2.0      Project Description. 2-1

2.1            Need and Benefits of the Project 2-1

2.2            Siting and Design Considerations. 2-6

2.3            Consideration of Scenarios With and Without the Project 2-9

2.4            Consideration of Alternative Options. 2-10

2.5            Construction Method and Alternatives. 2-16

2.6            Project Planning and Implementation Programme. 2-17

2.7            Concurrent Projects. 2-18

2.8            Public Consultation. 2-18

 

TABLES

Table 2.1a       Summary of Helicopter Landing Data at PYNEH (Year 2015 to 2019)

Table 2.1b       Summary of Helicopter Landing Data at TMH (Year 2015 to 2019)

Table 2.1c       Summary of Helicopter Landing Data at Wan Chai (Year 2015 to 2019)

Table 2.2         Selection of Acute Hospitals for the Proposed Helipad

Table 2.3         Summary of Outcome of Options Evaluation of Helipad Siting in NAH

Table 2.4         Merits and Demerits of the Construction Methods for the Proposed Helipad

Table 2.5         Tentative Programme of the Project

Table 2.6         Summary of Concurrent Projects

Table 2.7          Summary of Public consultation

 

 

FIGURES

Figure 2.1        Project Site and Surrounding Land Uses

Figure 2.2        Options for Helipad Location in the NAH

Figure 2.3       Proposed Helicopter Flight Path

Figure 2.4        Location of Concurrent Projects

 

 

APPENDICES

Appendix 2A   Correspondence with Planning Department

Appendix 2B   Location of Queen Elizabeth Hospital

 

 


2.0              Project Description

 

2.1                Need and Benefits of the Project

2.1.1           Existing Hospital Helipads and Concerns

 

2.1.1.1       The Hospital Authority (HA) has an ongoing review of the current transportation arrangement of the medical emergency cases.  As the ageing population is on the rise, the number of patients being transferred to hospitals also increases. The efficiency and effectiveness of emergency transfers for patients become an inevitable part of the review.  In addition to the improvement of the existing life-saving services, HA identifies the need to equip acute hospital with a trauma centre under planning with a helipad. 

2.1.1.2       In addition, the HA has a strategy to provide air ambulance services when opportunities arise, that is with the provision of helipads at designated trauma centres.  The five current designated trauma centres are located at the Prince of Wales Hospital (PWH), Princess Margaret Hospital (PMH) and Tuen Mun Hospital (TMH) in the New Territories; Queen Elizabeth Hospital (QEH) in Kowloon and Queen Mary Hospital (QMH) on Hong Kong Island.  Of these hospitals with trauma centres, currently only the TMH in the New Territories is provided with a helipad, although a new helipad, primarily to serve the population from the western part of Hong Kong, is planned at the Queen Mary Hospital on the Hong Kong Island. 

2.1.1.3       Besides the TMH, the Pamela Youde Nethersole Eastern Hospital (PYNEH) is the only other hospital in Hong Kong equipped with a helipad for the air transportation of medical emergency cases (CASEVAC A+ cases).  However, the PYNEH does not contain a trauma centre.   

2.1.1.4       For emergency retrieval from the New Territories, the patient will be transferred to TMH if practicable during day time (07:00-19:00).  However, as advised by the Government Flying Service (GFS), the helipad at TMH can only be used during day time and not preferred in the evening (19:00-23:00) and night-time (23:00-07:00) due to the high-rise buildings nearby causing flight safety issues.  When the TMH is not available, the helipad at the PYNEH would normally be used.   At present, most of the air transported medical emergency cases land at the helipad of the PYNEH, which is located at the north-eastern part of the Hong Kong Island. Details of the recent emergency helicopter landing data are presented in Tables 2.1a-c.

2.1.1.5       The QMH is one of the trauma centres with acute medical care facilities for treatment of trauma and emergency cases, but there is no helipad at the hospital.  Based on the current arrangement, trauma patients admitted to the QMH are transferred to the hospital via ambulance after helicopter-transported to either the helipad at PYNEH or to the Wan Chai Heliport.

2.1.1.6       For patient transfer from either PYNEH or Wan Chai Heliport to the QMH via ambulance, delays due to traffic congestion increase the risk for critically ill or injured patients with life-threatening conditions.  The existing transfer time from landing at PYNEH/ Wan Chai Heliport to QMH by ambulance takes around 10 to 20 minutes under smooth traffic conditions but more often, it can take in the excess of 20 minutes due to traffic congestions.  To reduce the time required for transfer under the current redevelopment proposal, a new rooftop helipad is planned on the proposed New Block of QMH.  The new rooftop helipad at QMH is anticipated to be put into service in 2024.  

2.1.1.7       Upon the completion of the construction of the helipad at the QMH, the two 24-hour operating helipads would both be located on the Hong Kong Island.  From the standpoint of serving the needs of all geographical locations, the coverage of emergency medical transfer services is considered not comprehensive.  In addition, helicopter landings at the current two helipads at TMH and PYNEH are sometimes not feasible due to adverse weather conditions such as poor visibility, low cloud and strong wind conditions.  Furthermore, helipads do require regular or routine maintenance.  Having more landing choice would certainly increase the flexibility during maintenance and reduce the risk for helipads become unavailable to receive patients from unforeseen traumatic accidents.

2.1.1.8       Even when the planned QMH helipad comes into operation in 2024, there will only be two acute hospitals on the Hong Kong Island (PYNEH and QMH) and one acute hospital in the New Territories East (TMH), with helicopter landing facilities that allow a point-to-point transfer for patients in critical conditions.  Considering the time required for transferring patients from certain areas in Hong Kong, in particular the New Territories, the locations of these hospitals are not comprehensive.  For patients from Kowloon and other parts of the New Territories who need emergency transfer services, they would have to be transferred to the other acute hospitals by air, or ambulance, or by a combination of both, when the helipad at TMH cannot be utilized.  Such indirect, lengthy transfer not only requires extra pre-hospital travelling time, but also would involve more unnecessary lifting or moving of traumatic victims under severe condition jeopardizing their life safety.

