Letter to Dr. Leung PY about Pay Level Survey of civil servant

2 Mar 2015

Dr. LEUNG Pak Yin, JP

Chief Executive, Hospital Authority

Dear Dr. LEUNG,

Re: Pay Level Survey of civil servant

We would like to express our views towards the HA’s decisions in response to the Pay Level Survey of civil servant.

The Civil Service Bureau (CSB) had announced on 10th February 2015 that The Chief Executive-in- council has decided on the application of the finding of the 2013 Pay Level Survey (PLS) to the civil service. According to the decisions, the salaries of civilian civil servant in Job level 5 (i.e. those remunerated on MPS points 45 to 49) are to be raised by 3 per cent with effect from 1st October 2014. The increment will also be applied to disciplined services and Independent Commission Against Corruption (ICAC).

In view of the survey result, we have contacted the cluster human resource units about the HA’s decision whether HA would follow the recommendation. Their replies were disappointing.

Over the past years, our senior colleagues have provided not only high standard clinical service to the public, but also training and teaching to the junior doctors to safeguard the public’s health and cultivate the next generation.  They have upheld their professionalism and gone through the hard times together with HA in facing the challenges of SARS, swine flu, manpower shortage and even the current influenza outbreak. Their devotion to duty and the professionalism should be of high respect, appreciation and rewards.

We would like to clarify with HAHO:

1)         Would HA staff share the similar pay rise in line with civil servants?

2)         If not, what are rationales behind?

We would be most grateful if you could reply us as soon as possible.

Best Regards,

Yours sincerely

Dr. NG Chi Ho Vice president, HKPDA

Dr. CHAN Pierre President, HKPDA

Letter to Dr. Leung PY about Hospital Authority (HA) Pay Adjustment 2014/15

Dr. P Y LEUNG, JP

Chief Executive

Hospital Authority

Dear Dr. LEUNG,

Re: Hospital Authority (HA) Pay Adjustment 2014/15

We have recently received complaints from our doctor members concerning the Hospital Authority (HA) Pay Adjustment 2014/15 and we would like to direct it to you for your further action.

According to HR Circular No. 5/2015, no retrospective adjustment will be made to the pay of those ex-employees who had left HA before 22 Jan 2015 on any grounds except the followings.

(a)       retirement / approved early retirement (HRPM Chapter K2);

(b)    termination by HA on grounds of poor health (HRPM Chapter K3) or death of employees (HRPM Chapter K4); and

(c)        redundancy / staff surplus situations (HRPM Chapter K3), if any.

As a matter of fact, Civil Servants on resignation will have his/her wages calculated up to his/her last day of employment, which takes retrospective effect from 1 April 2014. The HA’s measure of excluding ex-employees who resigned before 22 Jan 2015 from the Pay Adjustment Exercise was announced without any staff consultation and we believe that such policy creates unfairness and discrimination to them. This undoubtedly further jeopardizes the morale among medical staff and the trust to our HAHO management.

We would like to know the rationale on which the exclusion criteria are based and please provide relevant documents. We would be most grateful if you would reply us as soon as possible so that this matter could be resolved to everyone’s satisfaction.

Yours sincerely,

Dr. Fergus YAN Treasurer, HKPDA c.c. Dr. Theresa LI, Head of Human Resources, Hospital Authority Head Office Dr. LAU Ka Hin, Chairman of DSGCC, AC Department of Psychiatry, QMH HKPDA members

Dr. Pierre CHAN President, HKPDA

<自願醫保計劃諮詢文件>意見書

你支持政府推出自願醫保計劃嗎？我在過去三星期收集公共醫生會員的意見，包括發電郵、電子意見書，和在不同場合傾談，暫時接觸我的公共醫生都是歡迎這個計劃。

最近公佈了不同專科門診輪候時間，某些門診竟要等候兩年才能第一次見到醫生，醫生、護士和其他醫療人員工作得十分辛苦，政府每年投放四百多億，醫管局越做得好越多病人排隊。我很不服氣，錢和氣力都花光了，香港醫療仍然是未如理想，醫生等待政府出手改革香港醫療等得很苦。

