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- Pilot Scheme on Support for Elderly Persons Discharged from Public Hospitals after Treatment


Pilot Scheme on Support for Elderly Persons Discharged from Public Hospitals after Treatment

Background and Objectives
Eligibility Criteria
Referral Procedures
Vetting of Applications
Service Arrangement and Payment of Subsidy for Services
Responsibilities of the Applicant
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Background and Objectives
 

The Community Care Fund (CCF) rolled out a Pilot Scheme on Support for Elderly Persons Discharged from Public Hospitals after Treatment in February 2018. The three-year Pilot Scheme supports elderly persons just discharged from public hospitals who are in need of transitional care and support, by providing them with transitional residential care and/or community care and support services for no more than six months in total. It aims at enabling them to continue ageing-in-place in a familiar community after receiving necessary services during the transitional period and preventing their premature long-term institutionalisation in residential care homes for the elderly. The Pilot Scheme, administered by the Social Welfare Department (SWD), started from February 2018 until the end of January 2021.

   
   
Eligibility Criteria
 
The beneficiaries should be:
  • aged 60 or above; and
  • with temporary loss of self-care ability due to illness, and assessed by medical staff of the Hospital Authority (HA) to be in need of transitional care and support (i.e. in need of temporary residential care and/or community care and support services after discharge from hospitals), and not covered under the existing Integrated Discharge Support Programme for Elderly Patients(Note 1)
   
Note 1: At present, the Government, in collaboration with the HA, implements the Integrated Discharge Support Programme for Elderly Patients (IDSP). The service targets are mainly elderly persons newly discharged from HA hospitals who have been assessed by HA medical staff to be at high risk of unplanned re-admission to hospital. The programme provides a range of support services (including discharge planning, transitional rehabilitation service, home care services and carer training) for these elderly persons, aiming at reducing their unplanned hospital re-admission risk.
   
   
Referral Procedures
   
  • The Pilot Scheme is pioneered in ten hospitals (United Christian Hospital, Tseung Kwan O Hospital, Haven of Hope Hospital, Prince of Wales Hospital, Alice Ho Miu Ling Nethersole Hospital, North District Hospital, Shatin Hospital, Tai Po Hospital, Tuen Mun Hospital and Pok Oi Hospital) under three HA clusters (Kowloon East, New Territories East and New Territories West).
  • Medical staff of the aforesaid hospitals will make assessment and formulate discharge plans for elderly patients in need so as to facilitate planning for appropriate nursing care, rehabilitation and care support services. Needy elderly persons will subsequently be referred to the Discharge Support Team (DST) of the SWD.
  • Social workers of the DST will explain the details of the Pilot Scheme to elderly persons and/or their family members and will also help the elderly persons interested in the Pilot Scheme to submit applications to the CCF Team of the SWD for conducting means tests.
  • Eligible elderly persons may receive the CCF-subsidised transitional residential care and/or community care and support services for a total period of no more than six months starting from February 2018 at the earliest.
   
   
Vetting of Applications
   
  • Applications will be processed by the SWD on the basis of the information submitted by elderly applicants. Upon completion of the vetting procedures, the CCF Team of the SWD will issue the results to the elderly persons in writing through the DST, and notify them of their respective co-payment categories.
  • In making an application, the applicant is not required to submit relevant proof of income. The CCF Team will conduct random checks in the course of processing applications or releasing subsidy payment to the elderly persons, and the relevant persons will be required to provide detailed information of their financial position together with relevant documents for verification.
   