2.1.1.9       To ensure the critically ill or injured patients can receive immediate emergency service as needed and to fill the existing operational gaps, it is recognised that there is a need to identify additional sites for helipads for the air transportation of medical emergency patients.  Providing a rooftop helipad at a strategic location would certainly shorten the time required for helicopter transfer considering that the number of emergency landing at hospitals with helipad remain rather constant every year.  As HA proposes to relocate the trauma centre from the Queen Elizabeth Hospital to the future New Acute Hospital (NAH) in the Kai Tak Development Area (KTDA), the provision of a new helipad at the NAH in Kowloon can support the new trauma centre as well as providing better coverage for the overall network.  As a result, the service need from the entire geographical regions in Hong Kong can be addressed.  With this additional helipad at the NAH, there will be at least one trauma centre with helipad facilities which is available in each of the Hong Kong Island, Kowloon, and the New Territories region.

2.1.1.10     Due to the nature of an emergency, the frequency of emergency landing of helicopter at the proposed helipad will be intermittent and random.  Therefore, it is not possible to have a fixed landing schedule.

2.1.1.11     The record of flight landings in the past 5 years at PYNEH, TMH and the Wan Chai Heliport are tabulated in Tables 2.1a-c below and are further discussed in Section 5.  With the development of the proposed helipad at NAH, the existing helicopter operations will be shared amongst the existing hospital’s helicopter landing sites based on geographical location. There are four major types of flight landings categories as listed below.

·         Type "A+" CASEVACs - This type of Casualty Evacuation should only be requested for those patients suffering from immediate life threatening or limb threatening conditions. The Government Flying Service should respond immediately to this request;

·         Other CASEVACs – Other types of Casualty Evacuation that include Type A and Type B CASEVACs for patients having emergency medical conditions which are other than immediate life or limb threatening, and those suffering from major medical condition with potential risk of deterioration but with relatively stable vital signs and require definitive treatment as soon as possible, and for whom public transport is not appropriate;

·         SAR – Search-and-Rescue Callouts initiated by other Government Departments, including but not limited to Hong Kong Police Force, Hong Kong Fire Services Department; and

·         Others – Other flying mission not included in the category above, including but not limited to routine Government Flying Tasks, Police Missions.

2.1.1.12     As such, Type "A+" CASEVACs and other CASEVACs (Type A and Type B CASEVACs), Search and Rescue (SAR) Operations (life-threatening condition) are applicable to the proposed helipad at NAH.

2.1.1.13     Currently, when the helipads are not available at TMH or PYNEH due to adverse weather conditions or any other reasons, the Wan Chai Heliport is used as a landing site for emergency medical cases. The patient is then transferred to the QMH by ground ambulance. However, there are also flight safety and weather constraints using the Wan Chai Heliport.  In addition, as further transportation by ground ambulance is needed, the PYNEH helipad is more frequently used. Therefore, there is a need to propose an alternative location to ensure a point to point direct transfer in case all of the above-mentioned helipad are not available during poor weather conditions.


Table 2.1a                    Summary of Helicopter Landing Data at PYNEH (Year 2015 to 2019)(1)

Year

CASEVAC A+

Other CASEVAC

SAR

Total Landings

Day

Evening

Night

Total

Day

Evening

Night

Total

Day

Evening

Night

Total

2015

64

7

26

97

7

0

0

7

81

10

6

97

201

2016

63

22

23

108

3

0

0

3

87

9

8

104

215

2017

86

20

33

139

10

0

0

10

122

12

12

146

295

2018

73

21

29

123

10

1

0

11

81

13

13

107

241

2019

83

26

32

141

4

1

0

5

88

6

10

104

250

Note (1): Data are provided by Government Flying Service

 

Table 2.1b      Summary of Helicopter Landing Data at TMH (Year 2015 to 2019)(1)

Year

CASEVAC A+

Other CASEVAC

SAR

Total Landings

Day

Evening

Night

Total

Day

Evening

Night

Total

Day

Evening

Night

Total

2015

0

0

0

0

0

0

0

0

5

0

0

5

5

2016

0

0

0

0

0

0

0

0

12

0

0

12

12

2017

1

0

0

1

0

0

0

0

4

0

0

4

5

2018

0

0

0

0

0

0

0

0

3

0

0

3

3

2019

1

0

0

1

0

0

0

0

16

0

0

16

17

Note (1): Data are provided by Government Flying Service

 

Table 2.1c       Summary of Helicopter Landing Data at Wan Chai (Year 2015 to 2019)(1)

Year

CASEVAC A+

Other CASEVAC

 

Day

Evening

Night

Total

Day

Evening

Night

Total

 

2015

5

1

4

10

1154

211

172

1537

 

2016

12

4

5

21

1008

202

147

1357

 

2017

10

9

3

22

1231

255

148

1634

 

2018

8

3

1

12

1178

213

145

1536

 

2019

12

6

8

26

1105

193

172

1470

 

Year

SAR

Others

Total Landings

Day

Evening

Night

Total

Day

Evening

Night

Total

2015

121

7

12

140

967

8

0

975

2662

2016

142

14

6

162

814

29

5

848

2388

2017

132

17

2

151

919

29

1

949

2756

2018

127

9

2

138

876

58

58

992

2678

2019

115

12

0

127

906

53

0

959

2582

Note (1): Data are provided by Government Flying Service


2.1.2           Benefits to NAH

 

2.1.2.1       The NAH in the KTDA will be a new major acute general hospital located in central Kowloon region serving not only to the community of the Kai Tak area, but also, providing support to the adjacent districts such as Kowloon City, Wong Tai Sin, Kwun Tong and Yau Tsim Mong.           

2.1.2.2       According to the Clinical Services Plan for the Kowloon Central Cluster (KCC) formulated by the HA in 2016, the NAH will have a planned capacity of around 2,400 numbers of in-patient and day beds.  It will be set up with the objectives of meeting the long-term rising demand for healthcare services and facilities in Kowloon arising from the growing and ageing population. 

2.1.2.3       The NAH will provide 24-hour Accident and Emergency, in-patient, out-patient, ambulatory and rehabilitation services in addition to being a designated trauma centre, which is relocated from the current location at the QEH.  The trauma centre, to be housed in the Acute Block, will be integrated with other hospital functional units comprising critical care areas such as the Perioperative Centre, Neonatal Intensive Care Unit/ Special Care Baby Unit (“NICU/ SCBU”), Intensive Care Unit (“ICU”) and High Dependency Unit (“HDU”) in order to provide a full range of comprehensive care for critically ill/ injured patients.

