19. The second priority is to build a major general hospital at Sha Tin. This would be an acute hospital providing 750 general beds, 100 geriatric beds, 250 psychiatric beds and 100 maternity beds by about 1982. Its size and status (as between regional and district) would depend upon the future development of the Shatin area, which should be care- fully forecast. (A regional hospital is one having the whole range of specialist facilities, and its function is explained in Chapter 5). Assum- ing the specification above, the cost would be, at today's prices, as follows:
20. The third priority, in the general field, should be to build in stages, starting with 500 beds, a major general acute hospital at Castle Peak-450 general and 50 maternity beds. This might eventually develop, some time after 1982, into a full regional acute hospital of 1,500 beds or more. However, it would appear that development above 500 beds to regional status depends upon the effect which the Princess Margaret Hospital will have upon the needs of the western New Terri- tories. It might in the event prove to be sufficient as a good district hospital. It seems advisable to postpone any firm recommendation on this project until the Committee's first annual review of plans next year. Costs, at the 500 bed level and at today's prices, would be as follows:
Ratio of beds: staff
Staff Numbers
Specialty
Approx. No. of
Beds
Doctors Nurses Doctors
Nurses
Ratio of beds: staff Staff Numbers
1. Medical and Paed.
350
2.
Surgical and Gyn.
400
3.
Maternity
100
4.
Psychiatric
250
5.
Geriatric
100
man88
13
2.2
27
159
Specialty
Approx. No. of Beds
Doctors
Nurses Doctors Nurses
9
1.8
44
222
25
1.3
77
60
4.0
63
30
2.5
40
123
1.
Medical and Paed.
200
13
2.2
15
2. Surgical
250
9
1.8
28
3.
Maternity
50
25
1.3
182
91 139 38
Total
1,200
Non-recurrent cost:
850 × 60,000
$51 million
250 × 50,000 100×45,000
$12.5 million
$ 4.5 million
Recurrent cost:
1.
M. & H. Department
$68 million
82
561
Total
500
Non-recurrent cost:
Recurrent cost:
500 × 60,000-$30 million.
1. M. & H. Department
Doctors 45×44,510 Nurses 268 × 15,802
$2,003,000
$4,235,000
$6,238,000
45
268
Doctors 82×44,510
$ 3,650,000
Nurses 561 × 15,802
$ 8,865,000
$12,515,000
Total: 2.38 x 12,515,000— $29.8 million per year.
2.
P.W.D.
Architectural Office at 15 per cent of non-recurrent cost $10 million once only.
Total = 2.38 x 6,238,000-$14.8 million per year.
2.
P.W.D.
Architectural Office costs at 15 per cent of non-recurrent cost- $4.5 million once only.
21. In the psychiatric field the first priority is to build a major hospital on Hong Kong Island with a minimum of 1,000 beds to be ready, if possible by 1982. It could be located in Shau Kei Wan, where a site is already available. Although the supply of psychiatric-trained
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