CITY OF VANCOUVER




                                    M E M O R A N D U M


   From:            CITY CLERK'S OFFICE                 Date:  March 26, 1996
                                                 Refer File:        5053


          To:              Vancouver City Council




   Subject:         Nelson Park



        Vancouver City Council held a special meeting to hear
   delegations on Nelson Park on the evenings of December 12, 1995
   and January 30 and February 1, 1996, then deferred its decision
   to a future meeting.  This matter has now been scheduled for
   consideration at 4:30 p.m. on Tuesday, April 2, 1996.

        The following materials refer and are attached:

        -    Policy Report dated November 23, 1995, entitled Nelson
             Park Site Land Use Study Report;

        -    Memorandum from City Manager dated November 28, 1995,
             commenting on the Policy Report;

        -    Administrative Report dated November 20, 1995, entitled
             Proposed Dr. Peter Centre;

        -    Letter dated December 5, 1995, conveying the Park
             Board's action at its December 4, 1995 meeting.

        Also enclosed for ready reference are the Minutes of the
   aforementioned Special Council meeting at which delegations were
   heard (limited distribution; on file).





                                 CITY CLERK




   NLargent:dmy
   Att.
                             POLICY REPORT
                         BUILDING & DEVELOPMENT

                                      Date:  November 23, 1995
                                      Dept.  File No.

   TO:       Vancouver City Council
             Vancouver Park Board

   FROM:     General Manager, Park Board
             Director of Central Area Planning
             Manager, Real Estate Services
             Manager, Housing Centre

   SUBJECT:  Nelson Park Site Land Use Study Report


   CONSIDERATION

        A1)  THAT  options for  future planning  of the  Nelson Park
             site provide rental residential  units equal in  number
             to  those presently occupied  by residents, and further
             that  this  rental  accommodation be  provided  in  the
             existing  houses and  that  rental rates  be consistent
             with the BCHMC core need rental guidelines;
                                   or

        A2)  THAT options for the future planning of the Nelson Park
             site provide for the  relocation of all or some  of the
             existing tenants to existing or newly developed housing
             units elsewhere in the City.

   The  Director of  Central Area  Planning and  the Manager  of the
   Housing Centre recommend A1.

        B1)  THAT  the consultant's "Option  1:   Heritage" (Diagram
             2), providing for some  additional parkland, be adopted
             as the  future direction  for the redevelopment  of the
             Nelson Park site;
                                   or

        B2)  THAT the "Revitalization Option" (Diagram 6), providing
             no  additional  parkland,  be  adopted  as  the  future
             direction  for the  redevelopment  of  the Nelson  Park
             site;

   RECOMMENDATION

        C)   THAT staff  report back with an implementation strategy
             for  the City land adjacent to Nelson Park based on the
             selected  option, including the  various sub-options as
             described in this report.

   COUNCIL/BOARD POLICY

        In  September 1994 City Council and  Park Board approved the
        terms of reference for  the Nelson Park Site Land  Use Study
        (see Appendix  A)  and  agreed to  retain  a  consultant  to
        conduct  the Land  Use Study  for the  purpose of  balancing
        park,  heritage  and market  objectives  for  the city  land
        adjacent to Nelson Park.

        In November 1994, Christopher Phillips & Associates Inc. was
        retained by the Park Board to undertake this study.

   COMMENTS OF THE GENERAL MANAGER OF CORPORATE SERVICES

        The focus of this report is on land use decisions and issues
        relating to the existing tenants.  However,  there are major
        financial  issues which  underlie the  discussions.   If the
        site were vacant, it would have a total value of roughly $15
        million.   Any decisions which  are made to  retain heritage
        houses and  to maintain rental  tenancies will significantly
        diminish  the value  of  the property.   For  example, under
        Option  #1, the  land  would have  a  total value  of  $3.75

        million, and  under the Revitalization Option,  would have a
        total value of $5.5 million.

        We  anticipate that  the Park  Board will  argue for  a full
        market  value reimbursement  of  the property.   If  Council
        accepts  that  position, the  challenge  will  be to  obtain
        funding  to reimburse the Park Board.  Under Option #1, this
        would amount to $11.25 million, and under the Revitalization
        Option, would amount to $9.5  million.  Renovation costs for
        the  houses  would be  in  addition,  unless another  agency
        assumes this responsibility.

