re-engineering community support services for elders

Re-engineering Re-engineering Community Support Community Support

ServicesServicesfor Eldersfor Elders

Mrs Carrie LamDirector of Social Welfare

28 August 2002

22

PurposePurpose

• To introduce the Re-engineering To introduce the Re-engineering Framework and Working ParametersFramework and Working Parameters

• To invite eligible NGOs to participate To invite eligible NGOs to participate in the Re-engineeringin the Re-engineering

• To appeal to NGOs for understanding To appeal to NGOs for understanding and support to make the Re-and support to make the Re-engineering a success despite the engineering a success despite the constraintsconstraints

33

BackgroundBackgroundCommunity Support Services for EldersCommunity Support Services for Elders

Centre-basedCentre-based Home-basedHome-basedOct 2000 HKU Centre on Ageing HKU Centre on Ageing

Consultancy Study on Review of Consultancy Study on Review of Community Support Services for Community Support Services for EldersElders

Revamp new Home Help Teams Revamp new Home Help Teams into Home Care and Meal into Home Care and Meal Service ContractsService Contracts

1999-2000

April-May 2001

Endorsement of Consultancy Endorsement of Consultancy Recommendations by Elderly Recommendations by Elderly Commission and LegCo Welfare Commission and LegCo Welfare PanelPanel

Introduction of Enhanced Home Introduction of Enhanced Home and Community Care Servicesand Community Care Services

April 2001

2001-02 onwards

Implementation of the Implementation of the integrated mode in integrated mode in newnew elderly elderly projects (NEC, DECC, mini-D/E, projects (NEC, DECC, mini-D/E, etc.)etc.)

Announce intention to upgrade Announce intention to upgrade half of 139 existing Home Help half of 139 existing Home Help TeamsTeams

Oct 2001

13 June 2002 Endorsement of Re-engineering Proposals in respect of centre-Endorsement of Re-engineering Proposals in respect of centre-based and home-based services by Elderly Commissionbased and home-based services by Elderly Commission

25 June 2002 Briefing of NGOs on Re-engineering ProposalsBriefing of NGOs on Re-engineering Proposals

8 July 2002 Endorsement of Re-engineering Proposals by LegCo Welfare PanelEndorsement of Re-engineering Proposals by LegCo Welfare Panel

July-August 2002

Detailed consultation with NGOs on parametersDetailed consultation with NGOs on parameters

Specifications on Re-engineering Community Support Services for Specifications on Re-engineering Community Support Services for EldersElders

44

A SWOT Analysis in Support A SWOT Analysis in Support of the Re-engineeringof the Re-engineeringStrengthStrength

• Policy consensus emerging from the 2000 Policy consensus emerging from the 2000 Consultancy StudyConsultancy Study

• High level endorsement, namelyHigh level endorsement, namely

Elderly CommissionElderly Commission and and LegCo Welfare PanelLegCo Welfare Panel

• An environment more conducive to changeAn environment more conducive to change

– LSG becoming mainstream subventionLSG becoming mainstream subvention

– Enhanced DSWO role in district planning and co-Enhanced DSWO role in district planning and co-ordinationordination

55

A SWOT Analysis in Support A SWOT Analysis in Support of the Re-engineering of the Re-engineering (cont’d)(cont’d)

StrengthStrength (cont’d)(cont’d)

• An environment more conducive to change An environment more conducive to change (cont’d)(cont’d)

– Fiscal stringency pushing greater drive for Fiscal stringency pushing greater drive for cost-effectivenesscost-effectiveness

– Service rationalisation and integration in Service rationalisation and integration in family and youth servicesfamily and youth services

• Successful experience gained through the 15 Successful experience gained through the 15 new integrated projects with 35 NGOs taking new integrated projects with 35 NGOs taking part in the quality-based allocation processpart in the quality-based allocation process

66


WeaknessWeakness• Fiscal stringency – no earmarked additional Fiscal stringency – no earmarked additional

funding dedicated to re-engineeringfunding dedicated to re-engineering

• Adverse employment situation, hence greater Adverse employment situation, hence greater need to safeguard jobs and honour obligations need to safeguard jobs and honour obligations to existing staffto existing staff

