I propose to take Questions Nos. 1622 and 1624 together.
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 Department of Health and HSE 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.
Government policy position for additional protected capacity for elective care is further confirmed by the Government Decision, in December 2021 and subject to the necessary approvals and requirements under the Public Spending Code being met, on 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. This policy position for the development of additional capacity will be provided through dedicated, standalone Elective Hospitals in Cork, Galway and Dublin. The Government decision is very clear on this and 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 a national 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 the mid-west.
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.
