Skip to main content
Normal View

Hospital Accommodation.

Dáil Éireann Debate, Thursday - 2 December 2004

Thursday, 2 December 2004

Questions (18)

Eamon Gilmore

Question:

12 Mr. Gilmore asked the Tánaiste and Minister for Health and Children the definition of the word “bed” in regard to the commitment given in the national health strategy to provide an additional 3,000 hospital beds; the number provided to date; if she will list the hospitals in each case; the number that have been provided to date in 2004; the projected number that will be provided before the end of 2004; the number of such beds that are recliners, couches and trolleys; the number of beds lost since 1997; and if she will make a statement on the matter. [31555/04]

View answer

Oral answers (13 contributions)

The commitment in the health strategy to provide an additional 3,000 acute hospital beds was based on the analysis in my Department's national review of acute hospital bed capacity. That report identified a need for 2,840 inpatient beds and 190 day beds. Inpatient beds are essentially overnight beds in which patients are cared for before or following treatment.

The definition of a day bed has evolved in the past number of years. Advances in technology and treatment have altered the way in which day care is provided. In practice, care during day treatment can be provided safely in a variety of appropriate locations such as a bed, recliner or couch. The hospital inpatient inquiry system, HIPE, which records activity in acute hospitals, recently defined a day bed as follows: a day-bed or day-place is the bed, trolley, reclining chair or couch, located in a dedicated, named day-ward-unit, allocated to patients who are admitted as a result of their condition. It is used to allow the patient to rest, recline or recover in the course of an elective day-case admission. Since publication of the health strategy in December 2001, funding has been provided for hospitals to open an additional 900 acute hospital beds. This includes 700 beds announced in 2002 and 200 beds being provided as part of the commissioning of new units. While the majority of these beds are traditional inpatient beds, approximately 20% of the additional capacity are day places.

I thank the Tánaiste for putting the record straight. When this question was asked before, she insisted beds are beds and there was no question of anything else being defined as a bed. The record has finally been put right.

What is the number of beds lost since 1997? The Tánaiste claims that of the beds provided since the 2002 health strategy was announced, 20% are day beds or couches. However, since 1997, how many beds have been taken out of the system?

Since 1997, there have been 915 more beds in the system. In 1997, 12,473 beds were available and at the end of September 2004, 13,388 were available. In that whole complement, 80 were couches. When broken down, 12,325 are inpatient beds and 1,063 are day beds. There has been an increase of 915 beds since 1997.

I officiated at the recent opening of the Beacon Clinic where I inspected the renal facility. It has 35 renal machines and is the most modern state-of-the-art facility in Ireland and the UK, if not the EU. The facilities for patients are extraordinarily comfortable. They are broadly described as "recliners" in the system. Half of the patients treated there are public patients. I spoke to several of them that evening who were full of praise for the facilities and the great convenience it is for those who had to travel longer distances before. In some cases, some had to have their treatment during the night because of the huge demand for existing facilities at Beaumont Hospital.

The question was, how many beds were taken out of the system over the period.

We now have more beds than in 1997.

If the Tánaiste does not have the information, she can forward it to me. Beds were put into the system but others were taken out.

I am giving the figures for publicly funded beds in acute hospitals since 1997.

The Tánaiste is giving the net figure. However, I would like to know how many beds were taken out of the system during the period.

There has been an increase as no beds have been taken out.

Beds would have been taken out. If there is a new development in a hospital, one can end up with fewer beds because standards have been increased. I am looking for statistical information and if the Tánaiste does not have it, she can forward it to me.

I have a list for every hospital, and additional beds, which all hospitals have. I do not know about beds taken out of the system.

Does the Tánaiste foresee a role for the proposed community hospital in Tuam, County Galway, in the provision of additional beds promised under the national health strategy? When will she make a decision to allow the Tuam health campus project to proceed?

In his Budget Statement the Minister for Finance announced a multi-annual capital programme for the health services and other areas. In the context of the moneys available, decisions will have to be made. I intend to discuss with the various authorities at regional and national level the priority areas for funding over the next two years. I am not in a position to say when I will be able to communicate with the Deputy on the matter. I hope it will be shortly.

Written answers follow Adjournment Debate.

Top
Share