Dementia Supplement (DS) 2018-19
Guidance Notes on Managing Allocations
for Subvented Residential Care Homes for the Elderly (RCHEs)
1. This set of guidance notes explains the administrative arrangements in managing
the DS allocations for subvented residential care homes for the elderly (RCHEs)
operated by NGOs.
2. DS is an additional resource for subvented RCHEs and private RCHEs
participating in the Enhanced Bought Place Scheme (EBPS) to provide
enhanced care and training to elder residents suffering from dementia. Based
on the resources available, the allocation is made annually to individual
subvented RCHE according to the number of residents eligible for DS.
3. A resident is considered eligible for DS after assessment/verification by
Community Psychogeriatric Teams (CPGTs) of the Hospital Authority, if
applicable, by using the prescribed assessment form developed for the purpose
of DS allocation.
4. The following elderly persons are not eligible for DS:
those who are registered for or are benefiting from Infirmary Care
those who are residing in infirmary units of subvented RCHEs; and
those who are residing in contract RCHEs.
5. Record of residents
registered for the purpose of receiving DS should be kept
by the RCHE for audit purpose.
6. DS is to be used as an allowance for existing staff or for the employment of
qualified staff on a part-time or temporary basis in accordance with the Guide to
Social Welfare Subventions. The staff should be directly involved in providing
care and training to the demented elderly persons including occupational
therapist, occupational therapy assistant, social worker or nurse (registered
. NGOs may consider employing care workers so that
the above-mentioned professional staff can have more time to provide enhanced
care to the demented elderly persons, on condition that there is designated
professional staff in the RCHE for such purpose. For professional services by
occupational therapist, service operators may hire services from qualified
professional organisations. NGOs that wish to use the supplement to
employ other types of staff should seek prior approval from the Social
Welfare Department (SWD) with full justifications.
7. For the purpose of service monitoring, RCHEs are required to report the actual
staffing position and the care/training programmes provided as a result of the
additional resources allocated through DS. RCHEs should complete the
reporting forms, i.e. “Resources Allocated through Dementia Supplement (DS) -
Half-Year Report for 2018-19” at Appendix II. The first half-year report,
reflecting the staffing position and care/training programmes provided for the
period of 1 April 2018 to 30 September 2018 should be completed and returned
to the Elderly Branch of SWD on or before 30 November 2018.
half-year report, reflecting the staffing position and care/training programmes
provided for the period of 1 October 2018 to 31 March 2019, should be
completed and returned to the Elderly Branch of SWD on or before 31 May
. The reporting forms and supporting documents on DS will be examined
by the Subventions Branch and the Elderly Branch during the Department’s
review/surprise and sampled inspection visits to RCHEs.
8. The employment of new additional staff and the administration of allowance for
existing staff are at the discretion of the NGO concerned.
9. Proper records on payment of allowance for existing staff and employment
of part-time/temporary staff
should be kept by the RCHEs concerned for audit
purpose. No virement of funds is allowed for the supplement and surplus will
be clawed back. Surplus will be calculated on an annual basis. NGOs may
juggle the expenditure within the same financial year. In case of
under-spending, the surplus should be deposited in an interest bearing account
and will be recovered upon submission of the annual audited accounts.
10. For NGOs receiving Lump Sum Grant
, this provision is regarded as a Central
Item. The financial reporting format should follow the guidelines as set out in
the Lump Sum Grant Manual. For NGOs not receiving Lump Sum Grant
the income and expenditure of supplement should appear as special Other
Charges with a designated purpose under the category of “Item for Specific
Purpose” in Statement 2 of the Accompanying Financial Statement.
allowance/employment of staff so as to avoid over-spending. Any
expenditure exceeding the actual entitlement will not be recognised
12. For any enquiries relating to the allocation of DS, please contact the Elderly
Branch on telephone number 2892 5214.
Social Welfare Department