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- Integrated Support Service for Persons with Severe Physical Disabilities (ISS)


Integrated Support Service for Persons with Severe Physical Disabilities

Background
Service Objectives
Eligibility Criteria
Programme Content
Application Channels
Application Procedures (For Cash Subsidy Only)
Vetting of Applications and Payment of the Subsidy (For Cash Subsidy Only)
Responsibilities of the Applicant / Guardian / Appointee (For Cash Subsidy Only)
Service Operators
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Background
To fully address the needs of persons with severe physical disabilities and give them targeted support, the Social Welfare Department implements the Integrated Support Service for Persons with Severe Physical Disabilities (ISS) and regularises the two assistance programmes under Community Care Fund (CCF), namely “Provision of Special Subsidy to Persons with Severe Physical Disabilities for Renting Respiratory Support Medical Equipment” and “Provision of Special Subsidy to Persons with Severe Physical Disabilities for Purchasing Medical Consumables Related to Respiratory Support Medical Equipment” with effect from 1 November 2014.  The ISS renders support to persons with severe physical disabilities who need constant attention and care by relieving them of the burden of medical equipment and medical consumables, and enable them to continue living in their familiar community.
   
Service Objectives
To strengthen support services for persons with severe physical disabilities to prepare for their discharge from hospital and follow up with integrated home-based services with a view to facilitating their full integration into the community;
To provide a special subsidy for renting Respiratory Support Medical Equipment (RSME) and purchasing medical consumables; and
To strengthen support for their family members / carers and alleviate their stress.
   
Eligibility Criteria
Cash Subsidy
(a) Respiratory Support Medical Equipment (RSME) dependents1 (Please refer to the Service Brief for details) ; and
(b) Renting RSME listed in Annex 1 (Please download the Service Brief for Annex 1) and/or using medical consumables listed in Annex 2 (Please download the Service Brief for Annex 2); and
(c) The monthly household income shall not exceed the income limit which is equivalent to 150% of the Median Monthly Domestic Household Income (MMDHI) of corresponding household size published in the most updated “Quarterly Report on General Household Survey” by the Census & Statistics Department at the time of application; and
(d) The family’s asset shall not exceed the asset limit for public rental housing applications under the Housing Authority.  The asset limit prescribed for public housing applications under the Housing Authority at the time of application shall prevail; and
(e) Without receiving any relevant subsidy for the RSME / medical consumables from other funding sources2 (Please refer to the Service Brief for details).
  AND
(f) Living in the community and receiving Higher Disability Allowance (HDA) under the Social Security Allowance (SSA) Scheme; or
(g) Those being hospitalised but with a definitive discharge plan, and having the need to rent or having started renting the RSME listed in Annex 1 (Please download the Service Brief for Annex 1) and/or purchased medical consumables listed in Annex 2 (Please download the Service Brief for Annex 2) yet without receiving any relevant assistance, and whose level of disability as assessed by medical doctors of public hospitals / clinics are equivalent to that for receiving HDA under the SSA Scheme; or
(h) RSME dependents who had received HDA under the SSA Scheme, but converted to receive Normal Disability Allowance (NDA) because they turned to receiving care in residential institutions subsidised by the Government (including subsidised places in subvented / contract homes and residential care homes under various bought place schemes) or any public hospital or institution under the Hospital Authority, or boarding in a special school under the Education Bureau and still have to rent or have started renting the RSME listed in Annex 1 (Please download the Service Brief for Annex 1) and/or purchased medical consumables listed in Annex 2 (Please download the Service Brief for Annex 2).
   
Integrated Home-based Support Service
(a) Persons with severe physical disabilities requiring RSME and constant attendance, and living in the community (irrespective of whether they are entitled to the cash subsidy specified above); or
(b) Tetraplegia patients living in the community; or
(c) Persons with severe physical disabilities who are assessed by the Physiotherapist / Occupational Therapist to have rehabilitation / care needs comparable to tetraplegic patients; or
(d) Persons with physical disabilities who are assessed to be eligible for the service in accordance with the Assessment Tool for Home Care Service for Persons with Severe Disabilities3; or
(e) For service users of (a), (b), (c) and (d) above taking accommodation in residential institutions subsidised by the Government or any public hospitals and institutions under the Hospital Authority, or boarding in special schools, services will only be provided during the period when they stay at home during home leave; or
(f) For service users of (a), (b), (c) and (d) above living in self-financing homes for persons with disabilities, personal care, escort, transportation and home respite services would not be arranged as these services would have been provided by the home operators as a regular service for service users.
   