香港公共醫療醫生一定會照顧沒有錢、老弱和緊急的病症，一定會「包底」，希望這個自願醫保計劃，可以分流一小部份有能力負擔和非緊急的病人，病人可以選擇繼續在公家排隊或是用醫保去私營市場。我希望可以做到病人有選擇權、輪候時間縮短雙贏的結果，希望各位認真考慮這個自願醫保計劃方案。

大家如有任何意見，請提點小弟：

Facebook:        https://www.facebook.com/hkpda2016

Questionnaire: https://docs.google.com/forms/d/1reA-6Mgq-teMApoLg0S71uh0Z8s5VFHdhi-PTkiS36c/viewform
Blogger:           http://hkpdanews.blogspot.hk/2015/01/questions-to-hkpda-members.html

祝 工作愉快 身體健康

陳沛然醫生敬上

香港公共醫療醫生協會會長

2015年2月5日

參考資料：

• http://www.vhis.gov.hk/
• http://www.hpdo.gov.hk/en/hpsbackground.html

Questions to HKPDA members

Dear HKPDA members,

I would like to ask for your comment here ....

1) Will you attend the second HKPDA forum 2015?

• Topic:   Consultation to public doctor on HA review
• Date:    4 March 2015 (Wednesday)
• Time:    18:30 - 20:00
• Place:   Lecture Theatre, Kwong Wah Hospital, Kowloon
• Moderator: Dr. CHAN Pierre 陳沛然醫生, 香港公共醫療醫生協會會長
• Guest speakers: Dr. TSE Hung Hing 謝鴻興醫生 香港醫學會前會長
• (Cable TV 1 Feb 2015) 醫管局草擬檢討報告料年中完成
• (Cable TV 1 Feb 2015) 病人組織歡迎改善聯網撥款制度

2) Any comments on Volunary Health Insurance Scheme?

• Further info:
• http://www.vhis.gov.hk/
• http://www.hpdo.gov.hk/en/hpsbackground.html

3) Any comments on Regulation of private healthcare facilities?  

• Further info
• http://www.fhb.gov.hk/en/press_and_publications/press/2014/press141215a.htm
• http://www.hpdo.gov.hk/en/fhsdechancingservices.html

4) Any comments on further 5-year AC promotion program?

Enter your comment here

Dr. Pierre Chan
President, HKPDA
http://hkpda.org.hk

HKMA polling deadline on 25 Feb & three big HKPDA events in 2015

Dear HKPDA members and non-HKPDA doctors,

(A) First, remember to reply the poll of political reform 2015 distributed by HKMA.  The deadline is on 25 Feb 2015.

• by mail or
• by fax 28650943
• by email to hkma@hkma.org
• If you do not receive the questionnaire, kindly contact HKMA secretary via 25278285.

​(B) HKPDA would like to ask for your comments on ...

B1) Volunary Health Insurance Scheme

B2) Regulation of private healthcare facilities

B3) Future 5-year AC promotion program
B4) HA review

• You can leave your Comments here.

The THREE big HKPDA events in 2015 are:

1) Medical Forum on Constitutional Reform was successfully held on 11 Jan 2015.  

• You can review the forum information via:  https://sites.google.com/site/hkpdahome/20150111forum
• The results of Dr. Leung Ka Lau's polling:  Polling results    letter to news editor
• The results of Medical Students' polling press release

2) Second HKPDA forum for Hospital Authority Review will be held in early March 2015 by HKPDA and HKMA.

• Date:  4 March 2015 (Wednesday)
• Time: 18:30 - 20:00
• Place: Lecture Hall, 10/F, Yu Chun Keung Memorial Medical Center,  Kwong Wah Hospital, Kowloon
• Moderator: Dr. CHAN Pierre 陳沛然醫生, 香港公共醫療醫生協會會長
• Guest speakers: Dr. TSE Hung Hing 謝鴻興醫生 香港醫學會前會長
• Details:  https://sites.google.com/site/hkpdahome/20150304hkpdaforum_hareview
• Please feel free to contact
• Registration form
• (HKPDA) hkpda2012@gmail.com
• (HKMA) Ms. Candy YUEN Tel: 2527 8285 or Email: candyyuen@hkma.org for further details.

