The National Development Plan 2018 – 2027 sets out the total health capital funding to 2027 for the development of health infrastructure in line with health policies, strategies and in support of the reforms set out in Sláintecare. The Department engages with DPER in the determination of the annual health capital allocation as part of the annual estimates process and with the HSE to finalise a Capital Plan.
The HSE is responsible for the delivery and management of healthcare infrastructure. The HSE develop a Capital Plan each year guided by national healthcare strategies, policies and Government priorities and having regard to the available funding and the number of large national capital projects currently underway. In drafting this plan, priority must be given to meeting contractual commitments.
The HSE’s National Capital and Property Steering Committee appraises all project submissions to recommend the selection of projects for inclusion in the Capital Plan, subject to funding availability.
It is important to recognise that all capital development proposals must progress through a number of approval stages, in line with the Public Spending Code, including detailed appraisal, planning, design and procurement before a firm timeline or funding requirement can be established.
The final decision to proceed with the construction of a project cannot be made until the tender process has been completed and the costings reviewed to ensure that the proposal remains affordable and delivers value for money.
The delivery of capital projects is a dynamic process and is subject to the successful completion of the various approval stages, which can impact on the timeline for delivery.
The HSE actively manages the capital programme in order to ensure it has flexibility to progress as many projects as possible within the available funding, particularly in the event of any project not progressing as anticipated.