        Since Park  Board  reimbursement will  depend  on  whichever
        option Council and the Board decide to undertake, that issue
        could be addressed at a later  date, and might be best dealt
        with in the 1997-99 Capital Plan.

   BACKGROUND

   The  Nelson Park Study was commissioned in order to determine the
   future direction for the improvement and/or redevelopment of Park
   Board  and City  holdings on  the Nelson  Park Site.   Of  the 36
   properties  in Block 23, 29 properties are owned by the City/Park
   Board.

   In recent  years there have  been two conflicting  legal opinions
   from Legal Services on the jurisdictional issue as to whether the
   Park Board or City Council has dominant control of the site.  The
   most recent  opinion suggested that although  the properties were
   acquired for park purposes, it is not a permanent park.

   City  buildings on the Nelson Park site contain 164 rental units,
   which are  mostly single rooms plus  a few 1 or  2 bedroom units.
   There  are 96 tenancies in place, all  on a month to month basis.
   While rents are considered  market for SRO-style units maintained
   in  a minimal  state  of repair,  monthly  rents approximate  the
   current GAIN (Guaranteed Annual  Income for Need) maximum shelter
   allowance  for singles ($325 per  month).  The  96 households are
   comprised  of 84 singles, 11  couples and 1  single-parent with a
   child.  Of the 107 adult tenants, 40% are women and 60% are  men.
   Half  are over 50  years of age.   Almost 20% are  over 70.  Just
   over  half receive  welfare or  pension as  their only  source of
   income.  The remainder  work full-time or part-time.   About two-
   thirds have lived at Nelson Park for over five years.


   The site has 21 heritage buildings, 7 are category A, 13 category
   B, and 1 category C.  Two of the heritage buildings are privately
   owned.    There are  two vacant  sites  (See Diagram  1, Existing
   Conditions).

   In the last 2 years, the City has  not re-rented any of the units
   becoming  vacant, in  order  to more  easily facilitate  building
   renovations  and land  use changes.   Real  Estate Services  have
   spent 
   some  monies on maintaining the existing  building stock, but not
   to a standard which is consistent with the long term preservation
   of these buildings.

   It  is also  recognized that  the current  site zoning  permits a
   floor space ratio of 2.75.  Only a small portion of the available
   Floor Space Ratio is  utilized in the  current buildings.  It  is
   recognized  that  there is  a park  deficiency  based on  the per
   capita  rate  of  provision,  frequency  of use,  and  access  to
   alternate parks in  that part of the West End.   Furthermore, the
   Vancouver  Park  Board  has  park  land  assets,  which  are  not

   presently  generating  the  park   values  for  which  they  were
   purchased.

   The Nelson Park site was acquired over a 33 year period from 1951
   to 1984.   The total  acquisition cost was  $2,415,000, of  which
   $241,000  was  raised  by  plebiscite  debenture   borrowing  and
   $2,174,000  came from  general  revenue.    The majority  of  the
   revenue funds came from rental income from the former bus depot.

   In  the past  five years  the Park  Board has  borrowed funds  to
   purchase and develop Park sites.  When these funds were borrowed,
   Council  was advised that  the eventual resolution  of the Nelson
   Park issue could be one of the potential means of repaying all or
   part of this debt.

   The   Park  Board   owes  the   Property  Endowment   Fund  Board
   approximately $10.7 million.   The majority of this debt  relates
   to purchases and development of Park sites along the Fraser River
   and in the False Creek Flats.

   DISCUSSION

   Simply  leaving the site and  the buildings is  not an acceptable
   option.  Residents would  like some certainty, buildings continue
   to deteriorate, and the Park Board needs to address emerging park
   needs in the rapidly densifying Downtown Peninsula.

   The  consulting  team  in  conjunction with  the  staff  Steering
   Committee  initially  generated  about  17  options  which   were
   narrowed down  to  3  options  which  best  meet  the  individual
   heritage, park, or development  objective while still meeting the
   minimum requirements for  all other  study objectives  (heritage,
   market  and non-market housing,  parkland and daycare.   See also
   P.1 Appendix A).

   These 3 options were presented  to a Council/Park Board workshop,
   Nelson  Park residents,  the  general public,  and various  civic
   advisory  bodies.   In addition,  the consultants  also presented
   information on a "status quo" scenario in which all existing 
   buildings  are retained and upgraded  for continued use as rental
   housing.  The  various options  are included as diagrams 1, 2, 3,
   and 4.