2.1.2.4       Based on the existing conditions and concerns described in Section 2.1.1, and since the helicopter borne patients are expected to be in time critical condition, it is essential that there will be a safe, fast and efficient access between the AED, and critical care areas as detailed above. It is proposed that the helipad to be located on the roof of the Acute Block of the NAH (Figure 1.1). This will allow rapid access for the transfer of critically ill/ injured patients to and from the AED of the hospital. 

2.1.2.5       The transfer of patients will be via a pair of dedicated “hot lifts” with override controls for expedition.  With the helipad located on the roof top of the Acute Block building and the AED being directly located on the ground level of the same block, critically ill/ injured patients will be able to receive a continuum of high quality, efficient and effective emergency response services.  Furthermore, the proposed NAH helipad will also serve emergency services by incorporating the advantages discussed below.

2.1.3           Location Advantages

 

2.1.3.1       The NAH is strategically located in the heart of Kowloon which is a better location than the existing helipads at TMH, PYNEH and the planned QMH for serving the public in the Kowloon, the outlying islands and some remote country park areas in the north-eastern part of the New Territories. With the helipad at the NAH, the time required to transfer trauma patients from the locations mentioned above will be significantly shortened for the NAH.   Also, the NAH helipad will serve the future trauma centre at this location after relocation from the QEH.  As noted above, with this additional helipad at the NAH, at least one trauma centre with helipad facilities will be available in each of the Hong Kong Island, Kowloon, and the New Territories region.

 

2.1.4           Multiple Casualty Transfer

 

2.1.4.1       Disasters involving multiple casualty transfer cannot be ruled out and must be carefully planned and prepared for under a comprehensive healthcare network.  The proposed rooftop helipad at NAH can be operated in conjunction with GFS’s Kai Tak Division, which is located approximately 1.5km at the former Kai Tak Runway Tip, when major disasters occur involving a large number of patients.  This arrangement would help to cater for multiple casualty transfers when multiple helicopters are involved by serving as the primary landing site or as an emergency support landing site.

2.1.5           Weather Alternatives

 

2.1.5.1       The helipads at the PYNEH or the proposed New Block of QMH may not be available for operational use from time to time due to adverse weather conditions.  Poor visibility, low cloud base or strong wind conditions often prevent the safe landing of helicopter at a helipad.  In the spring and summer months, foggy weather and localised thunderstorms often result in poor visibility affecting helicopter flights.  Therefore, it is necessary to provide additional and alternative sites for the emergency rescue team to consider, should adverse weather conditions arise at the PYNEH and QMH.  The provision of the rooftop helipad at the Acute Block of the NAH provides a primary and secondary landing point for air ambulance and rescue missions with critically ill/ injured patients or survivors by sharing part of the landings for emergency services with the PYNEH and the QMH, ensuring the most optimal flights and effective use of resources.

2.1.6           Environmental Benefits

 

2.1.6.1       The helipad is proposed to be constructed on the rooftop of the Acute Block of the NAH.  As the provision of the helipad has been accounted for in the early planning stage, there will be no additional foundation and superstructure implications for the Project. The potential environmental impacts arising from the construction of helipad will be small.  As mentioned in Section 1.3.1.2, the environmental study for the construction and operation of NAH has been conducted separately under the scope of NAH Main Works and will be updated.

2.1.6.2       The additional helipad at NAH would share the air ambulance traffic among helicopter landings at the PYNEH, TMH and future QMH, thus alleviating the potential noise and disturbance to residents nearby these hospitals. The Wan Chai Heliport will continue to be used transfer patients to the PYNEH and the QMH.  However, the heliport service is mainly for CASEVAC A, and B patient transfer only.

2.2                Siting and Design Considerations

2.2.1           Context and Location of the Project Site

 

2.2.1.1       Located on the south apron of the former Kai Tak Airport, there are three sites earmarked for hospital developments, namely Site 3C1(A), Site 3C1(B) and Site 3C1(C), as detailed on the latest approved Kai Tak Outline Zoning Plan (”OZP”) No. S/K22/6 (hereinafter described as “Sites A, B and C”, respectively).  Sites A and B have been allocated for the development of the NAH, while Site C is occupied by the Hong Kong Children’s Hospital (HKCH), which commenced operations in 2018.  Site A abuts Kwun Tong Bypass, Cheung Yip Street and Shing Cheong Road, while Site B abuts the planned Roads L10, L18 and D4.  The construction works for the foundations for the proposed NAH in both Site A and Site B commenced in 2018.  The Acute Block of NAH will be located at the south-east part of Site A, and the Project site for the helipad is proposed to be located on the roof of the Acute Block.  Sites A, B and C are all zoned as “Government, Institution or Community (“G/IC”)” on the Kai Tak OZP No. S/K22/6, where “Hospital” Use and its ancillary facilities are always being permitted.  As confirmed by Planning Department, the proposed helipad at rooftop of the NAH is considered ancillary to “Hospital” use which is a Column 1 use always permitted in the “G/IC” zone of the approved Kai Tak OZP No. S/K22/6.  No planning permission from the Town Planning Board for the proposed helipad is required.  Correspondence with Planning Department is attached in Appendix 2A.

2.2.1.2       The helipad is proposed on the roof of the Acute Block of the NAH at Site A as shown in Figure 1.1.  The land use of the Project Site and its environs are shown in Figure 2.1.

2.2.1.3       Besides the Sites A, B and C, some G/IC sites are found in the close vicinity of the Project Site.  Adjacent to the eastern corner of Site A at Cheung Yip Street, there is the existing Kai Tak Fire Station and two sites, both utilised by the Transport Department as vehicle examination centres and which are located on the other side of the Kwun Tong By-pass and north of Site A.

2.2.1.4       To the south-east of Site A, and opposite to the Acute Block across Cheung Yip Street, a planned residential zone is located at approximately 50m from the boundary of Site A.  The planned residential area is zoned as “Residential (Group B)” (“R(B)2”) according to the approved Kai Tak OZP No. S/K22/6.  This R(B)2 zone consists of two adjacent sites:  One is located next to waterfront area with a building height restriction of +80mPD and is currently the Public Works Central Laboratory Building, while the other one is located at Lam Chak Street with a building height restriction of +100mPD and is currently the Kowloon Bay Parking site.

