The latest reports available to me from the HSE, for the period to end August 2007 show that overall the National Hospital Office is some €162m in excess of its period budget. The table gives details of the spend of each hospital against its agreed budget. Those hospitals with the highest overspend include Kilcreene Orthopaedic Hospital, Our Lady's Hospital Navan and Portlaoise General Hospital. It is also worth noting the hospitals that are staying within, or very close to their budgets, e.g. the Regional in Dooradoyle, Limerick, Holles Street and Waterford Regional. It is very clear that if every hospital performed as efficiently as the best we would achieve both better cost control and better services.
Professor Drumm has informed his board that, through a combination of some additional funding and remedial measures, he is aiming for a break-even position in 2007. The statistics on hospital activity to end August indicate the overall the targets set in the Service Plan for the National Hospital Office in 2007 are some 2 — 5% up for In-patient Services, 4.1% for Day Cases and 7.5% for Out-patients. The measures are aimed at discretionary spending in the first instance, suspension of recruitment for a specified period and at bringing back activity to target or funded levels activity. The measures are subject to a continuous review by the HSE National Hospital Office.
In the event that these measures are not sufficient to achieve a financial break-even, it may be necessary to implement additional measures, given the statutory responsibility of the Accounting Officer to contain spending to the level approved by Dáil Éireann.
Extract from HSE Performance Monitoring Report (PMR), August 2007
National Hospitals' Office — Expenditure by Hospital — August 2007
|
|
|
YTD
|
|
Approved Allocation
|
Actual
|
Budget
|
Variance
|
|
|
€000
|
€000
|
€000
|
€000
|
%
|
Waterford Regional Hospital
|
142,019
|
96,802
|
94,733
|
2,069
|
2.2
|
St Lukes Kilkenny
|
53,164
|
37,968
|
35,200
|
2,768
|
7.9
|
Wexford General Hospital
|
53,169
|
36,137
|
34,712
|
1,424
|
4.1
|
St Josephs Hospital
|
50,317
|
36,762
|
32,624
|
4,138
|
12.7
|
Our Lady’s Hospital Cashel
|
0
|
0
|
0
|
(0)
|
-184.4
|
Kilcreene Orthopaedic Hospital
|
6,063
|
4,818
|
3,990
|
829
|
20.8
|
South Eastern Acute Services
|
0
|
0
|
0
|
0
|
0.0
|
South Eastern Acute Support
|
612
|
2,873
|
408
|
2,465
|
604.3
|
Network Manager — South Eastern Hospitals
|
6,257
|
380
|
4,086
|
(3,706)
|
-90.7
|
South Eastern Hospitals Group
|
311,601
|
215,739
|
205,753
|
9,986
|
|
Cork University Hospital
|
258,749
|
177,869
|
172,073
|
5,796
|
3.4
|
Unified Maternity / Neonatal (Erinville)
|
0
|
0
|
0
|
0
|
0.0
|
St. Mary’s Orthopaedic Hospital
|
13,986
|
10,741
|
9,305
|
1,436
|
15.4
|
Mallow General Hospital
|
14,728
|
11,530
|
9,796
|
1,735
|
17.7
|
Kerry General Hospital
|
74,848
|
50,936
|
49,832
|
1,104
|
2.2
|
Bantry General Hospital
|
17,882
|
12,160
|
11,895
|
265
|
2.2
|
Mercy University Hospital, Cork
|
70,826
|
49,770
|
47,416
|
2,354
|
5.0
|
South Infirmary — Victoria Hospital, Cork
