TNAG-0507-FCO40-572-Development-of-medical-and-health-services-in-Hong-Kong-1974 — Page 232

G. F. 323

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CONFIDENTIAL # 3

Appendix A

dical Sub-committee Report: Clinical and Hospital facilities required for development at CUHK

A hospital at Shatin is required in the Medical Development Advisory Committee programme. This is on the basis that by 1983 Shatin will have a capacity of approximately 500,000 and an actual population of about 400,000. By the standards proposed in the Report however a population of about 250,000 would be adequate to support a hospital of about 1300 beds; and whether or not a population of 500,000 is achieved by 1983 in Shatin one of 250,000 seems likely. This is adequate for a hospital of this size with a Medical School with an intake of 100 or thereabouts. For the size of school envisaged a Shatin hospital would serve admirably.

2.

A teaching hospital also provides better and more advanced facilities than a non-teaching hospital. This means that if the CUHK proposal is accepted Shatin will be able to offer to North Kowloon and the areas north of Kowloon facilities comparable with those offered by Queen Mary Hospital on Hong Kong Island.

3. In normal circumstances planning and building a new hospital takes at least eight and up to twelve years. This is mainly because of time taken in the planning stage and the time needed for preparing working and detail drawings. Plans for the nearly-completed Princess Margaret Hospital have therefore been examined by the medical members of the Sub-committee to see whether these can be adapted for a new Shatin teaching hospital. Their firm conclusion is that they can be so adapted. The Principal Government Architect has estimated that re- planning could be completed by the time a site is available, the physical building completed in about three years and the hospital commissioned about a year later. If the site were available in 1976 or early 1977 this would mean having the hospital ready for its first clinical student intake by 1980 or 1981.

4.

The Principal Government Architect stressed that this would be possible only if he had the appropriate architectural and associated staff recruited in time.

5.

To achieve maximum efficiency and minimum operating costs the teaching hospital should also have a Polyclinic along- side it, which saves time and expenditure on the movement of staff, patients, samples and tests.

6.

One (site 46) is on

Three sites have been examined. the bluff between the new race-course and the University : one (site 10) is at the other end of the town on the approach road to Lion Rock Tunnel and near the Walled Village: and one (site 14) is roughly mid-way between the others and south of the final river channel.

7. Site 46 is very close to the University and consequently some distance out of the town. It would not be possible to develop a Polyclinic on this site, partly because of the steepness of the bluff but mainly because it would be too far out of town for use by out-patients. The site is however large and in a good (but slightly exposed) position.

CONFIDENTIAL 機密 12