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National Treatment Purchase Fund

Dáil Éireann Debate, Tuesday - 29 March 2022

Tuesday, 29 March 2022

Questions (657)

David Cullinane

Question:

657. Deputy David Cullinane asked the Minister for Health the core and once-off budget allocated to and the expenditure of the National Treatment Purchase Fund in each of the years 2016 to 2021, inclusive; the amount spend in the public system and the amount spent on private services by service-type; and if he will make a statement on the matter. [15987/22]

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Written answers

Improving access to Scheduled Care and reducing waiting time for patients for hospital operations and procedures is a key priority for Government. The allocation to the National Treatment Purchase Fund (NTPF) has increased year-on-year from €5.1million in 2016, €22.6 million in 2017, €55 million in 2018, €75 million in 2019, €100 million in €2020, €130 million in 2021 and there was a further increase announced in Budget 2022 to €150 million. For 2021 and 2022 the core NTPF budget was €100 million, additional allocations of €30 million in 2021, as a once off Covid related payment and €50 million in 2022 to help reduce hospital and community waiting lists were granted.

The NTPF procures capacity for high-volume procedures in order to positively impact waiting time for patients. Such procedures may be procured in both private hospitals (outsourcing), or public hospitals (insourcing). In order to ensure competitive pricing as part of their outsourcing programme, the NTPF works with private hospitals from a panel agreement and engages in procurement processes through e-tender. In relation to insourcing, a public hospital may have some spare capacity but require further funding in order to utilise it. Such public hospitals may make a proposal to the NTPF, whereby the NTPF pay a fixed price per procedure performed. The amount paid by the NTPF meets the extra costs incurred by the public hospital in performing the procedures.

The information requested by the Deputy in relation to the amount spent by the NTPF in the public system and on private services, is outlined in the following table, provided to my Department by the NTPF.

Expenditure incurred by NTPF related to payments to private and public hospitals to provide inpatient and outpatient services to patients. 

2016*

2017

2018

2019

2020

2021**

Total

Private Hospitals

   30,387,932

         9,948,651

       31,420,173

       29,204,118

         22,957,536

         44,913,597

   168,832,007

Public Hospitals

                   -  

         3,101,350

       17,364,472

       29,750,949

         47,516,961

         48,004,160

   145,737,892

Total

  30,387,932

      13,050,001

      48,784,645

      58,955,067

         70,474,497

         92,917,757

  314,569,899

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