2.2.1.5       Further to the south-east of Site A, two areas zoned as "Commercial (2)" are found along both sides of Kai Hing Road. Closer to the NAH on the west side of Kai Hing Road, the existing Pacific Trade Centre is approximately 50m away from Site A and has a height of 51.1mPD while the Octa Tower is located approximately 30m from Site A and has a height of 136.5mPD according to the planning application permission of relaxation of building height restriction, plot ratio and site coverage restriction for permitted commercial development (Application No. A/K22/6). 

2.2.1.6       There are also the existing Kowloon Godown, Kerry Dangerous Goods Warehouse (Kowloon Bay) and an open storage area on the east side of Kai Hing Road which are located about 140m from Site A.

2.2.1.7       According to the Section 16 planning application No. A/K22/13-1 approved under the Town Planning Ordinance, permission for residential developments proposed on 7 Kai Hing Road (NKIL 5813) has been granted and valid until 30 March 2020. Therefore, the permission is considered as expired. Nonetheless, according to the Section 16 planning application No. A/K22/27, a proposed redevelopment on the site to a commercial building has been applied for, and is under review at the time of preparation of this EIA report.

2.2.1.8       In the ex-Kai Tak Runway in KTDA, some planned residential zones, currently zoned “Residential (Group B)” (“R(B)4”, “R(B)5” and “R(B)7”) and with building height restrictions ranging from +95mPD to +120mPD, are found within 500m of the Project.  These zones are located along Shing Fung Road (i.e. Road D3A), across the Kai Tak Approach Channel, and the nearest residential zone is at about 450m southwest of the Project Site.

2.2.2           Design of the Project

 

2.2.2.1       The helipad will be designed according to the following guidelines:

·         Helicopter Landing Site (HLS) Design Guidelines issued by Government Flying Service (GFS), August 2015;

·         CAD 360 – Helicopter Supplement issued by Civil Aviation Department (CAD), 1st Edition January 2009 (Amendment 3, June 2018); and

·         Annex 14 Volume II Heliports issued by International Civil Aviation Organization (ICAO), 4th Edition July 2013

2.2.2.2       The helipad will be installed and operated at the west corner on the roof of the proposed Acute Block of the NAH and there will be no fuelling facilities provided at this location.

2.2.2.3       The helipad will be designed as a circular shape of about 30m in diameter plus 1.5m safety net along its outer perimeter. The size of the helipad was based on the needs of the new helicopters (Airbus H-175) with less room required as compared to the previous helicopters (Super Puma AS332 L2 / EC155 B1) used by GFS. Thus, 30m in diameter for the proposed helipad is adopted.

2.2.2.4       Considering the height restriction and away from the nearby sensitive receivers, the helipad is elevated from the main roof level of the Acute Block at approximately +119.15mPD, subject to detailed design development. Although the proposed helipad at +119.15mPD which is higher than the height restriction of +100mpD as stipulated in the approved Kai Tak OZP No. S/K22/6, Planning Department has confirmed that proposed helipad height is acceptable and no planning permission under Town Planning Ordinance is required.  Correspondence with Planning Department is attached in Appendix 2A.

2.2.2.5         Major components of the helipad consist of an elevated helipad, and associated structures including covered safety walkway, associated egress staircase, noise barrier, which are covered under this EIA study.

2.2.2.6       The helipad will solely be used for emergency patients and casualties’ transportation and other emergency medical uses, and there will be no commercial and planned flights except trial flights. The patients will be transferred to the AED directly at the same block via the dedicated “hot lifts”.

2.2.2.7       Ancillary supporting facilities including area lighting, fire services equipment, markings, cleaning and maintenance will also be provided.

2.2.3           Type of Helicopters

 

2.2.3.1       A total of 7 new helicopters, the Airbus H-175 have been in operation since 7th April, 2020 and has replaced all of the helicopters, namely the AS332 L2 “Super Puma” and the EC155 B1 “Dauphin” by GFS. According to the noise measurement carried out under this Study, the new helicopters have operating noise levels significantly lower (with a range of 7-10 dB(A) of different non-lateral movements) than the previous (Super Puma AS332 L2 / EC155 B1) in general.  Details on the noise levels from the new helicopters are provided in the noise impact assessment in Section 5.6.3 and Appendix 5E.

2.2.4           Flight Paths

 

2.2.4.1       The flight paths to and from the proposed helipad have been carefully defined for helicopters to fly over the Kai Tak Approach Channel or Kwun Tong Typhoon Shelter. The flight paths are also considered to be away from the densely populated areas such as the ex-Kai Tak Runway to the south-west, Kowloon Bay to the north and Kwun Tong to the east. Thus, the proposed flight paths will be in the north and south-to-east directions.  Figure 2.3 presents the flight path of the Project.

2.2.5           Management Measures on Diversion of Patients

 

2.2.5.1       The management procedure of diversion of patients will strictly follow the Manual for Emergency Patient Conveyance prepared by HA.  The transfer of patients from a clinic or a hospital on the outlying island to an A&E Department in an urban hospital by CASEVAC which should be reserved for patients who, in the professional opinion of the attending doctor or nurse, that the medical attention in an A&E Department in an urban hospital is necessary and when the use of public transport is not appropriate.  Clinical assessment by the referring clinician, nurse or telemedicine to decide CASEVAC type: A+, A or B and then to determine the receiving hospitals.  Patients who are required to be diverted to specific HA medical institution for treatment will be sent to the helipad closest to the receiving hospital assigned by the referring clinician.

2.3                Consideration of Scenarios With and Without the Project

2.3.1           “Without Project” Scenario

 

2.3.1.1       The “Without Project” scenario considers the implications of the proposed helipad not being provided at the roof of Acute Block of NAH.

2.3.1.2       Currently, there is no helipad at any of the hospitals in the Kowloon Central Cluster (KCC), including the QEH which is a designated trauma centre.  Without the Project, emergency patients and casualties requiring air transportation will have to be transferred to the PYNEH, the TMH, or the planned helipad at QMH, but those landings may be precluded or restricted due to adverse weather or safety considerations.  In addition, the TMH helipad cannot be used during evening and night-time due to flight safety reasons.  

2.3.1.3       On Hong Kong Island, Wan Chai Heliport is an option for patient transfer.  According to the current emergency patient conveyance guideline, the Wan Chai Heliport is mainly used for the transfer of CASEVAC A and B category patients. CASEVAC A+ patients will normally be transferred to the designated hospital directly, i.e. PYNEH and future QMH. Based on the latest available resource, upon completion of the QMH and the NAH helipad, a periodic review of the conveyance will be carried out by the HA and GFS. Air transfer of patients between Kowloon and Hong Kong Island is currently not available.