   
Service Arrangement and Payment of Subsidy for Services
   
  • The CCF team of the SWD will notify the DST of the corresponding co-payment categories of eligible elderly persons. The DST will then offer professional support to the elderly persons, and assist them in selecting suitable service units of approved service providers and packages of transitional services to meet their needs.
  • Payment of subsidy will not be made directly to the elderly persons. Elderly persons participating in the Pilot Scheme are required to make co-payment with amounts determined on the basis of their household income. The Pilot Scheme will adopt six co-payment categories on a sliding scale and the household income level of each category will be determined by the SWD with reference to the relevant Median Monthly Domestic Household Income (MMDHI) published by the Census and Statistics Department (Note 2 and 3). After co-payment, all remaining value of the voucher will be paid by the CCF such that the less an elderly person can afford, the more subsidy he/she receives from the CCF. A co-payment table of the Pilot Scheme is set out at Annex 1.
  • Applications under the Pilot Scheme are made on a household basis with a specific upper limit of average monthly income for different household sizes. For the calculation of household income, please refer to the Guide on Reporting Income at Annex 2. The co-payment category will be determined by the SWD according to the monthly household income of the eligible elderly person in the three months prior to the month of application submission.
  • For elderly persons receiving transitional residential care services, payment is determined on a daily pro-rata basis. For those receiving community care services, payment is determined on the basis of monthly voucher value. (If an elderly person uses community care services within the first month of discharge from hospital, the voucher value of that month may be determined on the basis of either the minimum monthly voucher value or on a pro-rata basis depending on the number of days of the service used).
  • Elderly persons receiving services under the Pilot Scheme are required to settle the relevant service charges under the co-payment category on a monthly basis.
  • The SWD will verify the eligibility of the elderly persons for the subsidy on a regular basis. If an elderly beneficiary is deceased or has received government-subsidised community care services/residential care services for the elderly, he/she no longer meets the eligibility criteria. Such subsidy payment will cease from the month following that in which they become ineligible.
  • Elderly persons may submit fresh applications to the DST during the implementation period of the Pilot Scheme if they have again become eligible for the subsidy for whatever reason(s).
   
Note 2: Household member(s) include the applicant and his/her father, mother, son(s), daughter(s), husband or wife residing with him/her in Hong Kong before his/her admission to a public hospital. Legally recognised adoptive parents/children or illegitimate children with proof of parentage are also included. Such household member(s) must be Hong Kong resident(s).
 
Note 3: The monthly household income limit is set with reference to the relevant MMDHI published in the latest Quarterly Report on General Household Survey by the Census and Statistics Department. Monthly household income, which refers to the income of the applicant and household members residing with the applicant in Hong Kong as mentioned in Note 2, is determined by the average monthly income of the three months prior to the month of application submission and includes the following items:
  • Employment earnings: salary, double pay/leave pay, work allowance, bonuses/prize/ commission/tip/contract gratuity, income from rendering services, business profits, etc.; and
  • Other income: contributions from children, financial assistance from relatives/friends, alimony, monthly pension/widow’s and orphans’ payments or pensions, investment profits, interest income from fixed deposits, dividends, rental income, etc.
For income not paid on a monthly basis, e.g. double pay, bonus, contract gratuity, etc. it should be apportioned over the period concerned.
Reportable income excludes employee’s mandatory contributions to the Mandatory Provident Fund (MPF) scheme, financial assistance provided by the Government, charitable donations and subsidies from other assistance programmes under the CCF, etc.
   
   
Responsibilities of the Applicant
   
  • Information provided by the applicant must be true and complete. In case of any change of the relevant information, the applicant must notify the DST or the CCF Team of the SWD as soon as possible. The applicant must provide detailed information for verification when the SWD conducts random checks on his/her case. Any amount verified as overpayment will have to be returned to the CCF Team of the SWD.
   
   
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Brief and Annexes on the Pilot Scheme on Support for Elderly Persons Discharged from Public Hospitals after Treatment

(PDF Document PDF Document)        (Word Word Document)

   
Pilot Scheme on Support for Elderly Persons Discharged from Public Hospitals after Treatment--List of Service Providers

Transitional Residential Care Services  

(PDF Document PDF Document)

Transitional Community Care and Support Services  

Serving District

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 Eastern  (PDF DocumentPDF Document)
 Wan Chai  (PDF DocumentPDF Document)
 Central and Western  (PDF DocumentPDF Document)
 Southern District  (PDF DocumentPDF Document)
 Island  (PDF DocumentPDF Document)
 Kwun Tong  (PDF DocumentPDF Document)
 Wong Tai Sin  (PDF DocumentPDF Document)
 Sai Kung  (PDF DocumentPDF Document)
 Sham Shui Po  (PDF DocumentPDF Document)
 Kowloon City  (PDF DocumentPDF Document)
 Yau Tsim Mong  (PDF DocumentPDF Document)
 Sha Tin  (PDF DocumentPDF Document)
 Tai Po  (PDF DocumentPDF Document)
 Northern District  (PDF DocumentPDF Document)
 Kwai Tsing  (PDF DocumentPDF Document)
 Tsuen Wan  (PDF DocumentPDF Document)
 Tuen Mun  (PDF DocumentPDF Document)
 Yuen Long  (PDF DocumentPDF Document)
   
   
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