PWSC(97-98)115
For discussion
on 11 February 1998
ITEM FOR PUBLIC WORKS
SUBCOMMITTEE OF FINANCE COMMITTEE
HEAD 708 - CAPITAL SUBVENTIONS AND MAJOR SYSTEMS AND EQUIPMENT
Medical Subventions
35MM - Tuen Mun Hospital - relocation of Tuen Mun Polyclinic
Members are invited to recommend to Finance Committee the approval of a commitment of $634.2 million in money-of-the day prices for the relocation of the Tuen Mun Polyclinic.
PROBLEM
The existing Tuen Mun Polyclinic has insufficient space and treatment facilities to meet the present day requirements for specialist out-patient services.
PROPOSAL
2. The Hospital Authority (HA), with the support of the Secretary for Health and Welfare, proposes to create a commitment of $634.2 million in money-of-the day (MOD) prices to construct a new block at the Tuen Mun Hospital for the relocation of the existing Tuen Mun Polyclinic in the Tuen Mun Town Centre.
PROJECT SCOPE AND NATURE
3. The project involves the construction of a new ten-storey specialist out-patient clinic block on the site of a soccer pitch within the Tuen Mun Hospital compound. The new block will provide -
- 70 consultation rooms covering a wide range of specialties including Medicine, Obstetrics and Gynaecology, Orthopaedics and Traumatalogy, Ear, Nose and Throat, Audiology and Speech Therapy, Paediatrics, and Geriatrics;
- supporting facilities including an ambulatory surgery centre, a pharmacy, a radio-diagnostic unit and a central medical record store;
- a link bridge connecting the proposed new building with the Special Block of the Tuen Mun Hospital; and
- a carpark with 225 spaces at the lower levels of the new block.
JUSTIFICATION
4. The existing Tuen Mun Polyclinic, built in the 1970s, is located away from the Tuen Mun Hospital in the Tuen Mun Town Centre. The polyclinic, with 28 consultation rooms, provides specialist out-patient services for the Tuen Mun Hospital. The existing facilities are grossly inadequate in terms of space, room layout and design to meet the volume (presently about 1 000 consultations per day) and standards of present day service requirements. Consultations and treatment are carried out in congested conditions (with two to three doctors using the same consultation room at one time) and patients' privacy is being compromised. Owing to structural constraints and physical limitations, there is no scope for further expansion or upgrading of existing outdated facilities.
5. At present, doctors of several major specialties such as Medicine and Geriatrics based in the Tuen Mun Hospital have to travel to the Polyclinic located in the town centre to provide specialist out-patient services. This has affected the efficient provision of medical care to patients.
6. The relocation of the Polyclinic from the Tuen Mun Town Centre to the hospital compund will bring the following benefits -
- improved operational efficiency in the provision of specialist out-patient service, by reducing doctors' travelling time and avoiding transfer of medical records between the Polyclinic and the Hospital;
- improved cost-effectiveness through maximising the utilisation of resources already available in Tuen Mun Hospital by sharing use of expensive equipment and other facilities; and
- improved quality of service in terms of comfort, privacy and convenience. A total of 70 consultation rooms will be provided with up-to-date treatment facilities to improve the quality of medical care to patients.
7. There are at present insufficient car-parking spaces at the Tuen Mun Hospital. With the addition of consultation rooms, there will be, altogether, a shortfall of about 300 car-parking spaces, in accordance with the prevailing planning standards and guidelines. The project will make up this shortfall by providing 225 additional car-parking spaces.
FINANCIAL IMPLICATIONS
8. The Director of Architectural Services (D Arch S) estimates the total project cost to be $634.2 million in MOD prices (see paragraph 9 below), made up as follows -
|
|
|
$ million
|
|
|
(a) Site formation
|
|
1.2
|
|
|
(b) Piling
|
|
44.2
|
|
|
(c) Building
|
|
181.3
|
|
|
(d) Building services
|
|
108.0
|
|
|
(e) Drainage and external works
|
|
3.1
|
|
|
(f) Consultants' fees
|
|
12.0
|
|
|
(g) Furniture and equipment
|
|
52.9
|
|
|
(h) Contingencies
|
|
39.2
|
|
|
|
_____
|
|
|
Sub-total
|
|
441.9
|
(at December
1996 prices) |
|
(i) Inflation allowance
|
|
192.3
|
|
|
|
_____
|
|
|
Total
|
|
634.2
|
(in MOD
prices) |
|
|
_____
|
|
The construction floor area (CFA) of the project is 26 200 square metres. The construction unit cost, excluding "Furniture and equipment" and "Consultants' fees" but including "Contingencies" is $14,389 per square metre at December 1996 prices. A breakdown of the cost estimates for consultants' fees is at the Enclosure.