2.3.1.4       The above arrangements are undesirable to the helicopter medical emergency services and emergency patients, especially for the patients in the Kowloon region. As such, if the Project is not implemented, there would be an undesirable situation as the transfer of the critically ill/ injured patients to hospital may be unnecessarily prolonged, causing impacts on the emergency response services to patients with life-threatening conditions.

2.3.2           “With Project” Scenario

 

2.3.2.1       With the Project implemented, the overall efficiency and effectiveness of the emergency response services of the NAH and Hong Kong would be more comprehensive and further enhanced.  Benefits as mentioned in Section 2.1.2 to 2.1.5, including combining the helipad with trauma facilities at optimized locations, multiple casualty transfers and alternatives during adverse weather conditions could be achieved, ensuring the delivery of a high standard of service for critically ill/ injured persons who need urgent medical attention.

2.4                Consideration of Alternative Options

2.4.1           Site Selection

 

Key Considerations

2.4.1.1       The key reason to have a helipad at an acute hospital is to enable point-to-point transfer of patients under critical conditions to the AED swiftly under various emergency circumstances including trauma incidents (e.g. disasters).

2.4.1.2       The followings are the key considerations in selecting the site for a helipad for medical emergency cases:

·         Type of hospital and medical services (Trauma Centre): In order to avoid additional time-consuming transfer of patients to other locations with proper trauma facilities with the frequent associated implications on life and death situations on trauma cases, a helipad should be integrated with an acute hospital with trauma facilities covering a wide range of medical support required to provide the most suitable treatment to save the patients/survivors.  As mentioned in Section 2.1.1.9 above, HA plans to relocate the trauma centre from the QEH to the NAH. 

·         Located in Kowloon: The current location of helipads do not provide an optimal distribution in terms of location.  A helipad at a trauma facility located in Kowloon would complement the medical emergency air transportation services to cover the whole territory of Hong Kong.  There are currently 17 hospitals in the Kowloon area[1], but only one, the Queen Elizabeth Hospital, currently is a designated trauma centre.  There are no plans to set up trauma centres at any of the other 16 existing hospitals, therefore, a new helipad at the existing hospitals was not considered.  Under the current situation, ground transportation to the QEH trauma centre would be the only choice, which limits the flexibility of potential designated AED. 

·         Space availability: The hospital should have sufficient space for construction of a helipad and associated supporting facilities. The helipad should be located at an unobstructed area for safe landing and take-off of the helicopters. In addition, there should not be high rise buildings along or near the designated flight paths.

·         Environmental benefit / dis-benefit: The potential environmental impact arising from the construction and operation of a helipad is also one of the key considerations so as to minimise the disturbance to surrounding environment.

Hospital Sites

2.4.1.3       According to the Clinical Services Plan for the Kowloon Central Cluster (KCC) formulated by the Hospital Authority in 2016, the NAH will offer a full range of comprehensive healthcare services including acute care for trauma patients.  In addition, the designated trauma centre at the QEH is planned to close once the trauma centre at the NAH is put into service.  Notwithstanding, Table 2.2 shows the key considerations for the selection of a helipad location at these two suitable acute hospitals in Kowloon. The location of the QEH is presented in Appendix 2B.

Table 2.2      Selection of Acute Hospitals for the Proposed Helipad

Considerations

Queen Elizabeth Hospital

New Acute Hospital

Type of Hospital and medical services

·      A Major Acute Hospital

·      24-hour A&E Service

·      Current trauma centre (planned to be relocated)

·      A Major Acute Hospital

·      24-hour A&E Service

·      Proposed trauma centre

Site Location

·      Kowloon Central Cluster – Gascoigne Road, King’s Park

·      Former South Apron area of KTDA. Space is available.

Space availability

·      No extra space at both ground and roof level for a helipad

·      Existing buildings may not have spare structural loading for helipad and rooftop helicopter landing; need additional structural support to cater the loading

·      No extra space at ground level for a helipad

·      The main building works of NAH have not been commenced and the structural loading of a proposed rooftop helipad can be accommodated

Flight Path

·      High rise residential buildings are found to the north and northeast, so flight sector is limited

·      Recreation developments and facilities to the south are comparably low-rise, which is preferred in terms of accessible flight path

·      High rise residential buildings are found to the east.

·      Three flight paths are available, southeast, south and northwest of the hospital(1)

 

Environmental Benefit/ Dis-benefit

Benefit:

·      Extensive and complicated construction activities involved for a retrofit

 

 

 

Dis-benefit:

·      Noise Sensitive Receivers (NSRs) at all directions

·      NSRs are very close to the hospital

Benefit

·      Minor construction activities involved\

·      Existing NSRs for construction stage are far away

 

Dis-benefit:

·      NSRs at southwest and southeast of the hospital

Distances of the Nearest Sensitive Receivers

22m to Methodist School from the main building block of QEH

150m from helipad to the nearest planned residential zone

Note:

1.    There are high rise buildings near NAH but not within the designated flight paths. Besides, the main roof levels of the high rise buildings are lower than the helipad deck level.

2.4.1.4       As mentioned above, the QEH is the only existing trauma centre in Kowloon.  However, based on the consideration of the above factors, the QEH is not preferred for helipad operations.  The location of QEH is shown in Appendix 2B.  It is also noted that the HA propose to transfer the trauma facilities at the QEH to the NAH once the latter is operational. 

Other Trauma Centres within Kowloon

2.4.1.5       In addition, a remote helipad from the hospital itself will require the onward transfer by ambulance with the resulting issues of ambulance availability, extended time needed for patient transportation and increased risks to the patient. Therefore, other existing hospitals in Kowloon were not considered.

Other Suitable Locations

2.4.1.6       Notwithstanding the above, suitable land in the Kowloon area is available at the former Kai Tak Airport in the KTDA.  However, it is noted that a Government Flying Service Kai Tak Division (GFS KTD) will be established at the tip of the Ex-Kai Tak Runway in KTDA, which is around 1.5km to the southeast of the NAH site. Based on this, the feasibility of making use of the helipad in the GFS KTD with onward transfer by ambulance for patient transportation to the NAH has been explored.    

