Tuesday, 10 June 2014

Questions (480)

Terence Flanagan

Question:

480. Deputy Terence Flanagan asked the Minister for Health if he will provide an update on his proposed primary care centres to include the budget, services to be provided and the date on which they will open; and if he will make a statement on the matter. [24250/14]

View answer

Written answers (Question to Health)

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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Update at 30 April 2014

-

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

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-

-

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

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-

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.