• Adverse emotional reactions from end users - Adverse emotional reactions from end users - the elders – if not managed carefullythe elders – if not managed carefully

• A very complicated scene and heterogeneous A very complicated scene and heterogeneous group of operators – big and small NGOs which group of operators – big and small NGOs which affect their capability to re-engineer (81 NGOs affect their capability to re-engineer (81 NGOs operating 35 M/Es and 213 S/Es)operating 35 M/Es and 213 S/Es)

77


OpportunityOpportunity

• Putting in effect the desired integrated Putting in effect the desired integrated service mode on a much larger scaleservice mode on a much larger scale

• Addressing problems in the existing Addressing problems in the existing system as highlighted in Consultancy system as highlighted in Consultancy StudyStudy

• Laying a service infrastructure to meet Laying a service infrastructure to meet growing and changing needs of elder – growing and changing needs of elder – current generation and nextcurrent generation and next

88


OpportunitOpportunity y (cont’d)(cont’d)

• Creating room for further service Creating room for further service integration beyond elderly welfare integration beyond elderly welfare services e.g. between elderly and services e.g. between elderly and family, between health and welfarefamily, between health and welfare

• Opening up opportunity for greater use Opening up opportunity for greater use of information technologyof information technology

• Demonstrating further collaboration and Demonstrating further collaboration and partnership between SWD and NGOspartnership between SWD and NGOs

99


ThreatThreat

• Community Chest’s funding reduction Community Chest’s funding reduction would directly hamper the continued would directly hamper the continued operation of some M/Es and S/Esoperation of some M/Es and S/Es

• Inability to meet challenges from an Inability to meet challenges from an ageing populationageing population

1010

Guiding Principles Adopted by Guiding Principles Adopted by SWD in Developing the Re-SWD in Developing the Re-engineering Parametersengineering Parameters• Simplicity, clarity and certaintySimplicity, clarity and certainty

• Participation is entirely voluntaryParticipation is entirely voluntary

• Bottom-up, instead of top-downBottom-up, instead of top-down

• Focus on district and service user needs, Focus on district and service user needs, no disruption to existing service users as no disruption to existing service users as far as possiblefar as possible

• Driven by co-operation and mutual Driven by co-operation and mutual understanding, rather than competitionunderstanding, rather than competition

• No staff redundancyNo staff redundancy

1111

General Parameters forGeneral Parameters forthe Re-engineeringthe Re-engineering• No price bidding and minimal competition No price bidding and minimal competition

amongst NGOsamongst NGOs

• In-situ expansion and/or upgrading of In-situ expansion and/or upgrading of servicesservices

• Subvention and not time-defined Subvention and not time-defined

• Eligibility:Eligibility:

NGOs opted/will opt for LSG in 2003-04;NGOs opted/will opt for LSG in 2003-04;

open to Chest and non-Chest members;open to Chest and non-Chest members;

small NGOs to form consortium under one small NGOs to form consortium under one principal agencyprincipal agency

1212

• Quality proposal: to demonstrate the Quality proposal: to demonstrate the agency’s vision, synergy of resources and agency’s vision, synergy of resources and value-added services. No vigorous vetting value-added services. No vigorous vetting of proposalof proposal

• No moving goal posts: service details, No moving goal posts: service details, output and outcome indicators and output and outcome indicators and funding level follow closely to those new funding level follow closely to those new integrated elderly projects commissionedintegrated elderly projects commissioned

• NGOs are expected to take care of their NGOs are expected to take care of their respective catchment needs as far as respective catchment needs as far as possiblepossible

General Parameters General Parameters (cont’d)(cont’d)

1313

Scope of Re-engineeringScope of Re-engineering

Centre-basedCentre-based

• Multi-service Centres for the Elderly (M/EMulti-service Centres for the Elderly (M/Es) to District Elderly Community Centres s) to District Elderly Community Centres (DECCs)(DECCs)