   The public involvement program included the following:

     -  a meeting with Nelson  Park residents on January 5  and June
        1;
     -  an open house on June 17; and
     -  a public meeting on June 22.  

   In  addition,  staff  and  consultants  met  with  the  Vancouver
   Heritage  Advisory Commission, the Vancouver Planning Commission,
   and the Urban Design Panel.

   As  part  of  the follow-up  work  following  the initial  public
   consultation  process, staff  met with  representatives from  the
   Nelson Park residents and Heritage Vancouver on October 26, 1995.

   Public Response

   A  total of 149 questionnaires were collected from the open house
   and the public meeting  and the results are attached  as Appendix
   B.  
   By  and large,  there  was little  support  for the  creation  of
   additional park space  and a lot of support for  the retention of
   as many  heritage  buildings as  possible  and the  retention  of

   affordable rental housing  within the  block.   When asked  which
   option  the people preferred, 75% indicated  a preference for the
   status quo with appropriate building improvements.

   About 16% of the respondents were from  the Nelson Park site, 56%
   lived within 5 minutes  walking distance of Nelson Park,  and 19%
   were  from other  Vancouver  areas,  and  the balance  came  from
   elsewhere.   It should be noted  that during both  the open house
   and  the  public  meeting,  representatives of  the  Nelson  Park
   residents   greeted  most  participants  and  issued  information
   pamphlets including suggested answers to  the City questionnaire.
   The residents also issued their own questionnaire.

   About a dozen  letters from  individuals have been  received.   A
   majority  oppose the further expansion of the park.  In addition,
   letters  have  been  received  from  the  Friends  of  Mole Hill,
   Heritage Vancouver,  the hospital  union  and the  administration
   office  of  St.  Paul's Hospital.    Most  of  these letters  are
   supportive  of   the  retention   of  most  of   the  residential
   accommodations and oppose additional park land.  Appendix "C" has
   the minutes of the public meeting.

   The Vancouver  City Planning Commission considered  the matter at
   several of its meetings and suggests that Council, Park Board and
   School Board coalesce around a set of principles before  choosing
   among development alternatives.   The VCPC submission is included
   as Appendix "D".

   The Urban Design Panel  considered the three options.   The panel
   suggests  the value of  retaining part of  the heritage buildings
   and the  need  to  retain  Comox  Street as  an  open  street  to
   strengthen  the  recommended   retention  of  all  the   heritage
   buildings.  On balance, the panel concluded  that heritage values
   were more important than the park values.

   The Heritage  Commission considered  the matter on  September 18,
   1995 and resolved not to support  any of the options, but instead
   "would like to see further exploration of Option 1 (stressing the
   retention of  heritage resources)  with the intent  of preserving
   all the existing buildings of heritage character".

   Options for Consideration

   Existing Residents:

   During  the  public process,  strong  representations  were made,
   particularly,  but  not  exclusively, by  existing  residents and
   tenants  advocacy groups,  to  provide for  the accommodation  of
   existing residents  on  the  Nelson Park  site  and  in  existing
   buildings.  It is also City housing policy to maintain and expand
   housing  opportunities for  Downtown low-income  singles, elderly
   people  on  fixed incomes,  and  people  with varying  abilities.
   Further, CityPlan  supports the provision of new housing near the
   Downtown and ensuring that this housing is suitable for people of
   different ages and incomes.   All the land use  options developed
   by the consultants could accommodate 96 affordable housing units.
   This provision  could  be made  off-site  or on-site.    On-site,
   either in existing buildings or in a new building.

   The off-site provision in a newly constructed building would cost
   about $5.4 million in construction costs plus land costs.   A new
   building on-site would have the same construction costs, but land
   values  would likely  be higher than  a site say  in the Downtown
   South.

   The  consultants explored several  ways of accommodating  the  96

   households currently living on-site;

   œ    Upgrading existing SRO-style units in existing houses on the
        site;
   œ    Creating new  small suites in  existing houses on  the site;
        or,

   œ    Building small suites in a new purpose-built apartment on or
        off the site.

   Application of  the B.C.  Housing Management Corporate  core need
   rental guidelines will set a maximum household income above which
   a tenant will pay market rent, and below which a  tenant will pay
   30% of income or the GAIN shelter allowance.

