It is well recognised that additional hospital in-patient accommodation is required across a number of larger hospital sites to improve patient flow and reduce pressures on Emergency Departments (EDs). In response, the HSE is progressing opportunities for additional capacity, in blocks of 50-150, on a number of Model 3 and Model 4 hospital sites with 24/7 EDs, across the country. Supported by a demand and capacity analysis, the HSE are identifying sites that all have demonstrable bed pressure and lend themselves more readily to the rapid supply and installation of high specification, inpatient accommodation on a number of existing hospital sites.
In parallel to this site identification process and following publication of an expression of interest in March 2023, submissions were received from 18 national and international providers for the delivery of ward accommodation of up to 1,500 beds in total. These responses are now being assessed for suitability. It is proposed that design, manufacturing, site installation and commissioning would be completed on initial sites in circa 75 weeks from approval, with other sites following on a sequential basis thereafter.
To drive time and cost efficiencies, these projects will be delivered using standardised, repeatable design solutions, with standard schedules of accommodation, utilising off-site manufacturing approaches. While the primary requirement is likely to be inpatient accommodation, it may also include the provision of other hospital facilities such as theatres, critical care beds and staff accommodation, consistent with the approach signalled in the HSE Capital and Estates Strategy.
I am currently in discussions with Government colleagues to secure support and the necessary additional funding to expedite the rapid construction and delivery of the 1,500 additional acute beds across the country, using modern methods of construction, including modular construction. Details of the proposal will be confirmed as discussions progress.