2.4.1.7       It is estimated that the travelling time by ambulance from GFS KTD to the NAH is about 6 – 9 minutes.  This additional travelling time is considered too long for critical life-saving situations.  Furthermore, if ambulances are not available, it would cause further delays in transferring patients to the NAH.  Thus, providing direct point-to-point air transportation for patients by helicopter has a higher priority and hence a helipad at NAH is considered necessary.  

2.4.1.8       The new NAH is, therefore, considered as the most preferred acute hospital for helipad operations in Kowloon as discussed in Section 2.1.

2.4.2           Selection of Helipad Locations at NAH

 

2.4.2.1       Six locations within the NAH have been considered for the location of the helipad at the NAH.  The six options are:

·         Option 1: South corner on the roof of the proposed Acute Block of NAH in Site A;

·         Option 2: West corner on the roof of the proposed Acute Block of NAH in Site A;

·         Option 3: Roof of the proposed Administration Block of NAH in Site A;

·         Option 4: Roof of the proposed Education Block of NAH in Site A;

·         Option 5: Roof of the proposed Oncology Block of NAH in Site B; and

·         Option 6: Roof of the proposed Specialist Out-Patient Clinic Block of NAH in Site B.

2.4.2.2       The pros and cons for each of these options are examined below and the locations of the helipad for each of the options are shown in Figure 2.2.

Option 1: South corner on the Roof of the Proposed Acute Block of NAH in Site A

2.4.2.3       As there is a larger floor area at the southern portion of Site A which could provide sufficient space for the Acute Block and the Acute Block will accommodate the Critical Care Units which consists of a close integration of the AED, ICU, Perioperative Suite and Neonatal ICU etc., locating the helipad on the roof of the Acute Block would provide immediate access to the dedicated “hot lifts” which could maximize the overall efficiency and effectiveness of the emergency response services of the NAH. Therefore, the roof of Acute Block will be desirable for the Project in terms of medical planning. In addition, as the roof of Acute Block is at the highest location within the NAH complex at approximately +100.0mPD, this option is considered feasible. 

2.4.2.4       However, based on the planned residential zone located to the southeast of Site A and opposite to the Acute Block, which is zoned as “Residential (Group B)” (“R(B)2”) according to the approved Kai Tak OZP No. S/K22/6, positioning the helipad at the southeast corner on the roof of the Acute Bock will result in a shorter separation distance of about 50m from the future residents, such that only low distance attenuation for helicopter noise from the helipad could be provided and extensive mitigation of noise impacts would be required.  Adverse noise impacts on the planned residential building(s) would be anticipated even if noise screening structures were provided on the Acute Block.  Hence, the Option 1 is not preferred due to its close proximity to the R(B)2 zone.

Option 2: West Corner on the Roof of the Proposed Acute Block of NAH in Site A

2.4.2.5       Similar to Option 1, Option 2 is also proposed on the roof of Acute Block but located at the west corner in lieu of the south corner. This alternative siting on the roof of Acute Block, could also share the similar preferences in terms of medical planning and helicopter flight path as mentioned in Section 2.4.2.3.  At the same time, the separation between the R(B)2 zone with the helipad will be greatly increased by about two times to approximately 150m. Therefore, significant distance attenuation for helicopter noise from the helipad could be provided and the extent of noise mitigation measures required could be reduced when compared with Option 1.  Hence, Option 2 is considered technically feasible.

Option 3: Roof of the Proposed Administration Block of NAH in Site A

2.4.2.6       The roof level of the proposed Administration Block is at around +100mPD.  Due to the large separation distance of approximately 220m between the Administration Block of NAH and the R(B)2 zone at the location of the helipad, which is on the roof of the Administration Block, could provide high distance attenuation for helicopter noise from the helipad.  With provision of sufficient noise mitigation measures, adverse noise impact is not anticipated.  However, as the helipad is remote from the Critical Care Units and the AED which are located inside the Acute Block, the overall efficiency and effectiveness of the emergency response services will be hampered as need to be further transferred internally to the Acute Block.  Hence, Option 3 is considered not desirable as a helipad location.

 

Option 4: Roof of the proposed Education Block of NAH in Site A

2.4.2.7       The roof level of the proposed Education Block is around +100mPD.  Due to the large separation distance (greater than 300m) between the Education Block of NAH and the R(B)2 zone, Option 4, on the roof of Education Block would provide very high distance attenuation for helicopter noise from the helipad.  Adverse noise impact would not be anticipated with appropriate designated flight sector for the helicopter specified.  However, similar to Option 3, the Education Block is located further from the Critical Care Units accommodated inside the Acute Block, rendering a subpar overall efficiency and an almost ineffectiveness of the emergency response services.  Hence, Option 4 is considered not desirable as a helipad location.

Option 5: Roof of the proposed Oncology Block of NAH in Site B

2.4.2.8       For Site B, the nearest residential zone is identified at Shing Fung Road, which is zoned as “Residential (Group B)” (“R(B)5”) (i.e. KTD Site 4B2) according to the approved Kai Tak OZP No. S/K22/6.  Due to the large separation distance of more than 250m between Site B and the R(B)5 zone Option 5 on the roof of the Oncology Block in Site B could provide high distance attenuation for helicopter noise from the helipad.  With provision of sufficient noise mitigation measures, adverse noise impact may not be anticipated.  In addition, as Site B is situated along the waterfront at the South Apron area of KTDA and with the roof level of the Oncology Block being around +60mPD, which has a similar building height with the adjacent Specialist Out-Patient Clinic Block and HKCH, Option 5 would be beneficial for helicopter flight paths through the Kai Tak Approach Channel and Kwun Tong Typhoon Shelter.  However, compared to Option 3 and Option 4, Option 5 is even further away and disconnected from the Critical Care Units and the AED from the Acute Block in Site A, the overall efficiency and effectiveness of the emergency response services will be unacceptable.  As critically ill or injured patients would have to be transferred from the Oncology Block to the Acute block via ground ambulance and this would take extra time, delay arrival in the AED may be encountered.  Hence, Option 5 is considered not desirable in terms of medical planning and hospital operation.