   Since most of the 96 households (mostly singles and some couples)
   cannot  afford to  pay much  more than  the GAIN  shelter maximum
   ($325/month  for singles),  the  most economic  way of  providing
   replacement housing at affordable rents with minimum subsidy from
   the City, is by modestly upgrading 96 existing SRO-style units in
   existing houses on  the site.   In comparison  to creating  small
   suites in  existing houses,  renovation costs  would be less  and
   fewer  existing houses would be  used.  This  means more existing
   houses could be developed as  condominium units with a  resulting
   higher return to  the City.  The economic analysis in this report
   was based on a mixture of self contained studios and SRO rooms.


   Staff offer Council and the Board two choices for consideration:

        A1)  THAT  options for  future planning  of the  Nelson Park
             site provide rental  residential units equal in  number
             to those presently occupied  by residents, and  further
             that  this  rental  accommodation  be  provided in  the
             existing  houses and  that rental  rates be  consistent
             with the BCHMC core need rental guidelines;

                                   or

        A2)  THAT options for the future planning of the Nelson Park
             site provide for the  relocation of all or some  of the
             existing tenants to existing or newly developed housing
             units elsewhere in the City.

   The  Director of  Central Area  Planning and  the Manager  of the
   Housing Centre recommend A1.

   Land Use Options

   In  response to  public  feedback pertaining  to desirability  of
   retaining  virtually all the  buildings on  site to  preserve the
   integrity of  the block,  the perceived sufficiency  of parkspace
   and  Council's desire to see  some financial return  to the City,
   staff have developed another  option, the Revitalization  Option.
   This  option is offered as  a choice along  with the consultant's
   option 1,  which favours the  retention of  heritage values,  yet
   meets  the minimum park objective.   The latter  objective is not
   met in the Revitalization Option.

   The two options are more fully described below:

        i)   Consultant's Option 1: Heritage (Diagram 2)
        ii)  Revitalization Option (Diagram 6)

   Option 1:  Heritage

   Of the  three consultant's options, Option  1 emphasizes heritage
   preservation to the largest degree, yet it meets the minimum park
   objective  of an additional two  acres.  This  option retains all
   the A and B category buildings  and suggests moving only two from
   their present locations.   The  two proposed  to be  moved are  B
   structures and  are  relocated as  an  adjacent pair  from  Comox
   Street into a meaningful relationship to other heritage houses on
   Pendrell  Street.   The one C  category house is  replaced by new
   development.     All   retained  heritage   buildings  would   be
   designated. 

   Proposed  new  development  is  scaled to  respect  the  heritage
   character of  the block  with a  combination of infill  buildings
   along the lane  which are smaller than the existing houses and of
   apartment buildings  on the  Thurlow streetscape of  a comparable
   scale to the  Strathmore Lodge (6  - 8  stories) on Bute  Street.
   The daycare  requirements are to  be included as two  floors of a
   new 
   development  on the  vacant site  at Thurlow  and Pendrell.   All
   existing   occupied  units  can   be  accommodated   in  existing
   buildings.


   In  this option Comox  Street is closed,  creating one additional
   acre of park space,  which would be contiguous with  the existing
   Nelson Park.

   Revitalization Option

   In this  option, all but the daycare building are retained.  This
   option  does not add any park space  to Nelson Park.  Residential
   buildings  to  be  retained  could be  converted  for  rental  or
   condominium  development.   For  illustrative  purposes  a  mixed
   choice, with 96 rental units is shown.

   Buildings  to   be  retained   for  rental  purposes   should  be
   "renovated"  to meet life safety code standards.  Buildings to be
   offered to the private sector are expected to  be "rehabilitated"
   to a much  higher level  of both internal  finishes and  external
   heritage features, although not to a "restoration" standard (e.g.
   Roedde  House).     The  buildings  are  clustered   on  site  as
   illustrated.    In general,  the  redevelopment  pattern for  the
   market sites are three condominium units in a heritage house plus
   1  unit in a coach  house/garage structure.   Four parking stalls
   are  provided on  each site.   The  rental buildings  have garden
   space   in  the   back.     Shared  underground   parking  proved
   unattractive from a financial  and marketing point of view.   All
   retained heritage buildings would be designated.

   Sub options:

   Under  the  Revitalization Option,  staff  have identified  three
   further possible sub options.

