1. Building Trust: Challenges and Obstacles Mr. Michael Lai Chief Executive Officer St. James’ Settlement

2. An Experience: Collaboration in Elderly Services St. James’ Settlement an illustration

3. The Ageing Population 資料來源：香港政府統計處香港人口推算 1999-2029

4. 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 (19.8%) 資料來源：香港政府統計處香港人口推算1999-2029

5. 0100200300400 0100200300400 0-4 5-9 10-14 15-19 20-24 24-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ Population(‘000) Male Female Hong Kong ： 2000 年 資料來源：香港政府統計處香港人口推算1999-2029

6. Hong Kong : 2029 年 0100200300400 3002001000 0-4 5-9 10-14 15-19 20-24 24-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ 資料來源：香港政府統計處香港人口推算1999-2029 Female Male Population(‘000)

7. 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 Chronic Disease

8. The society is becoming older and more frail

9. Frail Elders Home Institution Hospital NGOs Collaboration

10. 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

11. 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

12. 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

13. 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

14. 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-win projects

15. 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)

16. Thank you