. 1971 年 182 ,300 (4.5 %)

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Building Trust: Challenges and Obstacles

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  1. Building Trust: Challenges and Obstacles Mr. Michael Lai Chief Executive Officer St. James’ Settlement

  2. An Experience: Collaboration in Elderly Services St. James’ Settlement an illustration

  3. The Ageing Population 資料來源：香港政府統計處香港人口推算1999-2029

  4. 1971年 182,300 (4.5 %) 1981年 344,300 (6.6 %) 1991年 502,400 (8.7 %) 2000年 759,200 (11.2%) 2021年 1,322,500 (15.7%) 2029年 1,792,000 (19.8%) Population of aged over 65 資料來源：香港政府統計處香港人口推算1999-2029

  5. 85+ 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 24-29 20-24 15-19 10-14 5-9 0-4 400 300 200 100 0 0 100 200 300 400 Hong Kong：2000年 Male Female Population (‘000) 資料來源：香港政府統計處香港人口推算1999-2029

  6. 85+ 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 24-29 20-24 15-19 10-14 5-9 0-4 400 300 200 100 0 0 100 200 300 400 Hong Kong : 2029年 Male Female Population (‘000) 資料來源：香港政府統計處香港人口推算1999-2029

  7. Chronic Disease • Aged over 65: • 75% • Aged 45-64: • 45% with 1 or more than 1 chronic disease 資料來源： 生福利局2000年長者及中年人之生活、健康及經濟狀況統計調查

  8. The society is becoming older and more frail

  9. Frail Elders Home Institution Hospital Collaboration NGOs

  10. Purpose of Collaboration • To fill the gap and meet the need (aging population) • Service enhancement • Quality improvement • Expertise sharing and building • $ saving: to do more with less money • Synergy: 1 + 1 > 2

  11. SJS-HA Collaboration • A multi-service NGO that HQ situated in Wanchai • Serve the community in HK East and HK West • Joined the HKEC Elderly Service Liaison Committee in 2000 and participated in 10 projects of elderly services • Joined similar platform in HKWC and is now participating in 4 projects of elderly services • Beneficiaries and targets include the elders with mild to moderate impairment, the carers, discharged patients, volunteers, youth, community people etc

  12. Other collaboration projects • For other target groups include: • Referral of adolescent and youth from SSW to Department of Paediatrics and Adolescent Medicine, PYNEC • Projects with  QMH  U Psy U  on  Psycho-geriatric Service and Child & Adolescent Mental Health Service • Weight control and dietetic programme for children and adolescent with HKEC

  13. Types of collaboration • (A) Joint services- for the same clients • (B) Extension of services to community • (C) Service Promotion and Referral • (D) Health Promotion and Prevention • (E) Training and Expertise Sharing

  14. Success factors • From “Policy” to “Practice” • Well-defined structure for integration and governance • Communication and collaboration platform • Facilitator- e.g. PRC • Excellent partners- HA and NGOs • Trust built through many years • Feasible and win-win-win projects

  15. Challenges • Resources limitations • Sustainability of projects • Patient information exchange • Communication and mutual trust • Engagement of GPs and community partners • Long-term holistic planning by HA, SWD and HWFB • Strategic direction and leadership • Outcome measurement (on NGO side)

  16. Thank you

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