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Senior managers at Hong Kong public hospitals may be held responsible for blunders

Hospital Authority releases report by special committee established to review its operations following string of medical care mistakes

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The government earlier ordered the Hospital Authority to perform a thorough review after a series of blunders, including at Kwong Wah Hospital in Yau Ma Tei. Photo: Warton Li

Hong Kong’s Hospital Authority has proposed holding senior managers at public healthcare facilities accountable for blunders as part of wide-ranging reforms aimed at more clearly defining roles after a string of medical care mistakes.

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The authority also suggested on Friday that hospitals make better use of technology to ease the workload of frontline staff after finding they often struggled with implementing mounting sets of guidelines adopted in the wake of blunders.

The recommendations were among 31 put forward after a three-month review by a special committee appointed by the authority to examine its performance.

Authority chairman Henry Fan Hung-ling said he would chair a high-level Governance and Structure Reform Committee to explore ways to strengthen accountability and governance that would include the permanent secretary for health and the undersecretary for health.

“We first need to define clearly the responsibilities and authorities of different levels of staff,” he said. “But under the current incident-reporting or investigating system, the frontline staff are often blamed. It is not fair. We also need to think whether the senior management should be responsible too.

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“I am not suggesting that the senior people will be immediately fired or have to step down once they are found to be responsible. This may not solve the problem.

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