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Hospital Facilities

Dáil Éireann Debate, Tuesday - 8 February 2022

Tuesday, 8 February 2022

Questions (608)

Joe Carey

Question:

608. Deputy Joe Carey asked the Minister for Health if he will give consideration to the provision of a dedicated, standalone elective hospital in County Limerick to serve the mid-west region in conjunction with the new elective hospitals planned under the Sláintecare National Elective Ambulatory Care Strategy for Cork, Galway and Dublin; and if he will make a statement on the matter. [5844/22]

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Written answers

The Cross Party Sláintecare Report in 2017 articulated a new vision for healthcare in Ireland, including the provision of elective only hospitals, providing protected capacity for elective care. The “Elective Hospitals Oversight Group”, under the joint governance of the Health Service Executive, Department of Health and Sláintecare, has been guiding the development of the elective hospital proposals, following the process outlined in the updated Public Spending Code, setting out the value for money requirements for the evaluation, planning, and management of large public investment projects.

In December 2021 the Government agreed, subject to the necessary approvals and requirements under the Public Spending Code being met, a new National Elective Ambulatory Care Strategy. This new strategy aims to change the way in which day case, scheduled procedures, surgeries, scans and outpatient services can be better arranged to ensure greater capacity in the future and help to address waiting lists. The development of additional capacity will be provided through dedicated, standalone Elective Hospitals in Cork, Galway and Dublin. No other locations are under active consideration. It is important to note that the locations chosen will allow for new facilities of a size and scale to implement an elective care programme that will tackle waiting lists on a national basis. This means that the new facilities will be designed to maximise their capacity and in doing so will operate to cover as a wide catchment area as possible, extending beyond existing and future health areas including Limerick and neighbouring mid-west counties.

The elective care scope of service will be developed in two phases commencing with day cases, diagnostics, and outpatients and then by in-patient treatment. On this basis, the Elective Care Centres (ECCs) will be designed to provide sufficient capacity to facilitate future phases, including some elective in patient capacity, thereby providing a sustainable and strategic response to cater for the highly dynamic landscape of healthcare policy and practice.

Individual Preliminary Business Cases for each location are at an advanced stage of development. and will be subject to technical review by the Department of Health and the Department of Public Expenditure and Reform. Pending favourable review(s) under the Public Spending Code, that further memoranda for Government would then be brought forward to progress this proposal for Cork, Galway and Dublin.

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