• Social Centres for the Elderly (S/Es) to NSocial Centres for the Elderly (S/Es) to Neighbourhood Elderly Centres (NECs)eighbourhood Elderly Centres (NECs)

1414

Scope of Re-engineering Scope of Re-engineering (cont’d)(cont’d)

Home-basedHome-based

• Home Help (HH), Home Care (HC) & Home Help (HH), Home Care (HC) & Meal Teams (MT) to Integrated Home Meal Teams (MT) to Integrated Home Care Services Teams (IHCSTs)Care Services Teams (IHCSTs)

– upgraded to take care of elders of moderate to upgraded to take care of elders of moderate to severe level of impairment (frail cases)severe level of impairment (frail cases)

– expanded to serve more elders withexpanded to serve more elders with no to mild impairment (ordinary cases)no to mild impairment (ordinary cases)

– existing HC and MS teams will beexisting HC and MS teams will be disbanded upon contract expiry bydisbanded upon contract expiry by end March 2003end March 2003

1515

Philosophy and ValuesPhilosophy and Values• Community-based integrated servicesCommunity-based integrated services

• Partnership and co-operationPartnership and co-operation

• Caring communityCaring community

• Healthy ageing and empowermentHealthy ageing and empowerment

• Family responsibilityFamily responsibility

• Client-focused careClient-focused care

• InnovationInnovation

• Effectiveness and efficiencyEffectiveness and efficiency

1616

I.I. Re-engineering of Re-engineering of Centre-based Centre-based ServicesServices

1717

Objective of DECC and NECObjective of DECC and NEC

• DECCDECC: Provides a full range of efficient : Provides a full range of efficient and quality support services in in and quality support services in in integrated manner to healthy, integrated manner to healthy, vulnerable and frail elders living in the vulnerable and frail elders living in the community and family carers. community and family carers.

• NECNEC: Serves as a neighbourhood base : Serves as a neighbourhood base for community network of informal for community network of informal support and formal social services support and formal social services provided to the elders and the provided to the elders and the community at large.community at large.

1818

Costing and parametersCosting and parameters• Reference cost– (by referring to Shan Reference cost– (by referring to Shan

King DECC, Fu Tai NEC & Tin Yuet NEC)King DECC, Fu Tai NEC & Tin Yuet NEC)

DECC: DECC: $3.50 Mn$3.50 Mn

NEC :NEC : $1.18 Mn $1.18 Mn

• Existing subventions– Existing subventions–

M/E : M/E : $2.91 Mn$2.91 Mn

S/E : S/E : $0.72 Mn$0.72 Mn

1919

Cost of TransformationCost of Transformation• M/E to DECC: M/E to DECC: $0.59 Mn$0.59 Mn ($3.50 Mn - $2.91 Mn) ($3.50 Mn - $2.91 Mn)

• S/E to NEC: S/E to NEC: $0.46 Mn$0.46 Mn ($1.18 Mn - $0.72 Mn) ($1.18 Mn - $0.72 Mn)

• The cost will be met by:The cost will be met by:– pooling of existing subventions by NGOs pooling of existing subventions by NGOs

through rationalisation/closure of existing through rationalisation/closure of existing S/Es or deletion of posts in other elderly day S/Es or deletion of posts in other elderly day services with good justification; andservices with good justification; and

– additional resources injected from SWDadditional resources injected from SWD

2020

Transformation Formula (on Transformation Formula (on an agency basis)an agency basis)Total cost for transformation Total cost for transformation (no. of M/Es and S/Es to be (no. of M/Es and S/Es to be transformed) =transformed) =

XX

Total savings secured through Total savings secured through service rationalisation (no. of service rationalisation (no. of S/Es to be closed and other S/Es to be closed and other subvention resources to be subvention resources to be pooled) =pooled) =

YY

New resourcesNew resourcesto be injected by SWD to be injected by SWD (X – Y)(X – Y) = = ZZ

2121

Prescribed Minimum Prescribed Minimum Requirement of Pooled Requirement of Pooled Resources for Resources for TransformationTransformation$ 0.18 million$ 0.18 million for each S/E to NEC and M/E to for each S/E to NEC and M/E to

