Source: Hong Kong Government special administrative region – 4
Following is a question by the Hon Erik Yim and a written reply by the Secretary for Health, Professor Lo Chung-mau, in the Legislative Council today (July 9):
Question:
The 2024 Policy Address proposes to strengthen elderly services and foster an elderly-friendly building environment. There are views pointing out that the choice of Hong Kong elderly persons to spend their retirement years in the Mainland, particularly other Mainland cities of the Guangdong-Hong Kong-Macao Greater Bay Area (GBA), can not only improve elderly persons’ quality of life, but also free up valuable living space in Hong Kong and ease the burden of public welfare on the Government. Moreover, amid the recent significant adjustments in property prices in the Mainland, such as areas like Huidong County in Huizhou and Shaxi Town in Zhongshan, some members of the public have proposed that the SAR Government may study the construction or purchase of buildings in the Mainland with better views, affordable rents, and more spacious and brighter interiors at lower costs for use as public rental housing (PRH), so as to provide Hong Kong elderly people with new opportunities to spend their retirement years in the Mainland. In this connection, will the Government inform this Council:
(1) whether it will consider acquiring vacant properties pending sale in the Mainland cities of GBA for use as PRH flats with which the elderly people can replace their existing PRH flats in Hong Kong, thereby encouraging them to spend their retirement years in the Mainland cities of GBA; if so, of the details;
(2) given that at present, under the Pilot Scheme for Direct Cross-boundary Ambulance Transfer in the Greater Bay Area, arrangements can be made for patients to be transferred directly from designated sending hospitals in Shenzhen to designated public hospitals in Hong Kong in a point-to-point mode, whether the Government will further deepen the collaboration mechanism concerned by expanding the scope of the pilot scheme this year to cover other major cities in GBA and include emergency cases, so that emergency transport to Hong Kong can be arranged when necessary for elderly patients retiring in such cities, with a view to increasing the incentive for them to go north for retirement; and
(3) whether it will strengthen collaboration with the Mainland cities of GBA, such as jointly promoting remote diagnosis and AI medical consultation, to enhance healthcare service efficiency, as well as driving the development of gerontechnology and relevant industries, thereby better supporting Hong Kong people in spending their retirement years in such Mainland cities?
Reply:
President,
The Hong Kong Special Administrative Region (HKSAR) Government has been following the principle of complementarity and mutual benefits to enhance co-operation with Mainland cities of the Guangdong-Hong Kong-Macao Greater Bay Area (GBA), on the premise of benefitting the development of Hong Kong and the Mainland, so as to provide more options and convenience for Hong Kong residents who choose to work, reside or retire on the Mainland.
Having consulted the Housing Bureau, the Labour and Welfare Bureau, the Department of Health and the Hospital Authority (HA), the reply to the question raised by the Hon Erik Yim is as follows:
(1) The Housing Bureau has all along been supporting the implementation of various strategies and policies to cope with an ageing population. In order to strengthen the support to those who choose to retire on the Mainland, the Housing Bureau makes flexible arrangement for elderly public rental housing (PRH) residents who are required to surrender their PRH flats or delete their names from the tenancies upon receiving portable cash assistance. Considering Hong Kong elderly persons may encounter adaptation issues after moving to the Mainland, the Hong Kong Housing Authority and the Hong Kong Housing Society allow elderly persons to retain their PRH flats or their names in the tenancies for no more than six months, with the grace period starting from the date of the elderly persons’ departure from Hong Kong. The above measure could address elderly persons’ concern about moving to the Mainland and help release PRH flats for turnover.
(2) The study on the provision of land-based cross-boundary transfer for non-emergency and non-critically ill patients and the exploration of rolling out a pilot co-operation scheme for cross-boundary referral of patients between designated hospitals were put forward in the Outline Development Plan for the GBA. The Chief Executive of the HKSAR also put forward in his 2023 Policy Address the initiative to explore cross-boundary ambulance transfer arrangements between hospitals in the GBA. With the support of various national ministries, the HKSAR Government, in collaboration with the Guangdong Provincial Government, the Shenzhen Municipal Government and the Macao SAR Government, officially launched the one-year Pilot Scheme for Direct Cross-boundary Ambulance Transfer in the Greater Bay Area (Pilot Scheme) on November 30, 2024.
The Pilot Scheme starts by arranging direct cross-boundary ambulance transfer of patients from designated sending hospitals in Shenzhen and Macao (i.e. the University of Hong Kong – Shenzhen Hospital (HKU-SZH) and the Conde S. Januario Hospital of Macao) to designated public hospitals in Hong Kong. Upon assessment and agreement by the teams of designated cross-boundary collaborating hospitals, arrangements can be made for patients with specific clinical needs and suitable clinical conditions (including that the conditions are relatively stable) to be transferred directly to Hong Kong between designated hospitals in a point-to-point mode without the handover of patients between ambulances at boundary control points, thus minimising risks posed to patients during transfer. Indeed, persons with urgent medical needs should receive treatment at the nearest medical facility. Therefore, the Pilot Scheme does not cover emergency cases.