|
52,701
|
36,758
|
34,967
|
1,791
|
5.1
|
Southern Regional Acute Services
|
16,720
|
13,132
|
11,149
|
1,984
|
17.8
|
Southern Regional Acute Support
|
0
|
0
|
0
|
0
|
0.0
|
Network Manager — Southern Hospitals
|
4,722
|
2,036
|
3,109
|
(1,073)
|
-34.5
|
Southern Hospitals Group
|
525,161
|
364,933
|
349,541
|
15,391
|
|
Sligo General Hospital
|
103,754
|
80,850
|
69,425
|
11,424
|
16.5
|
Letterkenny General Hospital
|
98,670
|
71,705
|
65,949
|
5,756
|
8.7
|
Galway College University Hospital
|
210,488
|
151,536
|
139,648
|
11,888
|
8.5
|
Merlin Park Regional Hospital
|
45,749
|
31,574
|
30,313
|
1,260
|
4.2
|
Mayo General hospital
|
69,460
|
55,134
|
46,186
|
8,949
|
19.4
|
Roscommon General Hospital
|
21,297
|
16,551
|
14,043
|
2,508
|
17.9
|
Portincula Acute Hospital
|
45,341
|
33,913
|
29,626
|
4,287
|
14.5
|
Western Regional Acute Services
|
15,201
|
560
|
10,106
|
(9,546)
|
-94.5
|
Western Regional Acute Support
|
0
|
0
|
0
|
0
|
0.0
|
North Western Regional Acute Services
|
510
|
1,575
|
506
|
1,069
|
211.0
|
North Western Regional Acute Support
|
131
|
100
|
87
|
13
|
15.0
|
Network Manager — West / North Western Hospitals
|
12,338
|
236
|
8,163
|
(7,927)
|
-97.1
|
West / North Western Hospitals Group
|
622,940
|
443,735
|
414,054
|
29,681
|
|
St. John’s Limerick
|
22,121
|
15,493
|
14,511
|
982
|
6.8
|
Regional Hospital Dooradoyle
|
157,218
|
104,837
|
103,825
|
1,012
|
1.0
|
Regional Maternity Hospital Limerick
|
18,141
|
13,541
|
11,837
|
1,704
|
14.4
|
Regional Orthopaedic Hospital
|
13,397
|
8,722
|
8,860
|
(138)
|
-1.6
|
Ennis General Hospital
|
22,279
|
17,118
|
14,721
|
2,397
|
16.3
|
Nenagh General Hospital
|
20,494
|
15,765
|
13,459
|
2,306
|
17.1
|
Mid Western Regional Acute Services
|
1,596
|
1,518
|
1,059
|
459
|
43.3
|
Mid Western Regional Acute Support
|
0
|
0
|
0
|
0
|
0.0
|
Network Manager — Mid Western Hospitals
|
6,431
|
766
|
4,191
|
(3,425)
|
-81.7
|
Mid Western Hospitals Group
|
261,676
|
177,760
|
172,463
|
5,297
|
|
Our Lady’s of Lourdes Hospital
|
90,979
|
66,723
|
59,955
|
6,768
|
11.3
|
Louth County Hospital
|
28,686
|
20,960
|
19,080
|
1,879
|
9.9
|
Cavan Monaghan General Hospital
|
57,840
|
44,733
|
38,124
|
6,609
|
17.3
|
Monaghan General Hospital
|
22,203
|
16,389
|
14,647
|
1,741
|
11.9
|
Our Lady’s Hospital Navan
|
36,579
|
29,520
|
24,382
|
5,138
|
21.1
|
North Eastern Regional Services
|
15,287
|
1,442
|
9,460
|
(8,018)
|
-84.8
|
North Eastern Regional Support
|
0
|
0
|
0
|
0
|
0.0
|
Network Manager — North Eastern Hospitals
|
0
|
0
|
0
|
0
|
0.0
|
North Eastern Hospitals Group
|
251,575
|
179,766
|
165,648
|
14,118
|
|
Mater Misericordiae University Hospital
|
226,559
|
163,115
|
149,912
|
13,203
|
8.8
|
Beaumont Hospital
|
262,628
|
187,258
|
168,117
|
19,141
|
11.4
|
Rotunda Hospital
|
48,545
|
34,060
|
31,340
|
2,720
|
8.7
|
Children’s University Hospital, Temple Street
|
71,629
|
54,183
|
47,730
|
6,453
|
13.5
|
Cappagh National Orthopaedic Hospital
|
27,844
|
19,116
|
18,563
|
553
|
3.0
|
Connolly Memorial Hospital
|
94,612
|
69,150
|
63,660
|
5,491
|
8.6
|