   There  is a question with  regards to the  possible demolition of
   three  unlisted buildings  (1129  Pendrell, 1154  and 1146  Comox
   Street).   The demolition  of these buildings  would increase the
   net,  financial value of this option by about $675,000, but would
   impact the heritage streetscape.

   The second sub option involves the accommodation of the Dr. Peter
   Centre.  An inquiry by the Dr. Peter Aids Foundation to locate on
   the  Nelson Park  site has  been received.   This  facility would
   include  an  adult day  centre and  a  hospice facility  for aids
   patients.   A  separate  report from  the Medical  Health Officer
   describes  the  need for  this  facility  further.   The  general

   location  in the  West End and  close to  St. Paul's  Hospital is
   attractive  to the  organization,  as well  as  the heritage  and
   residential character of the Nelson Park site.

   The third sub option  involves the retention or closure  of Comox
   Street.   Comox Street is  potentially a greenways  route and its
   closure  may favour  this  use.   Alternatively, retaining  Comox
   Street may  have advantages for marketing the houses by improving
   access  and providing  parking.   As part  of the  implementation
   strategy, the future of Comox street will be further evaluated.

   Economic Evaluation

   The  value  of the  site,  if  vacant,  would  have  a  value  of
   approximately $15 million,  or $500,000 per 33' lot as  part of a
   consolidated site.

   If portions of  the site are used for  heritage housing or rental
   housing, the values  will diminish.   The following examines  the
   values which might be realized for alternative uses.

   The value of heritage houses rented out have the following values
   assigned at different rent levels:

        -    Market rents                  $125,000 per lot
        -    GAIN rents                  - $ 25,000 per lot
        -    50% market 50% GAIN rents     $ 75,000 per lot


   The  value of heritage houses with infill could generate sales at
   $250,000 per lot.

                Table 1:  Nelson Park Option Comparison


                                  Heritage        Revitalization   Notes
                                  (Diagram 2)*    (Diagram 6)
      Heritage Buildings
       A's saved                   7 of 7           7 of 7
       B's saved                  13 of 13         13 of 13
       C's saved                   0 of 1           1 of 1
       Buildings moved             2 B's

      Rental Units Included            96              96          Both options
                                                                   include 96
                                                                   units to be
                                                                   provided on
                                                                   site.

      Total New Development       115,745 sq.     118,516 sq.      Comox Street
      Potential                   ft.             ft.              could also be
                                                                   closed Under
      Comox Street                 Closed            Open          the
                                                                   Revitalization 
      Lane                         Open              Open          Option.
      Additional Parkland          2 acres           0


                                  Heritage        Revitalization   Notes
                                  (Diagram 2)*    (Diagram 6)
      Economic Evaluation

      Sale of Development Sites    $3,000,000      $1,800,000
      Sale of Heritage Houses      $1,400,000      $2,700,000
        with infill
      Purchase of additional      ($1,400,000)      0
        sites
      Capitalized value rental     $3,350,000      $3,250,000
        houses (96)
      Less renovation costs       ($2,600,000)    ($2,250,000)
      Total Net Revenue            $3,750,000      $5,500,000

    These figures are based on rental  units being rented out 50% at
   the GAIN rates and 50% at market rates.

   *The number in  this analysis vary slightly  from those shown  on
   Diagram  2.   The  variance  is the  result  of a  more  detailed
   financial  review  conducted by  staff  in  cooperation with  the
   consultants.



   Friends of Molehill Views

   Further  to  the presentation  of  the  Revitalization Option  to
   representatives from Molehill, a second meeting (November 16) was
   held during which the following reaction was expressed.

   Representatives like the Revitalization Option because it retains
   all the existing buildings on site.  Furthermore, the creation of
   96 rental units is much appreciated.  

   There is concern about the lack of affordable housing in the West
   End, and residents  believe that this site  has the potential  to
   create more affordable rental housing.  A  second concern relates
   to  the  effects  of  gentrification, which  may  start with  the
   introduction of  the market  condominium development on  the Park
   site.

   Residents also  express a  desire to  engage with  the City in  a
   cooperative planning and development process, which would realize
   the replacement strategy.   The full submission of the Friends of
   Molehill  is  contained  as  Appendix "E".    In  preparing  this
   submission, the  Friends relied on staff  presentations about the
   report's content.

