Tuen Mun Hospital (TMH), opened in 1990, is the major acute hospital of New Territories West Cluster of Hong Kong Hospital Authority serving a population of 1.07 million in the northwest region of Hong Kong. It provides in-patient, ambulatory and community care services with a comprehensive range of clinical specialities and allied health services. The hospital is headed by a Hospital Chief Executive and under the Hospital Governing Committee.
TMH has 1,862 beds with over 5,800 staff. Oncology and palliative care service is provided by the Department of Clinical Oncology through an integrated approach. The department sees about 3,000 new cancer patients per year and has 12 qualified clinical oncologists with 8 also qualified in palliative medicine, and 13 residents. There is also a dedicated team of medical social workers and clinical psychologists in the department to provide psychosocial care.
The centre is the first one in Hong Kong to provide a comprehensive oncology service from diagnosis to end-of-life care. The Department of Clinical Oncology adopts an integrated approach in providing radiation oncology, medical oncology, palliative care and hospice service. There are 48 oncology beds, 43 palliative care & hospice beds, out-patient clinic, Hospice Day Centre, Ambulatory Chemotherapy Centre, Cancer Patient Resources Centre, Child and Family Bereavement Centre under the department. Radiation oncology facilities include one superficial X-Ray system, four linear accelerators, one linac based radio-surgery system, one integrated remote afterloading brachytherapy system and one CT simulator providing high-tech treatment from 3D conformal to intensity modulated and image guided radiotherapy.
The centre partners with various non-government organizations in enhancing psychosocial support to cancer patients. The first Maggie’s Cancer Caring Centre outside UK was established at TMH in 2008.
TMH has 17 specialities including Accident & Emergency, Anaesthesiology & Intensive Care, Clinical Oncology, Diagnostic Radiology & Nuclear Medicine, ENT, Medicine & Geriatrics, Neurosurgery, Obstetrics & Gynaecology, Ophthalmology, Orthopaedics & Traumatology, Oral & Maxillofacial Surgery, Paediatrics & Adolescent Medicine, Pathology, Primary & Community Health Care, Psychiatry, Rehabilitation, and Surgery. A full range of allied health services is also provided, including Dietetics, Pharmacy, Physiotherapy, Occupational Therapy, Prosthetic-orthotic Services, Speech Therapy, Audiology, Podiatry, Clinical Psychology and Optometry.
Palliative and supportive care
Palliative care service for cancer patients is provided by a multi-disciplinary team comprising palliative care specialists, nurses, clinical psychologists, social workers, dieticians, physiotherapists, occupational therapists, chaplains and volunteers. The service includes out-patient clinics, in-patient care, day care, home care and bereavement. There are dedicated clinics and programmes to deal with specific symptoms such as breaking bad news clinic, pain clinic, ascites clinic, lymphedema programme. Various integrated cancer care pathways are established including cancer pain, brain metastasis, end-of-life care. A dedicated Child and Family Bereavement Centre has been established to provide psychosocial support for the family members of deceased patients. In addition, integrated Chinese and Western medicine programme has been established for symptom control.