9. Subject to approval, we will phase the expenditure as follows -
|
Year
|
$ million
(Dec 1996)
|
Price
adjustment
factor
|
$ million
(MOD) |
|
1998 - 1999
|
26.0
|
1.16358
|
30.3 |
|
1999 - 2000
|
96.0
|
1.26830
|
121.8 |
|
2000 - 2001
|
155.0
|
1.38244
|
214.3 |
|
2001 - 2002
|
73.0
|
1.50686
|
110.0 |
|
2002 - 2003
|
55.0
|
1.64248
|
90.3 |
|
2003 - 2004
|
28.0
|
1.79030
|
50.1 |
|
2004 - 2005
|
8.9
|
1.95143
|
17.4 |
|
_____
|
|
_____ |
|
441.9
|
|
634.2 |
|
_____
|
|
_____ |
10. We derived the MOD estimate on the basis of the Government's forecast of trend labour and construction prices for the period from 1998 to 2005. We will tender the project under two fixed-price lump-sum contracts for piling and superstructure works respectively.
11. HA estimates the net additional annually recurrent expenditure of the project to be $6.98 million at December 1996 prices made up as follows -
|
$ million
|
|
|
|
|
|
Light and power
|
1.66
|
|
|
|
|
|
Repairs and maintenance
|
5.32
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
6.98
|
|
|
|
|
PUBLIC CONSULTATION
12. We consulted the Tuen Mun Provisional District Board in November 1997. Members of the board supported the project.
ENVIRONMENTAL IMPLICATIONS
13. The Director of Environmental Protection vetted the Preliminary Environmental Review (PER) conducted by consultants of D Arch S in August 1996. The PER concluded that if properly mitigated, the project would have no long term environmental impact and no Environmental Impact Assessment would be required. We shall incorporate the recommendations of the PER, such as the location of the fresh air intakes, into the design of the central air-conditioning system. We shall collect and dispose of the clinical waste generated during the operational phase in accordance with relevant guidelines issued by the HA and the Environmental Protection Department.
14. For short-term impacts during construction, D Arch S will control dust, noise and site run-off to within established standards and guidelines through the implementation of appropriate mitigation measures in relevant contracts.
LAND ACQUISITION
15. This project does not require land acquisition.
BACKGROUND INFORMATION
16. D Arch S has completed site investigations for the project and is now finalising the design drawings using in-house staff resources. We plan to start the construction works in June 1998 for completion in December 2000.
17 The future use of the existing polyclinic is still under consideration.
Health and Welfare Bureau
January 1998
Enclosure to PWSC(97-98)115
35MM - Tuen Mun Hospital - relocation of Tuen Mun Polyclinic
Details of Consultants' fees and trading fund charges
|
Breakdown of the estimate for consultants' fees
|
|
|
Estimated
man
months
|
Average
MPS*
salary
point
|
Multiplier
factor
|
Estimated fee
($ million) |
|
(A) Consultants' staff costs
|
|
|
|
|
|
(I) Quantity Surveying discipline
|
|
|
|
|
|
|
(a) tender documentation, tender assessment
|
Professional
Technical
|
9.0
12.5
|
40
16
|
3.0
3.0
|
1.5
0.7 |
|
(b) contract administration, account finalisation
|
Professional
Technical
|
9.0
14.3
|
40
16
|
3.0
3.0
|
1.5
0.8 |
|
(II) Building services engineering discipline (detailed design)
|
Professional
Technical
|
10.2
32.3
|
40
16
|
3.0
3.0
|
1.7
1.8 |
|
(III) Structural engineering discipline1(drafting services)
|
Technical
|
9.0
|
16
|
3.0
|
0.5 |
|
|
|
|
|
|
|
|
|
|
Sub-total
|
8.5
|
| (B) Charges by the Electrical & Mechanical Services Trading Fund (fees for advice for installation, testing, commissioning and maintenance period monitoring)
|
|
|
2.5
|
| (C) Charges by the Office of the Telecommunications Authority Trading Fund (OFTATF) (fees for advisory services on planning, design and installation of telecommunication system)
|
|
|
1.0
|
|
|
|
|
Total
|
12.0
|
*MPS = Master Pay Scale
Notes
1. A multiplier factor of 3 is applied to the average MPS point to arrive at the full staff costs including the consultants' overheads and profit, as the staff will be employed in the consultants' offices. A multiplier factor of 2.1 is applied to the average MPS point in the case of site staff supplied by the consultants. (At 1.4.96, MPS pt. 40 = $55,390 p.m. and MPS pt. 16 = $18,595 p.m.)
2. The figures given above are based on estimates prepared by the Director of Architectural Services. We will only know the actual man months and actual fees when we have selected the consultants through the usual competitive bidding system.
3. Since the establishment of EMSTF on 1 August 1996 under the Trading Funds Ordinance, government departments are charged for design and technical consultancy services for electrical and mechanical installations provided by the Electrical and Mechanical Services Department (EMSD). The figures above are based on estimates prepared by the Director of Architectural Services. The actual cost for the service charges is subject to further negotiation between the Government and the EMSD.
4. Since the establishment of the OFTATF on 1 June 1995 under the Trading Funds Ordinance, government departments are charged for design and technical consultancy services for telecommunication system installations provided by the Office of the Telecommunications Authority (OFTA). The figures above are based on estimates prepared by the Director of Architectural Services. The actual cost for the service charges is subject to further negotiation between the Government and the OFTA.
1.The consultancy services are required for the above disciplines only. Site supervision during the construction period will be carried out by ArchSD using in-house staff resources.
