beds per thousand population can be raised to a more favourable ratio in the years following 1982. Moreover the sites should not only be sufficient in size, they must also meet the important criterion of easy accessibility. The hospitals and clinics should be sited conveniently close to the section of the population they are intended to serve and should be accessible by public transport, and yet access by ambulance and other essential vehicles should not be hampered by other traffic.
17. The time required to plan, approve, and construct a major Government hospital varies between eight and twelve years. For standard clinics the minimum time is about 2 years, assuming the project is urgent and enters the Public Works Programme in category B. A change to a new style of clinic (to be discussed later) would be likely to increase the time to four years. A new-style polyclinic would probably take five years.
18. In new hospital construction the first priority should be for Government to build a major general hospital in East Kowloon, initially of 1,200 beds (800 general; 100 geriatric, and 300 psychiatric) with site capability for further expansion. This district already has a population of 500,000. The beds might be all non-acute or 450 acute and 750 non- acute, depending upon the form which a neighbouring Government- assisted hospital will assume. If planning started immediately the earliest likely date for opening would be 1981. Estimated staff require- ments and costs, non-recurrent and recurrent, for both types of hospital would be, at today's prices, as follows:
(i) Assuming all beds are non-acute :
Ratio of beds: staff Staff Numbers
Non-recurrent cost:
1,200×45,000- $54 million.
Recurrent cost:
1.
M. & H. Department
Doctors Nurses
35×44,510 382 x 15,802
$1,558,000 $6,036,000
$7,594,000
Total:
2.
P.W.D.
2.38 × 7,594,000-$18.07 million per year. (Medical and Nursing staff costs are 42% of all recurrent costs).
Architectural Office at 15 per cent of non-recurrent cost- $8 million once only.
(ii) Assuming about one-third of the beds are acute:
Ratio of beds: staff
Staff Numbers
Specialty
Approx. No. of
Beds
Doctors Nurses Doctors
Nurses
ma888
MAYEN
1.
Medical and Paed.
200
13
2.2
15
91
2.
Surgical and Gyn.
250
9
1.8
28
139
3.
General non-acute
300
30
3.0
10
100
4.
Psychiatric
300
60
4.0
5
75
5.
Geriatric
150
30
2.5
5
60
Total
1,200
63
465
Non-recurrent cost:
450 × 60,000 750×45,000
Total
$27 million
=
$34 million
$61 million
Specialty
Approx. No. of
Beds
Doctors Nurses Doctors Nurses
Recurrent cost:
1.
M. & H. Department
1.
General non-acute
800
2.
Psychiatric
300
3.
Geriatric*
100
288
30
3.0
27
267
60
4.0
5
75
30
2.5
3
40
Doctors Nurses
63 × 44,510
$ 2,804,000
465 × 15,802
$ 7,348,000
$10,152,000
Total
1,200
35
382
* In practice the boundary between this specialty and general non-acute can be
hard to define and the split may not be exactly 800:100 as planned.
Total: 2.38 x 10,152,000-$24.2 million per year.
2.
P.W.D.
Architectural Office at 15 per cent of non-recurrent cost $9.15 million once only.
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