Programme Content
Cash Subsidy
Provision of assistance programmes for Respiratory Support Medical Equipment dependents:
  1. Special Subsidy for Renting Respiratory Support Medical Equipment
  2. Special Subsidy for Purchasing Medical Consumables
Subsidy level for the two programmes is both capped at $2,500 per month, relevant financial assessment on applicants’ income and assets are required.
     
Integrated Home-based Support Service
Case Management Service
Pre-discharge Support Services
Post-discharge Home-based Professional Support Services
  (i) Nursing care
  (ii) Rehabilitation training4
  (iii) Personal care service
  (iv) Escort service
  (v) Carer support service
  (vi) Home respite service
  (vii) Social work service
  (viii) Transportation service
  (ix) Out-of-office hour emergency support
  (x) Meal service (To be coordinated by case managers based on service users’ need.  Meal fee to be paid by service users.)
     
  [Persons with severe physical disabilities over the age of 60 can opt for (1) Home Care Service for Persons with Severe Disabilities / Integrated Support Service for Persons with Severe Physical Disabilities or (2) services for the elderly including Integrated Home Care Services / Enhanced Home and Community Care Services / Day Care Centre / Unit for the Elderly / Community Care Service Voucher for the Elderly if the applicant is assessed to be eligible for the service.  The applicant cannot receive both kinds of services at the same time.  For the applicant with severe physical disabilities under the age of 60, he/she can only choose Home Care Service for Persons with Severe Disabilities or Integrated Support Service for Persons with Severe Physical Disabilities depending on their eligibility for the respective service.  To avoid service duplication, applicant / guardian / appointee is required to make a declaration for the service operator of not using similar services of other subvented non-government organisations during service application, and gives consent for the service operator to confirm information with relevant agencies.]
 
Fee and charges
Category of services Fee charging
(I) Basic Package of Services $1,002
(monthly ceiling charges)
Services under the Basic Package:
 Personal care $33 per hour
 Escort service $33 per hour
 Home respite service $33 per hour
 Rehabilitation training $33 per hour
 Nursing care (provided by health worker) $33 per session*
 Home visit by Occupational Therapist / Physiotherapist / Speech Therapist $52 per session*
 Home visit by Nurse $43 per session*
(II) Other Service
 Transportation service

$10 per trip
  * Each session lasts at least 45 minutes
       
Application Channels
Persons eligible for the service can either approach the Service Operator or apply for the service through their social workers.  The application is free of charge.
 
Application Procedures (For Cash Subsidy Only)
Persons who meet the eligibility criteria can apply for the subsidy.  If an applicant is aged below 18 or has been medically certified to be unfit to make a statement, the application should be made by the guardian / appointee currently approved by SWD to receive NDA / HDA under the SSA Scheme on his/her behalf.  Applicants / guardians / appointees are required to submit the completed application forms together with all necessary documents set out below by post or by hand to the Service Operator according to the residential address of the applicant.
         
Vetting of Applications and Payment of the Subsidy (For Cash Subsidy Only)
The assistance programmes under the ISS operate on household-based applications with specified income and asset limits for different household sizes.  The Service Operator will determine the rate of subsidy an eligible individual is entitled to for the whole period based on the monthly household income at the time of application.  The subsidy level of the two assistance programmes are both capped at $2,500 per month.
  - Income limit: set with reference to 150% of the MMDHI published in the most updated “Quarterly Report on General Household Survey” by Census & Statistics Department at the time of application.
    (a) Full-rate subsidy for eligible service users with a family household income at or below 100% of MMDHI (capped at $2,500 per month)
    (b) Three-quarters subsidy for those with family household income above 100% to 125% of MMDHI (capped at $1,875 per month)
    (c) Half-rate subsidy for those with family household income above 125% to 150% of MMDHI (capped at $1,250 per month)
  - Asset limit: adopts the prevailing asset limit for public rental housing applications under the Housing Authority at the time of application, but the self-occupied property in which the applicant is living with his/her household members in Hong Kong and their tools of trade are excluded from the calculation of net asset value.
The amount of subsidy disbursed is subject to the actual cost of the recognised item(s) claimed and capped at the aforementioned rate.  Upon the completion of financial assessment, subsidies will be calculated from the date of application and be disbursed to the eligible applicants on quarterly basis.  The Service Operator will normally review the eligibility of the applicant for the subsidy on an annual basis.  The subsidies will be payable to the eligible applicants on a quarterly basis by crediting to their bank accounts for receiving disability allowance.
The Service Operator will regularly verify the quarterly subsidy to which an eligible individual is entitled.  The subsidy will be terminated if the beneficiary becomes ineligible (e.g. ceased to be a RSME dependent or change of the family’s financial position) during the subsidy period.  If he/she becomes eligible again, he/she may approach the Service Operator for re-application.
       
