DEVELOPMENT ESTIMATES - FOR FINANCIAL YEAR - 1ST APRIL, 1970, TO 31ST MARCH, 1971
Sir, as the Member for Punggol has said, Phase I of the Institute of Medical Specialities has been completed, and it was officially opened by me on 23rd February, 1970. That is the Radiotherapy Isotope Centre consisting of two cobalt units. The Member has asked me about Phase II of the Institute of Medical Specialities. May I say that Phase II consists of the main building which will house other specialities. Building plans have been drawn up and estimates, of course, made. Planning approval, however, is still awaited, and this is not expected to be given until the concept and cost of the Institute is reviewed. The Member might have heard that I have appointed a Ministerial Committee on Medical Specialization, which will be making its recommendations on the priorities of the specialities to be established. Before this Committee makes its recommendations, I would not like to say in this House what the specialities are that will be established, as it will only prejudice the work of this Committee on Medical Specialities. The Member also did say that he had heard that there are difficulties because the specialists are fighting among themselves over the question of which speciality should be developed first. I would like to put it this way. It is only natural that every specialist would like his speciality to be developed first. That is one of the reasons why I have appointed this Committee on Medical Specialization. It will make recommendations to me on the order of priority of the specialities to be developed in Singapore. Perhaps, Sir, it will interest the Member for Punggol if I say something about this Committee on Medical Specialization. May I refer him to its terms of reference? Its first term of reference is to investigate the extent of development of medical specialization in the hospitals and, after consideration of such development, to recommend a programme of development or the creation of a few specialities, listing them in order of priority for selection. The basis of selection is as follows: (a) that the specialities should meet the needs of Singapore; (b) that they can be developed to achieve eminence, so that Singapore will be recognised regionally and internationally as a centre of treatment, training and research. The Committee's second term of reference is to estimate the cost of development or creation of some specialities and the personnel required. First, let me explain that the development of medical specialization in Singapore is a costly business. Funds will not only be needed for the training and employment of the necessary staff, but also for the acquiring of more up-to-date equipment. The maintenance of this modern and sophisticated equipment is just as costly. It is therefore obvious, Mr Speaker, Sir, that it is beyond the resources of a small country like Singapore to develop the entire range of specialities. The Committee has therefore been asked, in its terms of reference which I have mentioned just now, to select a few specialities, listing them in order of priority for all-out development. As its terms of reference specify, the Committee in making the selection must bear in mind two factors: (1) that development of such a speciality will meet the needs of Singapore; (2) taking into consideration our existing and projected resources both of staff and finance, and whether or not the development of the specialities recommended can reasonably achieve a level of eminence so that Singapore can be recognised regionally and internationally as a centre of treatment, training and research. In other words, with such development, Singapore will be recognised as one of the world's centres of excellence in medicine. I must say here, Sir, that the task of the Committee is certainly not an easy one. It has to make a difficult choice in listing the priorities from among the competing claims for support for future development among the many specialities. It will have to exercise impartial and objective judgment in making its choice, bearing in mind the terms of reference. The Member has perhaps seen the membership of the Committee. But what I would like to say is that the members of the Committee have been very carefully selected, so that those who are on the Committee will not have a vested interest in development of any particular speciality. Moreover, the membership also brings with it a wide range of expertise of various backgrounds, talents and interests. Besides medical men, they also include businessmen, administrators and economists. Lastly, may I say that this Committee has so far made good progress, having received numerous memoranda from our heads of units and members of the medical profession. Sir, here I would like to refer to the Budget statement made by the Minister for Finance on 9th March, 1970, and I quote from Hansard, Vol. 29, col. 496, first paragraph, last sentence: 'A committee is investigating and identifying those areas of medical specialisation in which Singapore could achieve pre-eminence by providing available medical expertise with the latest in equipment and facilities.' This statement of the Minister for Finance, Sir, is indeed most encouraging. For the doctors and specialists in my Ministry, this statement clearly indicates that funds will be forthcoming from the Treasury, when the recommendations of the Committee are adopted.