DECC transformationDECC transformation

This may come from:This may come from:

•closure of S/E ($0.72 million per centre, closure of S/E ($0.72 million per centre, partial savings not acceptable)partial savings not acceptable)

• rationalisation/EPP in other elderly rationalisation/EPP in other elderly community services (partial savings in community services (partial savings in terms of subvented posts acceptable, to be terms of subvented posts acceptable, to be calculated on LSG basis, i.e. salary mid-calculated on LSG basis, i.e. salary mid-point + 6.8% PF)point + 6.8% PF)

2222

Upon transformationUpon transformation

DECCDECC

NECNEC

Provision to meet PF requirement and Provision to meet PF requirement and TOG of “snapshot” staff will likewise be TOG of “snapshot” staff will likewise be granted on 100% basisgranted on 100% basis

Consequential Consequential ArrangementsArrangements

100% subvented

2323

Alternative Usage of the Closed Alternative Usage of the Closed CentreCentre

• Return to the landlord (SWD, GPA, HD)Return to the landlord (SWD, GPA, HD)

• NGOs are welcome to operate elderly-relNGOs are welcome to operate elderly-related services at no cost to SWDated services at no cost to SWD

• Subject to proven need, SWD is prepared Subject to proven need, SWD is prepared to meet the rent and rates of the premiseto meet the rent and rates of the premisess

• Priority will be given to usages that promPriority will be given to usages that promote self-help and organisations by elders ote self-help and organisations by elders themselvesthemselves

2424

Analysis of NGOs Operating S/EsAnalysis of NGOs Operating S/Es79 NGOs

(213 S/Es)

71 LSG

(198 S/Es)

8 non-LSG

(15 S/Es)

16 operate M/E and S/E

(80 S/Es)

55 operate only S/E

(118 S/Es)

5 non-Chest member

(9 S/Es)

3 Chest member

(6 S/Es)

26 operating

>1 S/E

(89 S/Es)

29 operating only 1 S/E

(29 S/Es)

17 non-Chest member

(17 S/Es)

12 Chest member

(12 S/Es)

2525

Assistance to Small NGOsAssistance to Small NGOs• For single-service NGOs operating S/E For single-service NGOs operating S/E

only who are Chest members and only who are Chest members and unable to pool resources to join the re-unable to pool resources to join the re-engineering exercise, SWD wouldengineering exercise, SWD would

– Revert to the Chest for possible Revert to the Chest for possible assistanceassistance

– In case of failing a positive response from In case of failing a positive response from Chest, may consider picking up the 20% Chest, may consider picking up the 20% funding deficit for such S/Es to stay put as funding deficit for such S/Es to stay put as S/Es.S/Es.

2626

II.II. Re-engineering of Re-engineering of Home-based Home-based ServicesServices

2727

ObjectivesObjectives• The upgraded home help teams will be renaThe upgraded home help teams will be rena

med as “Integrated Home Care Services Temed as “Integrated Home Care Services Teams” (ams” ( 綜合家居照顧服務隊綜合家居照顧服務隊 ))

• They should enable individuals, including elThey should enable individuals, including elders, disabled and needy families toders, disabled and needy families to– Stay in the communityStay in the community– Achieve and maintain an optimal level of functioAchieve and maintain an optimal level of functio

ning and independencening and independence– Acquire the necessary skills to adapt to changinAcquire the necessary skills to adapt to changin

g health statusg health status

2828

• Service operators are expected to Service operators are expected to meet increasing demand within meet increasing demand within existing resources as far as possible existing resources as far as possible (as in the case of HHT at present (as in the case of HHT at present serving an average of over 110 cases serving an average of over 110 cases as opposed to 60 in the FSA)as opposed to 60 in the FSA)

• We welcome agencies’ innovation in We welcome agencies’ innovation in further re-engineering their respective further re-engineering their respective upgraded teams on a district basisupgraded teams on a district basis

Objectives Objectives (cont’d)(cont’d)

2929

Catchment Area & Allocation of Catchment Area & Allocation of Additional Cases and Additional Cases and Resources (1)Resources (1)• 9 districts with HC and MS (25 teams):9 districts with HC and MS (25 teams):