Responsibilities of the Applicant / Guardian / Appointee (For Cash Subsidy Only)
The applicant / guardian / appointee will be required to provide detailed information on his/her financial position and other relevant information to the Service Operator for verification.  Information provided by the applicants / guardians / appointees must be true, correct and complete.  In case of any change of the relevant information (e.g. ceased to use respiratory support medical equipment or change of the family’s financial position), they should report the change to the Service Operator as soon as possible.  Any subsidy certified as overpayment will have to be paid back.
       
       
1 To ascertain the applicant’s need for RSME and medical consumables, recommendation from the medical / paramedical professionals from the public hospitals / clinics may be required.
2 For cash subsidy to rent RSME, the applicants should not be currently receiving from the Government, statutory boards or any charitable fund (e.g. CSSA, Pneumoconiosis Compensation Fund, Samaritan Fund, Yan Chai Tetraplegic Fund, Yan Chai Caring Fund for Severely Disabled, etc.) to pay for the rent for the respiratory support medical equipment, and no such assistance for the purchase of the respiratory support medical equipment has been received within three years before the making of the application unless the equipment is out of order.  For cash subsidy to purchase medical consumables, the applicants should not be currently receiving from the Government, statutory boards or any charitable fund (e.g. CSSA, Pneumoconiosis Compensation Fund, Samaritan Fund, Yan Chai Tetraplegic Fund, Yan Chai Caring Fund for Severely Disabled, etc.) for the purchase of medical consumables.
3 With effect from March 2020, eligible service users for the service would include those assessed through the Assessment Tool for Home Care Service for Persons with Severe Disabilities as having very high level of nursing care need or/and high level of functional impairment.
4 With effect from March 2020, apart from provision of physiotherapy and occupational therapy, rehabilitation training has been enhanced to include speech therapy service.
       
Service Operators
 
Regional Clusters Hong Kong Island and Kowloon New Territories
Serving Districts Central, Western, Southern, Islands, Eastern, Wan Chai, Kowloon City,
Yau Tsim Mong, Sham Shui Po,
Wong Tai Sin,
Kwun Tong and
Tseung Kwan O
Sha Tin, Tai Po, North,
Sai Kung, Tsuen Wan,
Kwai Tsing, Tuen Mun,
Yuen Long and
Tin Shui Wai
Service Operator Yang Memorial Methodist Social Service Po Leung Kuk
Address Units 6-10, G/F, Lai Tak House,
Lai On Estate,
Sham Shui Po, Kowloon

Sub-base: Units 501-502,
On Hing House, Hing Wah (II) Estate, Chai Wan, Hong Kong
Shop No. RB2, Commercial
Centre, Cheung Shan Estate, 
New Territories

Sub-base: 4/F, Tai Wo Neighbourhood Community Centre,
Tai Wo Estate, Tai Po,
New Territories
Tel. No. 3959 1700 3708 8690
Fax No. 3425 4994 3708 8693
Email Address iss@yang.org.hk iss.apply@poleungkuk.org.hk
       
Download
Brief on the “Integrated Support Service for Persons with Severe Physical Disabilities”
Acrobat Document  MS Word Document
Application Forms for the “Integrated Support Service for Persons with Severe Physical Disabilities”
  Applicable to Integrated Home-based Support Service
Acrobat Document  MS Word Document
  Applicable to Cash Subsidy
Acrobat Document  MS Word Document