PWSC(97-98)121
For discussion
on 11 February 1998


ITEM FOR PUBLIC WORKS
SUBCOMMITTEE OF FINANCE COMMITTEE

HEAD 708 - CAPITAL SUBVENTIONS AND MAJOR AND EQUIPMENT
Medical Subventions
36MM - Hospital improvement programme, phase III - improvement to eight public hospitals ( DKCH, GH, KWH, NLH, OLMH, TWH, UCH and YCH)

Members are invited to recommend to Finance Committee the approval of a commitment of $208.7 million in money-of-the-day prices for general improvement works in eight public hospitals.

PROBLEM

The conditions and facilities in eight public hospitals have reached a stage where renovation, repair or replacement of deteriorating building elements and services are required to restore the buildings to good working order.

PROPOSAL

2. The Hospital Authority (HA), with the support of the Secretary for Health and Welfare, proposes to create a commitment of $208.7 million in money-of-the day (MOD) prices to improve the conditions of the building and building services facilities in eight public hospitals.

PROJECT SCOPE AND NATURE

3. In this project, various general improvement works will be carried out in the following eight public hospitals -

  1. Duchess of Kent Children's Hospital (DKCH);

  2. Grantham Hospital (GH);

  3. Kwong Wah Hospital (KWH);

  4. Nam Long Hospital (NLH);

  5. Our Lady of Maryknoll Hospital (OLMH);

  6. Tung Wah Hospital (TWH);

  7. United Christian Hospital (UCH); and

  8. Yan Chai Hospital (YCH).

4. The general improvement works include -

  1. general repair and refurbishment works such as repainting, re-roofing, spalling concrete repair, replacement of windows, wall and floor finishes;

  2. general repair or replacement of plumbing and drainage systems;

  3. replacement of hot water systems;

  4. replacement of lifts;

  5. upgrading of power supplies; and

  6. replacement of defective electrical installations and electrical re-wiring.

Details of the improvement works at individual hospitals and their estimated costs are set out in the Enclosure.

JUSTIFICATION

5. As a result of prolonged usage and natural wear and tear, some specific problems have occurred in the building and building services facilities in

the hospitals mentioned in paragraph 3 above. Fixing these problems falls outside routine repair and maintenance activities. The problems include -

  1. roof leakage, spalling concrete, pipe blockages and dilapidated finishes;

  2. outdated lifts which cannot meet modern requirements;

  3. defective power supplies and hot water systems; and

  4. ageing electrical installations and wiring.

6. These shortcomings have affected the operational efficiency of the hospitals concerned and hindered the delivery of quality service to patients. The improvement works are required to bring the facilities and services up to current standards, to improve operational efficiency and to provide a safe and comfortable physical environment for staff and patients.

FINANCIAL IMPLICATIONS

7. HA, with the assistance of the Director of Architectural Services (D Arch S), estimates the total project cost to be $208.7 million in MOD prices (see paragraph 8 below), made up as follow -



$ million


(a) Building


88.91


(b) Building services


55.10


(c) EMSTF charges


8.82


(d) Contingencies


10.14




_____


Sub-total


162.97

(at December
1996 prices)

(e) Inflation allowance


45.73




_____


Total


208.70

(in MOD
prices)



_____


8. Subject to approval, we will phase the expenditure as follows -

Year

$ million
(Dec 1996)

Price
adjustment
factor

$ million
(MOD)

1998 - 1999

34.35

1.16358

39.97

1999 - 2000

86.46

1.26830

109.66

2000 - 2001

36.45

1.38244

50.39

2001 - 2002

5.20

1.50686

7.84

2002 - 2003

0.51

1.64248

0.84


_____


_____


162.97


208.70


_____


_____

9. HA derived the MOD estimate on the basis of Government's forecast of trend labour and construction prices for the period from 1998 to 2003. D Arch S will undertake the project with in-house resources and adopt term contract arrangements.

10. No additional annually recurrent expenditure will be required as a result of this project.

PUBLIC CONSULTATION

11. We consider that public consultation is not necessary for this project which will be carried out within hospital premises.

ENVIRONMENTAL IMPLICATIONS

12. In February 1996, HA completed a Preliminary Environmental Review (PER) of this project and concluded that, given the nature, size and location of this project, the operation of the project would have limited potential for adverse impacts on the environment. The Director of Environmental Protection vetted the PER and agreed that an Environmental Impact Assessment would not be required.

13. 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 under the term contract arrangements.

LAND ACQUISITION

14. This project does not require land acquisition.

BACKGROUND INFORMATION

15. We plan to start the construction works in April 1998 for completion in August 2001.


Health and Welfare Bureau
January 1998


Enclosure to PWSC(97-98)121

Hospital


Scope of Works

Cost estimate1
($million)

DKCH

(a)

Internal repainting to the Administration Block and chimney tower

1.30


(b)

Replacement of plumbing and drainage systems in Blocks 1, 4 & 7

1.92


(c)

Replacement of calorifiers

2.00



Sub-total

5.22

GH

(a)

Refurbishment of wards at 4/F and 6/F in the Main Block

7.00


(b)

General repairs/replacement of plumbing and drainage systems, internal redecoration, replacement of windows and reroofing of Senior Staff Quarters and Nurse Quarters 1, 2, 3, 4 & 5

12.00


(c)

Replacement of calorifiers

2.50



Sub-total

21.50

KWH

(a)

Internal refurbishment of the Nurse Quarters and Training School

13.00


(b)

Replacement of two lifts at Administration Block / Medical Officer Quarters and two lifts at the Stores Building / Staff Barracks respectively

5.17



Sub-total

18.17

NLH

(a)

General repair, refurbishment and reroofing in the Hospital Block

18.00


(b)

Replacement of a defective hot water system and defective electrical installations in the Hospital Block

14.86


(c)

Replacement of calorifiers

2.40



Sub-total

35.26

OLMH

(a)

Replacement of two passenger lifts at the North and East wings respectively

5.43


(b)

Replacement of floor tiles for hospital buildings

0.20



Sub-total

5.63

TWH

(a)

General repair programme for Yeo Wing

18.00


(b)

General repair to Centenary Building

15.70


(c)

Replacement of four lifts at the Main and Centenary Buildings

7.20



Sub-total

40.90

UCH

(a)

Replacement of two passenger lifts in Block A

4.00


(b)

Replacement of plumbing, drainage systems and electrical re-wiring in Block A

8.13



Sub-total

12.13

YCH

(a)

Upgrading of power supply and building management system in Block B

3.20


(b)

Electrical re-wiring and overhaul of the drainage and plumbing systems in Block D

2.00



Sub-total

5.20







Total

144.01


1.The cost estimates include the costs of building and building services only (paragraphs 7(a) and (b) above). The cost for EMSTF charges and contingencies are not included.