Northern Area Regional Acute Services
|
18,221
|
1,345
|
12,141
|
(10,796)
|
-88.9
|
Northern Area Regional Acute Support
|
0
|
0
|
0
|
0
|
0.0
|
Network Manager — Dublin North East Hospitals
|
261
|
233
|
179
|
54
|
30.2
|
Dublin North Hospitals Group
|
750,299
|
528,460
|
491,641
|
36,819
|
|
Mullingar General Hospital
|
53,461
|
41,007
|
35,576
|
5,431
|
15.3
|
Tullamore General Hospital
|
79,136
|
57,906
|
52,703
|
5,203
|
9.9
|
Portlaoise General Hospital
|
40,741
|
33,036
|
27,058
|
5,978
|
22.1
|
Naas General Hospital
|
61,626
|
40,985
|
41,187
|
(202)
|
-0.5
|
Midland Regional Acute Service
|
4,593
|
3,454
|
3,679
|
(225)
|
-6.1
|
Adelaide & Meath Hospital Tallaght
|
205,102
|
156,085
|
135,787
|
20,298
|
14.9
|
Coombe Womens Hospital
|
48,177
|
34,372
|
29,131
|
5,241
|
18.0
|
Our Lady’s Hospital for Sick Children Crumlin
|
125,738
|
91,816
|
85,737
|
6,079
|
7.1
|
Midland Regional Acute Support
|
0
|
0
|
0
|
0
|
0.0
|
South Western Regional Acute Service
|
0
|
0
|
0
|
0
|
0.0
|
South Western Regional Acute Support
|
1
|
0
|
0
|
(0)
|
-100.0
|
Network Manager — Dublin Midlands Hospitals
|
12,588
|
221
|
8,218
|
(7,997)
|
-97.3
|
Dublin / Midlands Hospitals Group
|
631,163
|
458,883
|
419,078
|
39,805
|
|
St. Vincent’s Elm Park
|
214,432
|
151,704
|
142,956
|
8,748
|
6.1
|
St. Michael’s Dun Laoghaire
|
32,349
|
22,285
|
21,750
|
535
|
2.5
|
National Maternity Hospital Holles Street.
|
47,718
|
32,113
|
31,808
|
305
|
1.0
|
City of Dublin Skin & Cancer Hospital
|
160
|
0
|
0
|
0
|
0.0
|
St. Lukes Hospital
|
35,992
|
24,754
|
23,024
|
1,730
|
7.5
|
Royal Victoria Eye & Ear Hospital
|
23,846
|
16,400
|
15,553
|
847
|
5.4
|
St. James’s Hospital
|
351,901
|
243,262
|
230,478
|
12,784
|
5.5
|
St. Columcilles General Hospital
|
37,364
|
29,847
|
25,035
|
4,812
|
19.2
|
East Coast Regional Acute Service
|
0
|
0
|
0
|
0
|
0.0
|
East Coast Regional Acute Support
|
0
|
0
|
0
|
0
|
0.0
|
Network Managers — Dublin South Hospitals
|
32,509
|
7,286
|
21,061
|
(13,775)
|
-65.4
|
Dublin South Hospitals Group
|
776,271
|
527,650
|
511,665
|
15,985
|
|
South Eastern Regional Ambulance Service
|
15,993
|
13,040
|
10,612
|
2,428
|
22.9
|
Southern Regional Ambulance Services
|
15,613
|
12,028
|
10,472
|
1,556
|
14.9
|
Western Regional Ambulance Services
|
14,435
|
12,599
|
9,595
|
3,004
|
31.3
|
North Western Regional Ambulance Service
|
11,046
|
8,900
|
7,302
|
1,598
|
21.9
|
Mid Western Regional Ambulance Service
|
10,952
|
7,815
|
7,223
|
591
|
8.2
|
North Eastern Regional Ambulance Service
|
10,680
|
8,290
|
7,121
|
1,169
|
16.4
|
Northern Area Regional Ambulance Service
|
0
|
0
|
0
|
0
|
0.0
|
Midland Regional Ambulance Service
|
19,906
|
6,668
|
10,549
|
(3,881)
|
-36.8
|
South Western Regional Ambulance Service
|
0
|
0
|
0
|
0
|
0.0
|
East Coast Regional Ambulance Service
|
30,755
|
22,739
|
20,595
|
2,144
|
10.4
|
Regional Ambulance Services
|
129,381
|
92,079
|
83,468
|
8,611
|
|
Office of the National Director
|
31,824
|
7,115
|
21,126
|
(14,011)
|
-66.3
|
National Hospitals Office Total
|
4,291,890
|
2,996,121
|
2,834,438
|
161,683
|
|