Subject to the effectiveness and operational experience of the Pilot Scheme, the governments of Guangdong, Hong Kong and Macao will consider how to extend the Pilot Scheme, such as including more designated hospitals (including those in GBA Mainland cities other than Shenzhen) and/or extending the Pilot Scheme to a two-way arrangement.
(3) As mentioned above, the HKSAR Government will follow the principle of complementarity and mutual benefits to strengthen the collaboration with Mainland cities of the GBA. Indeed, the resources, needs, relevant laws and regulations, and regulatory regimes differ between Hong Kong and the Mainland. The HKSAR Government will explore cross-boundary facilitation measures on the premise that these cross-boundary measures are feasible and mutually beneficial.
Specifically, the Government has been implementing various measures to facilitate the retirement of Hong Kong elderly persons in Mainland cities of the GBA, including providing subsidised residential care services and portable cash assistance. Among them, the Residential Care Services Scheme in Guangdong provides an additional choice for eligible Hong Kong elderly persons to receive subsidised residential care services. The Labour and Welfare Bureau signed a “Letter of Intent on Collaboration to Expand the Residential Care Services Scheme in Guangdong” with the Department of Civil Affairs of Guangdong Province in November 2023 to co-operate in selecting suitable residential care homes for the elderly operated by Mainland organisations in Mainland cities of the GBA for joining the Scheme. With the assistance of the relevant authorities, the number of residential care homes for the elderly in Guangdong joining the Scheme has increased to 15, scattering in six Mainland cities within the GBA. The Government has, starting from this May, commissioned a non-governmental organisation to provide Social and Care Support Service for the elderly participants of the Scheme and their families, and will launch a two-year pilot arrangement by the end of this year to share part of the medical expenses that the elderly participants of the Scheme need to bear on their own under the National Basic Medical Insurance Policy.
In terms of healthcare services, the public or subsidised healthcare services provided by the HKSAR Government are based on catering for the needs of local Hong Kong residents, rather than the healthcare needs of Hong Kong residents on the Mainland or overseas. Nevertheless, the Government has been actively promoting GBA healthcare collaboration in recent years to provide Hong Kong residents, who regularly travel to and from Mainland cities in the GBA for work or living, with additional choices of subsidised healthcare services comparable to those in Hong Kong at designated service points on the Mainland. Such measures, however, are not intended to fully cater for the healthcare services required by Hong Kong residents who choose to settle on the Mainland. Examples include:
(i) The Government launched the Elderly Health Care Voucher Greater Bay Area Pilot Scheme in 2024 to extend the coverage of the Elderly Health Care Vouchers (EHCVs) to seven integrated medical/dental institutions in Mainland cities of the GBA, offering more convenience and flexibility for eligible Hong Kong elderly persons by providing more service points in the GBA for them to better use their EHCVs on primary healthcare services to improve health conditions. The Government announced this May to extend the said Pilot Scheme and to increase 12 additional pilot medical institutions to cover all nine Mainland cities in the GBA. Among the 12 additional pilot medical institutions, four (viz. two located in Zhuhai and one each in Zhongshan and Guangzhou) launched the service on June 26 and July 9 respectively, while another two new service points in Foshan will launch the service on July 17. It is expected that the remaining six pilot medical institutions will launch the service gradually in the second half of this year. By then, together with the two existing service points operated by the HKU-SZH, eligible Hong Kong elderly persons can use the EHCVs at a total of 21 service points in Mainland cities of the GBA.
(ii) The Government announced this March the extension of the Pilot Scheme for Supporting Patients of the HA in the GBA till March 31, 2026, with a view to enabling eligible patients of the HA to choose to receive subsidised consultation services at the designated collaborating healthcare institution in the GBA. The Scheme aims to provide Hong Kong people with more choices when receiving HA’s services, and is currently applicable to the HKU-SZH. The Government and the HA will evaluate the effectiveness and the scope of services of this Pilot Scheme each year and make necessary adjustments in a timely manner.
(iii) In order to enhance the continuity of medical care for elderly persons through facilitating their secure use of electronic health records across the boundary, the Government has progressively launched the new functions of “Cross-boundary Health Record” and “Personal Folder” of the eHealth mobile application (eHealth App) at the HKU-SZH and the seven medical institutions under the Elderly Health Care Voucher Greater Bay Area Pilot Scheme since July 2024. The two functions have will be progressively extended to the new medical institutions under the said Pilot Scheme this year. In addition, elderly persons and their carers can also use the eHealth App to check their EHCV balance and usage record, as well as access at any time important information stored in the eHealth App, such as their medications, allergies and adverse drug reactions.
Separately, the Ministry of Human Resources and Social Security and the National Healthcare Security Administration promulgated the Interim Measures for Participation in Social Insurance by Hong Kong, Macao and Taiwan Residents on the Mainland in 2019, allowing eligible Hong Kong residents to participate in the national health insurance schemes on the Mainland.
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