I propose to take Questions Nos. 184 and 185 together.
The development of primary care is central to the Government's objective to deliver a high quality, integrated and cost effective health care system. Supporting infrastructure, procured through a combination of public and private investment, will facilitate the delivery of multi-disciplinary primary health care. The location prioritisation exercise initiated by the HSE in 2012 is a dynamic process, constantly evolving to take account of changing circumstances including the feasibility of implementation using the following delivery mechanisms:
- direct/own-build (by HSE);
- by way of the operational lease with the private sector; or
- through the Public Private Partnership (PPP) project.
In addition to the infrastructure already in place thirty four primary care centres have been delivered between March 2011 and December 2013. These locations are set out in the following table. The Heath Service National Service Plan 2014 (Appendix 5 Capital Infrastructure Pages 68, 69) advises that an additional 21 primary care centres are expected to open over 2014/Q12015; 19 by way of operational lease and two by direct/own-build. Significant progress has been achieved using the operational lease mechanism. The HSE continues to work with the private sector to deliver primary care centres by means of operational lease. In addition, a further 13 are to be delivered by direct/own-build. These are St Mary's Orthopaedic Hospital campus, Cork city; Finglas; Grangegorman; Monaghan town; Ballinamore; Sligo town; Manorhamilton; Erris; Ballyshannon; Edgesworthtown; Tullow/Rathvilly/Hacketstown; Loughrea and Dungloe.
In relation to the potential Primary Care Centres to be delivered under the Public Private Partnership (PPP) Project, the National Development Finance Agency (NDFA) published a Prior Information Notice (PIN) on Friday 15th November 2013 in the Official Journal of the European Union ("OJEU") through the eTenders Public Procurement portal which can be viewed on the www.etenders.gov.ie website. Of the 35 primary care centre locations announced under the Infrastructure Stimulus Package in July 2012, 15 locations have been identified as being suitable for the PPP model. These are Ballymote; Boyle; Westport; Claremorris; Tuam; Limerick City; Dungarvan; Carrick-on-Suir; Wexford Town; Waterford City; Kilcock; Knocklyon/Rathfarnham; Crumlin/Drimnagh; Coolock/Darndale; and Summerhill, north inner city Dublin. In addition, the HSE has progressed Ballinrobe, which was not one of the original 35, as a suitable substitute.
By year end 2013 the HSE had lodged 14 planning applications, details of which will be available on the relevant planning websites. The submission of Limerick City and Ballinrobe planning applications are to follow as soon as possible. It is expected that 10-14 sites (indicative number 12 based on affordability) from the above list will be delivered as part of a single PPP contract with the remaining centres to be delivered by the HSE using other procurement means. As with all other capital projects the further expansion of the primary care infrastructure programme (including locations that have not moved to planning stage) must be considered within the overall capital envelope available to the health service.
Your question has been referred to the HSE for direct reply in relation to following:
- The schedule of suitable primary care infrastructure delivered before March 2011; and
- Locations at planning stage (other than the locations set out above).
Count
|
HSE Region
|
County / Area
|
PCT Name / Location
|
Delivery Method
|
Open
|
1
|
DML
|
Dublin
|
Inchicore
|
Direct Build
|
2011 Q4
|
2
|
DML
|
Dublin
|
Ballyfermot
|
Direct Build
|
2012 Q3
|
3
|
DML
|
Dublin
|
Rathfarnham
|
Lease
|
2012 Q4
|
4
|
DML
|
Dublin
|
Churchtown
|
Operational Lease
|
2012 Q4
|
5
|
DML
|
Dublin
|
Dublin City at James's St /Pimlico /Liberties
|
Operational Lease
|
2012 Q4
|
6
|
DML
|
Kildare
|
Newbridge
|
Operational Lease
|
2013 Q2
|
7
|
DML
|
Laois
|
Portarlington
|
Operational Lease
|
2011 Q3
|
8
|
DML
|
Longford
|
Longford Town
|
Operational Lease
|
2013 Q2
|
9
|
DNE
|
Dublin
|
Blanchardstown
|
Operational Lease
|
2013 Q4
|
10
|
DNE
|
Meath
|
Dunshaughlin
|
Direct Build
|
2012
|
11
|
DNE
|
Meath
|
Ashbourne
|
Operational Lease
|
2013 Q1
|
12
|
DNE
|
Louth
|
Carlingford
|
Direct Build
|
2012
|
13
|
DNE
|
Louth
|
Ardee
|
Direct Build
|
2012
|
14
|
DNE
|
Cavan
|
Cootehill
|
Direct Build
|
2012
|
15
|
DNE
|
Cavan
|
Bailieborough
|
Direct Build
|
2012 Q4
|
16
|
DNE
|
Cavan
|
Cavan Town
|
Operational Lease
|
2012 Q1
|
17
|
DNE
|
Cavan
|
Kingscourt
|
Operational Lease
|
2012 Q3
|
18
|
DNE
|
Cavan
|
Cavan Town 2 (Connolly Court)
|
Operational Lease
|
2013 Q2
|
19
|
South
|
Wexford
|
Gorey
|
Operational Lease
|
2012 Q3
|
20
|
South
|
Kilkenny
|
Kilkenny (at Grange's Road)
|
Operational Lease
|
2011 Q3
|
21
|
South
|
Kilkenny
|
Callan
|
Operational Lease
|
2011 Q3
|
22
|
South
|
Waterford
|
Tramore
|
Operational Lease
|
2011 Q4
|
23
|
South
|
Cork / South Lee
|
Cork City at Mahon
|
Operational Lease
|
2011 Q4
|
24
|
South
|
Cork / North Lee
|
Macroom
|
Operational Lease
|
2012 Q1
|
25
|
South
|
Cork
|
Schull
|
Operational Lease
|
2013 Q4
|
26
|
South
|
Kerry
|
Kenmare
|
Operational Lease
|
2012 Q3
|
27
|
South
|
Kerry
|
West Kerry (Dingle)
|
Direct Build
|
2013
|
28
|
West
|
Limerick
|
Limerick City at Abbey St Mary's
|
Operational Lease
|
2012 Q1
|
29
|
West
|
Galway
|
Galway City East
|
Operational Lease
|
2011 Q2
|
30
|
West
|
Galway
|
Athenry
|
Operational Lease
|
2013 Q3
|
31
|
West
|
Mayo
|
Ballina
|
Operational Lease
|
2011 Q2
|
32
|
West
|
Roscommon
|
Castlerea
|
Operational Lease
|
2012 Q3
|
33
|
West
|
Roscommon
|
Monksland South Roscommon
|
Operational Lease
|
2012 Q4
|
34
|
West
|
Donegal
|
Glenties
|
Direct Build
|
2012 Q3
|