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. Considerable progress has been achieved to date. 37 primary care centres have been opened since March 2011 and infrastructure development is underway or planned at a further forty three locations.
In addition to the rank of the locations as a result of the 2012 prioritisation exercise, the mechanism and timescale for delivery of primary care infrastructure is dependent on a number of factors including GP participation. Regardless of the delivery mechanism, all potential primary care centres are also subject to suitable locations being offered/provided/available and to successful planning processes. In addition, the operational lease mechanism is subject to market pressures such as the developers' access to sufficient financing.
As regards the PPP project, the National Development Finance Agency (NDFA) published a Prior Indicative Notice (PIN) / Pre-Qualification Questionnaire in the OJEU on 19 December 2013. Four submissions were received by the closing date which was 10 March 2014. Information can be located at the following web address - http://www.ndfa.ie/TenderCompetitions/PrimaryCareCentresPPPProgramme.htm. It is expected that 10-14 sites (indicative number 12 based on affordability) 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 capital projects this programme must be considered within the overall capital envelope available to the health service. There will always be more projects than can be funded by the Exchequer. There is limited funding available for new projects over the period 2014-2018 given the level of commitments and the costs to completion already in place. Nevertheless, where possible, the HSE's capital programme will include provision to progress primary care centres with the highest ranking following the 2012 national prioritisation exercise by direct/own-build in the event that other delivery mechanisms are not feasible.
It is expected that the PPP primary care locations will be delivered by late 2016 / early 2017 and that the locations underway by HSE direct/own-build and the lease initiative will be delivered over the period 2014 to 2016.
As regards budget, the construction costs in relation to the lease initiative PCCs are borne by the developer. For reasons of commercial sensitivity, it would not be appropriate at this stage to provide estimated construction costs for the PPP project or those to be delivered by HSE direct/own-build.
Health care services to be delivered at the PPP locations will include General Practitioner (GP) services and in addition a number of centres will include a wider range of community based services, for example, dental services, community mental health services, child and adolescent mental health services, early intervention teams, and doctor on call services.
The following spreadsheet provides the information on primary care infrastructure available at end April 2014.
- Primary care infrastructure opened since March 2011
- Primary care infrastructure underway
- The PPP project.
Primary Care Centres opened since March 2011
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-
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-
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-
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Update at 30 April 2014
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-
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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
|
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
|
DML
|
Westmeath
|
Athlone at Clonbrusk
|
Operational Lease
|
2014 Q1
|
10
|
DML
|
Dublin
|
Bride St / Liberties (Old Meath Hospital Campus)
|
Operational Lease
|
2014 Q2
|
11
|
DNE
|
Dublin
|
Blanchardstown
|
Operational Lease
|
2013 Q4
|
12
|
DNE
|
Meath
|
Dunshaughlin
|
Direct Build
|
2012
|
13
|
DNE
|
Meath
|
Ashbourne
|
Operational Lease
|
2013 Q1
|
14
|
DNE
|
Meath
|
Summerhill
|
Operational Lease
|
2014
|
15
|
DNE
|
Louth
|
Carlingford
|
Direct Build
|
2012
|
16
|
DNE
|
Louth
|
Ardee
|
Direct Build
|
2012
|
17
|
DNE
|
Cavan
