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not flat, at least one small building (the animal house) will have to be demolished, an existing service road has to be accommodated and staff quarters already planned have to be fitted in. The rough order of cost for additions at Shatin is $20m.: the H.K.U. estimate, which is probably too high, for additions at Queen Elizabeth Hospital and adaptation at Princess Margaret Hospital is $37m. The ultimate figure may be between $25m. and $30m.
57. In summary the capital costs (including equipment but not fees) for the alternative are likely to be at least $5m. higher than for the preferred method.
Costings recurrent
58.
Recurrent costs of the Medical School at CUHK should not be significantly different from existing HKU costs: control can be maintained through the earmarked grant. The burden of expenditure must be developed somewhat ahead of the intake of students. It is assumed that the intake will rise to 100 in at least two stages, the first being of about 40.
59. To some extent recurrent costs should be lower for a dental school at H.K.U. than for one at CUHK. This is because of the use which can be made at H.K.U. of existing buildings for pre- clinical facilities and of some saving in pre-clinical teaching costs. Clinical costs are unlikely to be different. The Sub- committee has not in the time available been able to make a proper study of dental recurrent costs and the figures are therefore somewhat more tentative orders of cost than are those for the medical school.
Breakdown of costs
60. A breakdown of capital costs for the preferred method is at Appendix B and of recurrent costs at Appendix C. Capital and recurrent costs are at Appendix D for a phased development of the preferred method; and at Appendix E for the alternative method.
61. All costs, both capital and recurrent, are at January 1974 prices. It should be stressed that these are estimated orders of cost and that firm requirements cannot properly be formulated until the appropriate University Academic Advisory Committees have made submissions to the UPGC.
Summary of recommendations
62. It is recommended that the Medical Development Advisory Committee requirements for additional doctors and dentists should be met by setting up a Medical School at CUHK with a teaching hospital at Shatin and a Dental School at H.K.U. with a new Dental Clinic on Hong Kong Island. This would entail a change (agreeable to the Medical Development Advisory Committee) in the MDAC hospital building priorities.
/63.
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