3) HKPDA Annual General Meeting (AGM) and Dinner will be in June 2015.

• 2014 HKPDA AGM photos
• Past HKPDA AGMs

Kindly visit our website http://hkpda.org.hk for more updated information.  Looking forward to seeing you.


香港公共醫療醫生協會 2015年三響炮

1. 醫學界政改研討會，已於1月11日成功舉行，詳情請參閱https://sites.google.com/site/hkpdahome/20150111forum
2. 檢討醫管局會員諮詢論壇，將於本年3月4日黃昏舉行；
3. 香港公共醫療醫生協會 週年晚會，將於本年6月舉行。請留意公會網頁 http://bit.ly/HKPDA。

Yours truly,

Dr. Pierre Chan 陳沛然醫生

President, HKPDA

醫學界政改研討會賽後報告

球証賽後檢討報告：

2015年醫學界政改研討會，由香港公共醫療醫生協會(HKPDA)和梁家騮議員辦事處合辦，於2015年1月11日在中立場順利舉行。

球証是香港公共醫療醫生協會會長 陳沛然醫生

正選五位球員包括：

• 香港大學法律學院首席講師 張達明律師
• 立法會醫學界議員 梁家騮醫生
• 香港中文大學政治與行政學系高級講師 蔡子強先生
• 香港醫學會會長　史泰祖醫生 太平紳士
• 香港醫學會前會長　蔡堅醫生

比賽上下半場各四十五分鐘，上半場補時7分鐘， 下半場戰情激烈，需要踢加時30分鐘。

• 張律師表現出色，金句不斷：「等了十年以為有新藥，原來是安慰劑」，在左路與蔡子打一二進攻；
• 蔡子全力搶攻，成功突擊，入兩球，並邀請觀眾參與；
• 騮哥，不斷插花，用「自由」假身避開對手的攻擊；
• 史會長，一招國王的新衣，另一招莎士脾罅，吃了誠實豆沙包，坦白得可愛；
• 堅叔，不愧為醫學界票王，在右路靠個人突破入兩球，老馬有火，堅過蔡堅。

今場我選最佳表現的人是各位觀眾，其中醫學生說: 「明將所食的是否壽司? 」明將躺著也中槍。
現場觀眾二百傳媒十多間，球迷有西醫、牙醫、醫學生、記者，出席的老中青醫生包括1965班至2019班，反應熱烈。

我特別感謝一班熱心的醫生多日來幫忙，研討會才能順利舉行。 大家請密切留意

1. 由騮哥寄給全醫學界的政改問卷，和
2. HKPDA在三月將會舉行的另一個醫學界諮詢論壇 - 公家醫生對「檢討醫管局」的意見， 和
3. HKPDA在六月的會員週年大會晚宴。
4. 詳情請留意網頁 http://hkpda.org.hk

錯過了當日的精彩節目？不用怕，可按入以下連結，欣賞網上足本重溫當天的討論內容：

https://sites.google.com/site/hkpdahome/20150111forum
寫下你的意見：
https://www.facebook.com/groups/hkpda2012/

陳沛然醫生Dr. Pierre Chan 敬上
球証
主辦人之一
香港公共醫療醫生協會會長

Powered by http://bit.ly/drchanpierre

Invitation to attend the Medical Forum on Constitutional Reform 2015

Dear doctors, dentists and medical students,

Invitation to attend the Medical Forum on Constitutional Reform 2015

You are cordially invited to join the “Medical Forum on Constitutional Reform 2015”, which is co-organized by Dr. Hon Leung Ka-lau, Legislative Councilor (Medical) and the Hong Kong Public Doctors’ Association (HKPDA).

