Empowerment - The service delivery team are empowered to develop and realise their own initiatives, to be responsive to changes in patients' needs and to community demands.  The new management philosophy and culture place emphasis on collective leadership, self motivation, empowerment and teamwork, all of which contribute to the ultimate goal of delivering high quality healthcare services . Information Technology - In keeping with the rapid developments in the area of information technology over the last decade, the Hospital has enhanced all  its systems .  The continued maintenance of a sophisticated information network and numerous terminals has become an integral part of the provision of healthcare at QEH. Partnership with the Community - From being a unilateral service provider prior to the Hospital Authority era, the Hospital has become extremely conscious of its relationship with the community and other partner hospitals and is  receptive to their needs.  As a publicly-funded institute,  it  strives to maintain accountability and transparency, and is responsive to public and media enquiries, especially during episodes of disaster .  Similar attention is  paid to patients' feedback and complaints . Environmental Awareness and Protection - A sense of civic responsibility has led them to be conscious of and contribute to the protection of the environment, and they have begun incorporating `green' concepts into both hospital policy and technology investments . The Hospital has recently undertaken three big evaluation reports to help them respond to changes in the Health Care System .  Based on the British National Health System no patient is denied care, but since the return to China the influx of Chinese immigrants has been huge .  If the hospital continues at its present rate the Government will be bankrupt by 2023 .  Currently patients pay $100HK (about $14.50) per day for three meals, but there is no charge for medical services . Hong Kong has only a few private hospitals, some charities, especially the Catholic Church, set up hospitals under British rule but they are far less efficient .  The Scott Review has recently recommended that this has created a two tier system of care in Hong Kong and that the Hong Kong government needs to take over these hospitals with a 100% subsidy but leaving the NGO Boards in place.