   Park Board Compensation

   All but one of the Park  Board properties on the Nelson Park site
   have been  purchased over the period  of more than  40 years with
   Park Board funds.   At the present time, none of these properties
   are  generating the  park  values which  were  anticipated to  be
   realized  with the purchase.  Therefore,  it is necessary for the
   City and Park Board to come to an arrangement on the compensation
   for  the disposition of foregone parkspace.   This matter will be
   subject of a future report.

   Next Steps

   Upon the selection  of the preferred direction, further work will
   have  to  be   undertaken.    This  work  includes,  but  is  not
   necessarily limited to the following:

     ¯  Development of  a rental housing  structure (co-op,  housing
        corporation, etc.).
     ¯  Designation of heritage buildings.
     ¯  Design  development  for retained  buildings  and additional
        park space.
     ¯  Development of  design  guidelines and  legal framework  for
        ensuring renovation by the private sector
     ¯  Consultation  with   tenants  and  development   of  on-site
        relocation plan.
     ¯  Marketing strategy for remaining houses.
     ¯  Consideration of the possible closure of Comox Street.
     ¯  Further  discussion with  the  Dr. Peter  Foundation on  the
        feasibility of locating on Block 23.
     ¯  Development of compensation formula for forgone parkland.
     ¯  Finalizing location of daycare.



   CONCLUSIONS

   The Steering  Committee has carefully evaluated  the public input
   received  to date.   Four land use options  were presented and in
   response a new land use option entitled "Revitalization" has been
   developed.  This option  does meet most of the  objectives of the
   existing residential and heritage interests, but does not address
   the park objective.  

   Should Council  and the Park  Board wish to   continue to support
   this  objective, the Steering Committee recommends  option 1 as a
   viable alternative,  which  maximizes the  heritage  preservation
   objectives  as  outlined  in  the original  terms  of  reference.
   Alternatively,  should Council  and the  Park Board  not wish  to
   pursue the provision  of park  space on this  site, the  Steering
   Committee recommends the Revitalization Option.

   Staff  have also  presented the  Board and  Council a  choice for
   accommodating existing tenants on site or off site.

                             *  *  *  *  *
                         ADMINISTRATIVE REPORT

                                      Date:  November 20, 1995
                                      Dept.  File  #: CC 28/95

   TO:       Vancouver City Council

   FROM:     Medical Health Officer

   SUBJECT:  Proposed Dr. Peter Centre


   INFORMATION

        The  General Manager  of  Community  Services  submits  this
        report for INFORMATION.

   COUNCIL POLICY

   There is no applicable Council Policy.

   PURPOSE

   The intent of this report  is to inform City Council of  the need

   for  and  interest in  developing an  AIDS  Day Centre  with AIDS
   residential  care  beds  included   and  to  provide  information
   regarding  collaboration  with   the  Dr.  Peter   Foundation  to
   accomplish this goal.

   BACKGROUND

   Of the  approximately 8,500 to 9,000  British Columbians infected
   with HIV,  85% of them live  in Vancouver.  In  August 1995, 1523
   Vancouver residents had CD4 counts (a surrogate marker indicating
   the stage of their illness)  of 500 or less which indicates  they
   could  have moderate  to severe  symptoms  of HIV/AIDS  and often
   require treatment.  The capacity of Vancouver to provide adequate
   AIDS  care will  be increasingly  challenged as  a result  of the
   increased number of individuals projected to yet  become ill with
   AIDS  in the next few years  .  The problem  is compounded by the
   fact that  those infected are  living longer, and  those impacted
   most are the already more marginalized residents of the city.

   An  AIDS  Day  Centre  would  provide  to  those  ill  with  AIDS
   nutritious meals  and healthy  supplements, nursing care,  IV and
   other complementary therapies,  physical rehabilitation  therapy,
   psychiatric   support,  substance   abuse   and  harm   reduction
   counselling,   support  and  respite   for  personal  caregivers,
   individual counselling, social events and gatherings, and a warm,
   caring environment.

   AIDS  Day  Centres currently  operate  in Seatle,  New  York, San
   Francisco, and Los Angeles.  Seattle's Baily-Bouschay House after
   which the proposed Dr.  Peter Centre is modelled reports  that an
   individual  attending their Day Centre  is four times less likely
   to  be  hospitalized.     Vancouver  with  the  largest  HIV/AIDS
   population in Canada has no such health care  centre.  The number
   of HIV infected individuals seeking inpatient care at St.  Paul's
   and Vancouver Hospital continues to grow.   On any one day at St.
   Paul's Hospital, there are now 30+ HIV/AIDS patients.  There is a
   three month waiting list for Normandy House AIDS residential care
   beds.  Many of those are waiting in acute care beds, some of whom
   unfortunately  die in acute care before getting an opportunity to
   move to Normandy  House.  By 1998/99, just  three years from now,
   it is estimated  that 26,000 bed days will be  needed in B.C. for
   HIV/AIDS patients, 4,000 more bed  days than projected for  1995.
   The overwhelming majority of  those bed days will be  required in
   Vancouver.