Option 6: Roof of the proposed Specialist Out-Patient Clinic Block of NAH in Site B

2.4.2.9       In respect of the Specialist Out-Patient Clinic Block, the noise performance anticipated for Option 6 would be expected to be similar to Option 5, as its building height and separation distance to the R(B)5 zone are similar to the Oncology Block.  It also shares the same benefits in terms of helicopter flight path and operations as Option 5.  However, compared to all other options including Option 5, Option 6 is the farthest away from the Critical Care Units and the AED accommodated inside the Acute Block, the overall efficiency and effectiveness of the emergency response services will be unacceptable. Similar to Option 5, critically ill or injured patients would need to be transferred to the Acute block via ground ambulance which may cause delay and increase the risks to provide rescue to the emergency cases.  Hence, Option 6 is also considered not desirable in terms of medical planning and hospital operation.

2.4.3           Option Evaluation

 

2.4.3.1         Having comprehensively considered the above mentioned six siting options, with balancing various factors including the effect on emergency medical efficiency, feasibility of helicopter flight path and environmental benefits and dis-benefits, it is concluded that Option 2 will be the most preferred location for a rooftop helipad of the NAH. The evaluation of the development options is summarised in the Table 2.3 below.

2.4.3.2       In the absence of the Project, there will be no potential environmental impact to the nearby sensitive receivers. On the other hand, the environmental impacts for the scenario with the project involved the potential environmental impact raised from the proposed helipad and associated structures including covered safety walkway, associated egress staircase, noise barrier, as detailed in the EIA chapters.

Table 2.3    Summary of Outcome of Options Evaluation of Helipad Siting in NAH

Options of Helipad Siting

Height as stipulated in OZP

Pros

Cons

Preferable Option?

Option 1: South corner on the roof of Acute Block

·      100mPD

 

·       Maximize the overall efficiency and effectiveness of NAH’s emergency response services

·       Likely adverse noise impact to the adjacent residential zone

No

 

Option 2: West corner on the roof of Acute Block

·      100mPD

 

·       Smaller noise impact compared with Option 1

·       Increase the separation distance while maintaining immediate access to critical care units

·       Potential adverse noise impact to NSRs

Yes

Option 3: Roof of the Administration Block

·      100mPD

 

·       High distance attenuation for helicopter noise from the helipad

·       Operational constraints from helipad to hospital and increased risks to critically ill/ injured patient

No

Option 4: Roof of the Education Block

·      100mPD

 

·       High distance attenuation for helicopter noise from the helipad

·       Operational constraints from helipad to hospital and increased risks to critically ill/ injured patient

No

Option 5: Roof of the Oncology Block

·      60mPD

 

·       High distance attenuation for helicopter noise from the helipad

·       Operational constraints from helipad to hospital and increased risks to critically ill/ injured patient

No

Option 6: Roof of the Specialist Out-Patient Clinic Block

·      60mPD

 

·       High distance attenuation for helicopter noise from the helipad

·       Operational constraints from helipad to hospital and increased risks to critically ill/ injured patient

No

 

2.5                Construction Method and Alternatives

2.5.1.1       With reference to the “Helicopter Landing Site Specification Guidelines” issued by GFS, the requirements on the construction method and material of a helipad are as follows:

·         All materials used in the construction of the proposed helicopter landing site should be non-combustible and fire retardant; and

·         The actual landing surface should be covered with non-skid material and constructed of materials that cater for the dynamic load and provide Ground Effect. Ground Effect can be achieved by operating over a solid and smooth surface.

2.5.1.2       In view of the above requirements, the helipad could be constructed using a steel truss and a steel or concrete decking. 

2.5.1.3       Based on the latest design development, three methods for constructing the proposed helipad have been considered.  The three methods are:

·         Helipad deck and associated supporting structural frame constructed by in-situ concrete (Option A);

·         Helipad deck constructed by in-situ concrete and associated supporting structural frame by prefabricated steelwork (Option B); and

·         Helipad deck and associated supporting structural frame constructed by steel/ aluminum structure prefabricated off-site outside Hong Kong territories (Option C).

2.5.1.4       The merits and demerits of the above methods are presented in Table 2.4.


Table 2.4                      Merits and Demerits of the Construction Methods for the Proposed Helipad

Alternatives Construction Method

Merits

De-merits

Option A:

Helipad deck and associated supporting structural frame constructed by in-situ concrete

·      Temporary formworks and construction plants at lower floors may be re-used for helipad construction.

·      A substantial temporary steel platform will be required for the construction of the cantilevered portion of the helipad.

·      In-situ concrete construction involves more on-site activities including temporary formwork, bar bending, and wet trade etc. which requires more workers and longer construction time.

Option B:

Helipad deck constructed by in-situ concrete and associated supporting structural frame by prefabricated steelwork

·         Enjoy some benefits from prefabricated steel members which are highly standardized and aligns with DevB's Guidelines for Enhancement of Productivity of Skilled Workers.

·         Shortened construction time on site for prefabrication work compared with on in-situ concrete option.

·         Reduced scale of temporary platform for light weight steel structure compared to concrete.

·         More versatile and allow more flexibility as steel frame enables more floor-to-floor height for mechanical, electrical, and plumbing (MEP) equipment which would otherwise occupy more above-roof space and causing visual impacts.

·      Require another trade of skilled labor and additional construction equipment for erecting steelwork structures.

·      In-situ concrete construction involves more on-site activities including temporary formwork, bar bending, and wet trade etc. which requires more workers and longer construction time.

Option C:

Helipad deck and associated supporting structural frame constructed by aluminum and steel structure prefabricated off-site outside Hong Kong territories

·         Fully capitalize the advantage for prefabricated steel members which are highly standardized and aligns with DevB's Guidelines for Enhancement of Productivity of Skilled Workers

·         Minimum construction time on site due to full blown prefabrication work compared with any options with in-situ concrete.

·         Minimum scale of temporary platform for light weight steel structure compared to any options with in-situ concrete.

·         More versatile and allow more flexibility as steel frame enables more floor-to-floor height for MEP equipment which would otherwise occupy more above-roof space and causing visual impacts.

 

·      Require another trade of skilled labour and additional construction equipment for erecting steelwork structures.