– Islands (1 team)Islands (1 team)– Southern (2 teams)Southern (2 teams)– Sham Shui Po & Kowloon City (4 teams)Sham Shui Po & Kowloon City (4 teams)– Kwun Tong & Sai Kung (4 teams)Kwun Tong & Sai Kung (4 teams)– Wong Tai Sin (3 teams)Wong Tai Sin (3 teams)– Kwai Tsing & Tsuen Wan (4 teams)Kwai Tsing & Tsuen Wan (4 teams)– Yuen Long (2 teams)Yuen Long (2 teams)– Tai Po & North (2 teams)Tai Po & North (2 teams)– Sha Tin (3 teams)Sha Tin (3 teams)

3030

• Service Operators will take up cases Service Operators will take up cases

now served by HC and MT contracts now served by HC and MT contracts

through:through:

(a) upgrading: to serve cases suffering (a) upgrading: to serve cases suffering

from moderate to severe level of from moderate to severe level of

impairment or disability (frail cases);impairment or disability (frail cases);

(b) in-situ expansion: to serve cases from (b) in-situ expansion: to serve cases from

no to mild level of impairment or no to mild level of impairment or

disability (ordinary cases)disability (ordinary cases)

Catchment Area & Allocation of Catchment Area & Allocation of Additional Cases and Additional Cases and Resources (2)Resources (2)

3131

• Allocation of cases will be made on Allocation of cases will be made on an agency basis and district basisan agency basis and district basis

• Allocation of frail cases will be made Allocation of frail cases will be made on blocks of ten places eachon blocks of ten places each

• Allocation of ordinary cases will be Allocation of ordinary cases will be made with reference to the made with reference to the proportion of frail cases taken up by proportion of frail cases taken up by each agency within the districteach agency within the district


3232

• Maximum cases to be allocated within Maximum cases to be allocated within

each district is pre-set taking account each district is pre-set taking account

of resource availability and projected of resource availability and projected

number of cases served by existing number of cases served by existing

HC and MT contractorsHC and MT contractors


3333

For Districts without HCTs & For Districts without HCTs & MTsMTs• 4 districts without HCTs & MTs4 districts without HCTs & MTs

– Central & WesternCentral & Western– Eastern & Wan ChaiEastern & Wan Chai– Yau Tsim MongYau Tsim Mong– Tuen MunTuen Mun

• Allocation on basis of 5 districts (Eastern Allocation on basis of 5 districts (Eastern and Wan Chai as two separate districts)and Wan Chai as two separate districts)

• Only frail cases to be allocated. AllocatiOnly frail cases to be allocated. Allocation of cases similar, i.e. on an agency and on of cases similar, i.e. on an agency and district basisdistrict basis

3434

Admission into Service Admission into Service

• For elderly cases at moderate and severe For elderly cases at moderate and severe level of impairment/disability, service users level of impairment/disability, service users referred to Operators in accordance with the referred to Operators in accordance with the 18 District Council districts by SCNAMO(ES)s18 District Council districts by SCNAMO(ES)s

• For ordinary cases, existing HC and MT For ordinary cases, existing HC and MT service users referred to Operators according service users referred to Operators according to service boundaries of HCTs & MTs. to service boundaries of HCTs & MTs. Operators may directly admit new usersOperators may directly admit new users

• Re-defining the service boundaries may be Re-defining the service boundaries may be required in consultation with DSWOs to allow required in consultation with DSWOs to allow flexibilityflexibility

3535

Cost ProvisionCost Provision

•Unit cost for cases of moderate or Unit cost for cases of moderate or severe level of impairment/disability: severe level of impairment/disability: $3,382$3,382 per month per month

•Unit cost for ordinary cases: Unit cost for ordinary cases: $500$500 per monthper month

Hypothetical Re-engineering Hypothetical Re-engineering Plan (1)Plan (1)

Existing service provisionExisting service provision

•Agency currently operates 4 M/Es, 8 S/Es Agency currently operates 4 M/Es, 8 S/Es and 8 HHTs in the following 6 districtsand 8 HHTs in the following 6 districts