   Those  providing  AIDS  care  and AIDS  organizations  have  been
   asserting  for a  number of  years  that an  AIDS  Day Centre  in
   Vancouver to provide  health care to persons ill with  AIDS was a
   necessary part of the continuum of health care services.  In 1993
   the Dr. Peter Foundation expressed interest in undertaking such a
   project.  A Steering Committee with representatives  from the Dr.
   Peter  Foundation,  Vancouver   Health  Department,  St.   Paul's
   Hospital, B.C. Centre for Excellence in HIV/AIDS, AIDS Vancouver,
   B.C. Persons  with AIDS Society, Greater  Vancouver Mental Health
   Services, and Lower Mainland Region Alcohol and Drug Program have
   been working together to further the concept.  An extensive needs
   assessment  during  the fall  of 1993  confirmed  a need  for and
   support of an AIDS Day Centre.

   Since then the  Dr. Peter  Centre proposal has  been expanded  to
   include  20 AIDS  residential  care beds.    Those 20  include  a
   proposed  transfer of  the  already  existing  10  AIDS  beds  at
   Normandy House, a wing of  Normandy Private Hospital near Arbutus
   Village. AIDS organizations and user have consistently  expressed
   a  desire to have the  current 10 beds  geographically nearer the
   communities most affected by AIDS.

                                 - 12 -

   The  Vancouver  Strategic  Plan  for  AIDS  Care  (1995  -  1998)
   developed through a broad consultation process identified as high
   priority the  objectives of establishing  an AIDS Day  Centre and
   more residential care beds.

   DISCUSSION

   The  Nelson Park Site, just across Thurlow Street from St. Paul's
   Hospital, is an ideal site for the proposed Dr. Peter Centre. St.
   Paul's provides  most  of  the  province's  AIDS  care,  and  the
   surrounding communities  (the west end and  downtown) contain the
   vast  majority   of  Vancouver's   AIDS  residents   and  general
   practitioners specializing in AIDS.

   The  proposed design of the  Dr. Peter Centre  is consistent with
   the residential  and heritage  content of  the Nelson  Park Site.
   Seattle's  Baily-Bouschay   House  is   also  in  a   residential
   neighbourhood.

   ENVIRONMENTAL IMPLICATIONS

   The Nelson Park Site  would minimize the transportation necessary
   for individuals going from their place of residence for treatment
   and meals  at the Centre;  minimize the amount  of transportation
   required to take  individuals from  the Centre for  tests at  St.
   Paul's and  to nearby doctor's appointments;  provide easy access
   for caregivers and friends, and for out of town AIDS patients who
   could stay at the Centre while undergoing tests at St. Paul's.

   SOCIAL IMPLICATIONS

   The proposed Dr. Peter Centre on the Nelson Park site  supports a
   number of social and health care goals:

   -    establishing such a centre  responds to the collective input
        of a broad base of consumer and community  organizations and
        health care providers;

   -    it  is  consistent with  the  direction  in health  care  to
        provide wherever possible care outside  of a hospital, in  a
        non-institutional setting,  and as close as  possible to the
        community needing the care;

   -    its  proximity   to  St.   Paul's  has  the   potential  for
        operational efficiencies in shared services;

   -    it is consistent with  a model of AIDS health  care delivery
        in  other major cities affected by  AIDS but will be a first
        for Canada.

   CONCLUSION

   In summary the Vancouver  Health Department in collaboration with
   the Dr.  Peter Foundation, other  health care providers  and AIDS
   organizations  have been  working towards  the development  of an
   AIDs  day health and residential  care centre in  the vicinity of
   St.  Paul's Hospital.  The  Nelson Park site  is considered ideal
   for such a centre.   It is important for  council to be aware  of
   the  planning to date as part  of making decisions in relation to
   the Land Use Study Report and the future of Nelson Park.

                                 * * *