 


2.5.1.5       Among the three options, significant fugitive dust impacts are not anticipated from the steel structure prefabricated on-site and standard construction dust mitigation measures would further reduce any potential dust emissions.  In respect of noise impacts, similar types of Powered Mechanical Equipment (PME) are expected to be required under these options for construction.  In terms of the water quality, apart from the routine wastewater generation from the construction site, wastewater may also be generated from the concrete washing for Options A and B.  However, all the wastewater will be directed to the wastewater treatment facilities, for example, desilting system on-site and similar levels of non-adverse water quality impacts are expected.  In terms of the waste implications, Option A and Option B would be able to reuse the temporary formwork and construction plant which could reduce the potential for Construction and Demolition (C&D) waste generation.  Option B and Option C would have a shorter construction time, which can minimise environmental nuisance and the generation of general refuse and construction waste.

2.5.1.6       Based on the above, Option C will have the least environmental impacts including shorter period of noise generation during construction and smaller amount of waste generation.  Therefore, Options C is the preferred construction method of the helipad.  With the preferred construction method, the sequence of construction works will be the construction of supporting structural frame, followed by the construction of proposed helipad, the safety walkway and the access ramp.

2.5.1.7       According to the preferred construction method (Option C), the main structure of the proposed helipad will be constructed by in-situ aluminum, steel and formworks. The safety walkway and access ramp will be formed by prefabricated steel members and aluminum of a suitable size and weight and to be assembled on site by welding or bolting. During the construction of the Project, lift access is planned for delivery of prefabricated units direct to the site. Crane, if necessary, would be also used for the delivery.

2.6                Project Planning and Implementation Programme

2.6.1.1       The Project is being planned and implemented by the Hospital Authority (HA) and the design and implementation of the Project will be undertaken by HA in conjunction with the consultants and contractors.

2.6.1.2       The operation, management and maintenance of the helipad will be undertaken by HA, while the GFS will be the user of this helipad, providing emergency medical transfers and services for the general public.

2.6.1.3       The tentative planning and implementation programme for Project are shown in Table 2.5 below:

Table 2.5    Tentative Programme of the Project

Activities

Key Milestone Dates

Design of the Project

Since Sep 2017

Construction of the Foundation for the New Acute Hospital (1)

Q3 2018 to Q4 2021

Construction of the Superstructure for the New Acute Hospital (1) (2)

Q4 2021 to Q4 2024

Construction of the Helipad

Q4 2023 to Q4 2024

Operation of the Helipad

2025

Note (1):  Not part of the Project.
Note (2):  The major superstructure work is estimated to be completed in Q3 of 2023

 


 

2.7                Concurrent Projects

2.7.1.1       Key concurrent projects in the vicinity of the Project are identified and summarised in Table 2.6 and their locations are shown in Figure 2.4.  Potential cumulative impacts from these concurrent projects (if any) are assessed in this EIA Study.

Table 2.6    Summary of Concurrent Projects

Project Name

Target Works Commencement Dates

Target Work Completion Dates

Government Flying Service Kai Tak Division and the cross-boundary heliport by CEDD

Fourth quarter of 2018

First quarter of 2021

Kai Tak Development - Stage 3 Infrastructure Works for Developments at the Southern Part of the Former Runway by CEDD

2015

2020

Central Kowloon Route - Slip Road S5 by HyD

2023

2024

Kai Tak Development - Trunk Road T2 and Infrastructure at South Apron by CEDD

2020

2026

Kai Tak Development - Remaining Infrastructure works for Developments at the Former Runway and South Apron, Road L10 & L18 by CEDD

2019

2026

New Acute Hospital at Kai Tak Development Area by Hospital Authority

2018

2024

 

2.8                Public Consultation

2.8.1.1       HA has consulted relevant District Councils on the proposed development plan of the NAH and the proposed helipad on the roof of the NAH, as detailed below:

(i)            The 19th Meeting of the Food and Environmental Hygiene Committee of the Kowloon City District Council on 13 December 2018 https://www.districtcouncils.gov.hk/kc/doc/2016_2019/en/committee_meetings_minutes/FEHC/5FEHC_19Emin.pdf;

 

(ii)           The 19th Meeting of the 5th Term of Kwun Tong District Council on 8 January 2019 https://www.districtcouncils.gov.hk/kt/doc/2016_2019/en/dc_meetings_minutes/KTDC_19m_Minutes_EN.pdf;

 

(iii)         The 20th Meeting of the 5th Term of Wong Tai Sin District Council on 8 January 2019 https://www.districtcouncils.gov.hk/wts/doc/2016_2019/en/dc_meetings_minutes/DC_M20_M_E.pdf; and

 

(iv)         The 19th Meeting of the Yau Tsim Mong District Council (2016-2019) on 29 November 2018 https://www.districtcouncils.gov.hk/ytm/doc/2016_2019/en/dc_meetings_minutes/YTM_DC_19th_Minutes_EN.pdf.

 

2.8.1.2       In the abovementioned District Council Committees Meetings, there were minor concerns about the possible adverse helicopter noise impact to the residents in the vicinity of the proposed helipad location at NAH.  The potential helicopter noise impact on noise sensitive receivers has been critically assessed and minimised as presented in Section 5.  Notwithstanding, the provision of the helipad on the Acute Block of the NAH has received in principal support from the meetings due to the benefits to the community and the enhancement of the rescue and emergency services of the GFS.

Table 2.7 Summary of Public consultation

Relevant District Councils consultation

Public concerns on the environmental impacts of the Project

Possible solutions

The 19th Meeting of the Food and Environmental Hygiene Committee of the Kowloon City District Council on 13 December 2018

N/A

N/A

The 19th Meeting of the 5th Term of Kwun Tong District Council on 8 January 2019

N/A

N/A

The 20th Meeting of the 5th Term of Wong Tai Sin District Council on 8 January 2019

·         More details are needed to provide on the flight path and noise mitigation arrangement

 

·         Possible noise nuisance from the helicopters i.e. the use of helicopters for emergency and minimizing the effect of helicopters on the nearby residences and the environment.

·         The proposed flight paths are presented in Figure 2.3 to reduce the noise impact to the nearby sensitive receivers.

·         A new helicopter type with lower noise level is adopted.  Noise barriers will be installed and other possible options (i.e. size, design and location of the helipad) are also taken into consideration in order to minimize the effect of helicopters.

The 19th Meeting of the Yau Tsim Mong District Council (2016-2019) on 29 November 2018

N/A

N/A

 

 



[1]https://www.ha.org.hk/visitor/ha_visitor_text_index.asp?Content_ID=10084&Lang=ENG&Dimension=100&Parent_ID=10042&Ver=TEXT