Forum Application:  http://bit.ly/20150111forum

The details of the forum are as follows:

Date:	11th January 2015 (Sunday)
Time:	13:30 – 14:00    Registration 14:00 – 16:00    Forum 16:00 – 16:10    Media Q&A session.
Venue:	Lecture Theatre, Ground Floor, M Block, Queen Elizabeth Hospital, Kowloon
Topic:	Medical Forum on Constitutional Reform    醫學界政改研討會
Moderator:	Dr. CHAN Pierre 陳沛然醫生, 香港公共醫療醫生協會會長
Guest speakers:	Dr. LEUNG Ka-lau 梁家騮醫生, 立法會醫學界議員 Mr. CHEUNG Eric Tat Ming 張達明先生, 香港大學法律學院首席講師 Mr. CHOY Chi-keung 蔡子強先生, 香港中文大學政治與行政學系高級講師 Dr. SHIH Tai Cho Louis 史泰祖醫生, 香港醫學會會長 Dr. CHOI Kin 蔡  堅醫生, 香港醫學會前會長

 Thank you for your kind attention.

Website http://hkpda.org.hk
HKPDA membership application:  http://hkpda.org.hk/membership.htm

Forum Application:  http://bit.ly/20150111forum

                                                                                                                                                Yours faithfully,

Dr. Pierre CHAN

President, HKPDA

請擁躍投票

(一) 捍衛專業自主
反對醫管局濫用有限度註冊條文
要求加強規管醫療集團，不應只由前線醫生個人承擔
要求增加醫務委員會的透明度，並身體力行增加自己及公會的透明度 http://hkpda.org.hk

(二) 為年輕醫生發聲
現時委員會醫生委員都是67年至91年畢業的，他們真的了解這二十年畢業醫生情況嗎？

(三) 為香港公共醫療及政府醫生出力
現時醫委會由業界選出委員大部份為私人執業醫生，部份當選委員近年一而再譔文及在報章提出，要主動調查所有只是醫管局內的通報醫療個案，你覺得怎樣？

請擁躍投票

什麼是醫德？

什麼是醫德？

醫德對其他人說是一個醫生印象，對醫生來說可以是一門學科 - 醫學倫理。

考慮治療時，往往是從四大元素找出平衡，包括：
不要做成傷害 do no harm，
自主 autonomy，
最佳利益 best interest or beneficence 和
公正 justice
除了四大元素外還有其他專業守則，香港醫務委員會出版的 醫生專業守則共有47頁。我每年向執業醫生授課，每課至少花兩小時只能講解皮毛，在這裡我試試用幾百字深入淺出講解。

首先不要做成傷害 first do no harm，是提醒醫者治療時以盡量不傷害病人為出發點， 可是大家明白有很多治療都是有風險的，藥物有副作用手術會有風險，做手術第一刀已經是傷害了。 但是為何醫生仍然會為病人動手術呢，是基於病人最佳利益。

最佳利益 best interest/ beneficence用字面解讀也可，治療成效比傷害高，醫生便考慮使用。但是是否醫生認為治療成效比傷害高便要迫人家接受呢？絕對不是，因為醫生尊重人的自主權。

自主 autonomy，病人有自主權可以反對大部份醫生的建議或治療，可是病人自主權並不是絕對的，當遇到公眾利益(例如高傳染性病：沙士或伊波拉)，傷害自己或別人時，其自主權要暫時退讓。有少部份病人會要求醫生開咳藥水、做不需要檢查、甚至要求醫生做手術切除身體某些東西，病人可以以自主權迫醫生做嗎？如上段也不能，因為醫生也有自主權可以反對。很多人說看不同醫生得到不同的建議，感覺奇怪，醫生不是軍隊或紀律部隊，不需要統一指令，醫生可貴的也是有自主權，可以因應不同情況和病人接受程度，和病人商討後作出決定。十位醫生有三四種建議是很平常的，醫生甲說出自己的診斷和建議治療方法，醫生乙可以有另外的見解，應互相尊重，病人理解後可自行選擇接受哪位醫生治療。

公正 justice是最難講得好的課題，大概是明白公共醫療衛生資源是有限的，怎樣用公平平等態度決定誰得到什麼待遇。

我們為病人治療時，往往是從四大元素找出平衡，do no harm只是四大因素之一。

接觸胡椒噴霧及催淚氣體後的急救處理

接觸胡椒噴霧及催淚氣體後的急救處理

PDF version http://bit.ly/HKPDA20141002pdf

JPEG version http://bit.ly/HKPDA20141002