DistrictDistrict M/EM/E S/ES/E HHTHHT

11 Eastern Eastern 22 22 55

22 Kwai TsingKwai Tsing 11 22 22

33 Tsuen WanTsuen Wan 11 11 11

44 Kwun TongKwun Tong 11

55 Sai Kung (including Sai Kung (including Tseung Kwan O)Tseung Kwan O)

11

66 Sha TinSha Tin 11

TotalTotal 44 88 88

3737

Centre-based service (1)Centre-based service (1)

The 3 S/Es in Kwun Tong, Sai Kung The 3 S/Es in Kwun Tong, Sai Kung and Sha Tin districts will be closed and Sha Tin districts will be closed having regard to adequate coverage having regard to adequate coverage by other NGOs in the district.by other NGOs in the district.

All the 4 M/Es and the remaining 5 All the 4 M/Es and the remaining 5 S/Es will be upgraded to DECCs and S/Es will be upgraded to DECCs and NECs respectively.NECs respectively.


3838

DescriptionDescription FundingFunding RemarksRemarks

(A(A))

Total cost for Total cost for transforming 4 M/Es to transforming 4 M/Es to 4 DECCs and 5 S/Es to 4 DECCs and 5 S/Es to 5 NECs (A): 5 NECs (A):

$4.66 Mn$4.66 Mn i.e. (0.59 Mn x 4 i.e. (0.59 Mn x 4 DECCs to be DECCs to be formed) + (0.46 formed) + (0.46 Mn x 5 NECs to be Mn x 5 NECs to be formed) formed)

(B(B))

Total recurrent Total recurrent resources pooled from resources pooled from service rationalisation service rationalisation (B):(B):

$2.16 Mn$2.16 Mn -Recurrent -Recurrent subvention to each subvention to each S/E is $0.72 Mn.S/E is $0.72 Mn.-can meet -can meet prescribed prescribed minimum minimum requirement of requirement of $1.62 Mn ($0.18 $1.62 Mn ($0.18 Mn x 9)Mn x 9)

(C(C))

Top-up funding from Top-up funding from SWD (C) :SWD (C) :

$2.5 Mn$2.5 Mn((i.e.$4.66 Mn- i.e.$4.66 Mn-

$2.16 Mn$2.16 Mn))

(C) = (A) – (B) for (C) = (A) – (B) for upgrading 4 M/Es upgrading 4 M/Es to DECCs and 5 to DECCs and 5 S/Es to NECsS/Es to NECs

Centre-based service (2)Centre-based service (2)


3939

Home-based service (1)Home-based service (1) Agency proposes to upgrade all its 8 HHTs in Agency proposes to upgrade all its 8 HHTs in

Eastern, Kwai Tsing and Tsuen Wan districts to Eastern, Kwai Tsing and Tsuen Wan districts to IHCSTs.IHCSTs.

Agency applies for a total of 80 frail cases in these Agency applies for a total of 80 frail cases in these districts:districts:

DistrictDistrict

No. of cases of moderate to No. of cases of moderate to severe impairment/disability severe impairment/disability

level to be available for level to be available for allocation in the districtallocation in the district

Agency’s Agency’s applicatioapplicatio

nn

EasternEastern(without HC & (without HC & MT)MT)

8080 5050

Kwai TsingKwai Tsing(with HC & MT)(with HC & MT) 9090 2020Tsuen WanTsuen Wan(with HC & MT)(with HC & MT) 4040 1010


4040

DistrictDistrict Frail CasesFrail Cases Ordinary Ordinary CasesCases

Additional resources per Additional resources per yearyear

EasternEastern 5050 NilNil $2.03 Mn$2.03 Mn($3 382 x 50 + $500 x 0)x ($3 382 x 50 + $500 x 0)x 1212

Kwai Kwai TsingTsing

2020 3838 $1.04 Mn$1.04 Mn($3 382 x 20 + $500 x 38)x 12($3 382 x 20 + $500 x 38)x 12

