I don't know if this is really stating that buildings of such a size cannot be made without following the ventilation recommendations that follow with regards to table 4. i.e. Between 18 and 30m you can build it unsprinklered, but you can't build it unsprinklered AND unvented. Therefore you have to supply the ventilation suggested in table 4.
There are a couple more paragraphs earlier on that state that buildings with flats over 30m should be sprinklered, and there has been comment made that this should not be limited to just 'flats'. The table essentially counters any argument as to whether or not any applicable building over 30m needs sprinklers.
I think that it needs clarification as to what standard of sprinklers is required. It is my opinion that if BS9251 is being used in a tall building, that it should be of the residential standard, as it is not simply the MOE from the flat that is being protected, it is protecting the people who are subject to a stay-put policy. The domestic standard is a fair compromise where open plan layouts are used, as it is the MOE from the bedrooms through the main accommodation that is being protected there.