Building Trust Challenges and Obstacles Mr Michael Lai

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

Population of aged over 65 • • 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 資料來源：香港政府統計處香港人口推算 1999 -2029 (19. 8%)

Hong Kong： 2000年 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 Female 400 300 200 100 0 0 100 Population (‘ 000) 資料來源：香港政府統計處香港人口推算 1999 -2029 Male 200 300 400

Hong Kong : 2029年 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 Female 400 300 200 100 0 0(‘ 000) 100 Population 資料來源：香港政府統計處香港人口推算 1999 -2029 Male 200 300 400

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

The society is becoming older and more frail

Frail Elders Home Institution Hospital Collaboration NGOs

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

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

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

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

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 projects

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)

Thank you