Tsuen Tsuen WanWan

1010 1313 $0.48 Mn$0.48 Mn($3 382 x 10 + $500 x 13)x 12($3 382 x 10 + $500 x 13)x 12

Total:Total: $3.55 Mn$3.55 Mn

Assuming the Agency’s application is fully Assuming the Agency’s application is fully accepted, allocation of cases and additional accepted, allocation of cases and additional resources to the Agency will be:resources to the Agency will be:


4141

Summary of Agency’s outcome of re-engineeringSummary of Agency’s outcome of re-engineering::

• Operates 4 DECCs in three districts supported by Operates 4 DECCs in three districts supported by Agency’s own NECs (5) and other NGOs’ NECs in the Agency’s own NECs (5) and other NGOs’ NECs in the districtdistrict

• Upgrade all 8 HHTs into IHCSTs serving ordinary and Upgrade all 8 HHTs into IHCSTs serving ordinary and frail casesfrail cases

• Receive total additional subvention of $5.71 million a Receive total additional subvention of $5.71 million a year ($2.16 Mn + $3.55 Mn under HHT upgrading)year ($2.16 Mn + $3.55 Mn under HHT upgrading)

• Propose to retain/swap S/E vacant premises to set up Propose to retain/swap S/E vacant premises to set up sub-base or elderly-related services on self-financing sub-base or elderly-related services on self-financing basis in the relevant district(s)basis in the relevant district(s)

• Ensure no staff redundancyEnsure no staff redundancy

• No longer requires to rely on Chest or raise fund to No longer requires to rely on Chest or raise fund to meet funding gaps in respect of its M/Es and S/Esmeet funding gaps in respect of its M/Es and S/Es


4242

Other Government offices:

Housing Dept., Police, Social Security Field Units

Residential care services for elders:

RCHE, respite, dementia services

Home-based services for elders:

Home Help Teams, Integrated Home Care Service Teams, Enhanced Home and Community Care Services

Medical and health services:

Elderly Health Centres, hospitals and clinics

Specialised services:

Elder abuse prevention, elder suicide prevention

Educational bodies:

lifelong learning institutes

DECC

　 NEC

　 NEC

　 NEC

　 NEC

　 NEC　 NEC

New Scene Achieved throughNew Scene Achieved throughRe-engineeringRe-engineering

4343

NECDE

NECIHCS

HHNEC

NECHH

Sub-district Coordination



NECNEC

NECNEC

NECIHCS

A New District-based Planning A New District-based Planning Mechanism Achieved throughMechanism Achieved throughRe-engineeringRe-engineering

District Social Welfare Office

IHCS

District Planning

DECC DECCDECC

NECDENEC

4444

Implementation Schedule Implementation Schedule (1)(1)28 August 200228 August 2002 Full briefing to NGOs Full briefing to NGOs

concernedconcerned

Sept – mid Nov Sept – mid Nov 20022002

NGOs in consultation with NGOs in consultation with DSWOs in preparing theDSWOs in preparing there-engineering proposalsre-engineering proposals

15 Nov 200215 Nov 2002 NGOs to submit proposals to NGOs to submit proposals to DSWOsDSWOs

mid Nov – Dec mid Nov – Dec 20022002

Vetting of proposals by SWDVetting of proposals by SWD

4545

Implementation Schedule Implementation Schedule (2)(2)January 2003January 2003 Announcement of resultsAnnouncement of resultsFeb/ Mar 2003Feb/ Mar 2003 Commencement of Commencement of

re-engineering of services by re-engineering of services by phases; transitional phases; transitional arrangementarrangement

April 2003April 2003 Full commencement of new serFull commencement of new service provision by IHCSTsvice provision by IHCSTs

April 2003 April 2003 onwardsonwards

Gradual transformation of Gradual transformation of M/Es into DECCs and S/Es M/Es into DECCs and S/Es into NECsinto NECs

4646

Thank youThank you

re-engineering community support services for elders

Documents

reengineering proposals8

reengineering framework

reengineeringto appeal

elderly welfare services

eldersa swot analysis

nexta swot analysis

ngosa swot analysis

sesa swot analysis