|
Cootehill
|
Direct Build
|
2012
|
18
|
DNE
|
Cavan
|
Bailieborough
|
Direct Build
|
2012 Q4
|
19
|
DNE
|
Cavan
|
Cavan Town
|
Operational Lease
|
2012 Q1
|
20
|
DNE
|
Cavan
|
Kingscourt
|
Operational Lease
|
2012 Q3
|
21
|
DNE
|
Cavan
|
Cavan Town at Connolly Court
|
Operational Lease
|
2013 Q2
|
22
|
South
|
Wexford
|
Gorey
|
Operational Lease
|
2012 Q3
|
23
|
South
|
Kilkenny
|
Kilkenny at Grange's Road
|
Operational Lease
|
2011 Q3
|
24
|
South
|
Kilkenny
|
Callan
|
Operational Lease
|
2011 Q3
|
25
|
South
|
Waterford
|
Tramore
|
Operational Lease
|
2011 Q4
|
26
|
South
|
Cork / South Lee
|
Cork City at Mahon
|
Operational Lease
|
2011 Q4
|
27
|
South
|
Cork / North Lee
|
Macroom
|
Operational Lease
|
2012 Q1
|
28
|
South
|
Cork
|
Schull
|
Operational Lease
|
2013 Q4
|
29
|
South
|
Kerry
|
Kenmare
|
Operational Lease
|
2012 Q3
|
30
|
South
|
Kerry
|
West Kerry (Dingle)
|
Direct Build
|
2013
|
31
|
West
|
Limerick
|
Limerick City at Abbey St Mary's
|
Operational Lease
|
2012 Q1
|
32
|
West
|
Galway
|
Galway City East
|
Operational Lease
|
2011 Q2
|
33
|
West
|
Galway
|
Athenry
|
Operational Lease
|
2013 Q3
|
34
|
West
|
Mayo
|
Ballina
|
Operational Lease
|
2011 Q2
|
35
|
West
|
Roscommon
|
Castlerea
|
Operational Lease
|
2012 Q3
|
36
|
West
|
Roscommon
|
Monksland South Roscommon
|
Operational Lease
|
2012 Q4
|
37
|
West
|
Donegal
|
Glenties
|
Direct Build
|
2012 Q3
|
Primary Care Centres Infrastructure - Underway
|
-
|
-
|
-
|
Update at 30 April 2014
|
Count
|
HSE Region
|
County / Area
|
PCT Name / Location
|
Delivery Method
|
1
|
DML
|
Wicklow
|
South Wicklow / Carnew
|
Operational Lease
|
2
|
DML
|
Wicklow
|
Wicklow Town
|
Operational Lease
|
3
|
DML
|
Dublin
|
Kilnamanagh / Tymon
|
Operational Lease
|
4
|
DML
|
Kildare
|
Clane
|
Operational Lease
|
5
|
DML
|
Kildare
|
Rathangan / Monasterevin
|
Operational Lease
|
6
|
DML
|
Dublin
|
Springfield
|
Operational Lease
|
7
|
DML
|
Longford
|
Edgeworthstown
|
Direct-own / build
|
8
|
DNE
|
Dublin
|
Finglas
|
Direct-own / build
|
9
|
DNE
|
Dublin
|
Grangegorman
|
Direct-own / build
|
10
|
DNE
|
Dublin
|
Corduff
|
Direct-own / build
|
11
|
DNE
|
Meath
|
Laytown / Bettystown
|
Direct-own / build
|
12
|
DNE
|
Monaghan
|
Monaghan Town
|
Direct-own / build
|
13
|
South
|
Carlow
|
Tullow / Rathvilly / Hacketstown
|
Direct-own / build
|
14
|
South
|
Cork
|
Cork City NW at St Mary's Hospital Campus
|
Direct-own / build
|
15
|
South
|
Cork
|
Carrigtwohill
|
Operational Lease
|
16
|
South
|
Cork
|
Kinsale
|
Operational Lease
|
17
|
West
|
Limerick
|
Limerick City - Market / Garryown
|
Operational Lease
|
18
|
West
|
Limerick
|
Limerick City - Castletroy
|
Operational Lease
|
19
|
West
|
Galway
|
Loughrea
|
Direct-own / build
|
20
|
West
|
Mayo
|
Swinford
|
Operational Lease
|
21
|
West
|
Sligo
|
Sligo Town at Nazareth House
|
Direct-own / build
|
22
|
West
|
Leitrim
|
Manorhamilton
|
Direct-own / build
|
23
|
West
|
Leitrim
|
Ballinamore
|
Direct-own / build
|
24
|
West
|
Leitrim
|
Carrick-on-Shannon
|
Operational Lease
|
25
|
West
|
Donegal
|
Derrybeg / Bunbeg
|
Operational Lease
|
26
|
West
|
Donegal
|
Ballyshannon
|
Direct-own / build
|
27
|
West
|
Donegal
|
Dungloe
|
Direct-own / build
|
Primary Care Centres - PPP Project
|
-
|
-
|
Update at 30 April 2014
|
Count
|
HSE Region
|
County / Area
|
PCT Name / Location
|
1
|
DML
|
Kildare
|
Kilcock
|
2
|
DML
|
Dublin
|
Crumlin / Drimnagh at Curlew Road
|
3
|
DML
|
Dublin
|
Knocklyon / Rathfarnham
|
4
|
DNE
|
Dublin
|
Coolock / Darndale
|
5
|
DNE
|
Dublin
|
Summerhill, north inner city
|
6
|
South
|
Wexford
|
Wexford Town
|
7
|
South
|
Waterford
|
Dungarvan
|
8
|
South
|
Waterford
|
Waterford City
|
9
|
South
|
Tipperary
|
Carrick-on-Suir
|
10
|
West
|
Limerick
|
Limerick City
|
11
|
West
|
Galway
|
Tuam
|
12
|
West
|
Mayo
|
Claremorris
|
13
|
West
|
Mayo
|
Ballinrobe
|
14
|
West
|
Mayo
|
Westport
|
15
|
West
|
Sligo
|
Ballymote
|
16
|
West
|
Roscommon
|
Boyle
|
The Deputy's parliamentary question has been forwarded to the HSE for reply in relation to the health care services to be delivered from the PCC locations under way.