Primary Care Centres Provision

Dáil Éireann Debate, Wednesday - 29 January 2014

Wednesday, 29 January 2014

Ceisteanna (184, 185)

John Lyons

Ceist:

184. Deputy John Lyons asked the Minister for Health if he will provide an update on the roll-out of primary health care centres around the country; and if he will clarify which centres have been completed and are operational, which are at planning stage and which have not moved on to the planning stage. [4423/14]

John Lyons

Ceist:

185. Deputy John Lyons asked the Minister for Health if his Department is planning a further roll-out of primary care centres following the completion of the current programme. [4424/14]

Freagraí scríofa

Minister of State at the Department of Health

I propose to take Questions Nos. 184 and 185 together.

The development of primary care is central to the Government's objective to deliver a high quality, integrated and cost effective health care system. Supporting infrastructure, procured through a combination of public and private investment, will facilitate the delivery of multi-disciplinary primary health care. The location prioritisation exercise initiated by the HSE in 2012 is a dynamic process, constantly evolving to take account of changing circumstances including the feasibility of implementation using the following delivery mechanisms:

- direct/own-build (by HSE);

- by way of the operational lease with the private sector; or

- through the Public Private Partnership (PPP) project.

In addition to the infrastructure already in place thirty four primary care centres have been delivered between March 2011 and December 2013. These locations are set out in the following table. The Heath Service National Service Plan 2014 (Appendix 5 Capital Infrastructure Pages 68, 69) advises that an additional 21 primary care centres are expected to open over 2014/Q12015; 19 by way of operational lease and two by direct/own-build. Significant progress has been achieved using the operational lease mechanism. The HSE continues to work with the private sector to deliver primary care centres by means of operational lease. In addition, a further 13 are to be delivered by direct/own-build. These are St Mary's Orthopaedic Hospital campus, Cork city; Finglas; Grangegorman; Monaghan town; Ballinamore; Sligo town; Manorhamilton; Erris; Ballyshannon; Edgesworthtown; Tullow/Rathvilly/Hacketstown; Loughrea and Dungloe.

In relation to the potential Primary Care Centres to be delivered under the Public Private Partnership (PPP) Project, the National Development Finance Agency (NDFA) published a Prior Information Notice (PIN) on Friday 15th November 2013 in the Official Journal of the European Union ("OJEU") through the eTenders Public Procurement portal which can be viewed on the www.etenders.gov.ie website. Of the 35 primary care centre locations announced under the Infrastructure Stimulus Package in July 2012, 15 locations have been identified as being suitable for the PPP model. These are Ballymote; Boyle; Westport; Claremorris; Tuam; Limerick City; Dungarvan; Carrick-on-Suir; Wexford Town; Waterford City; Kilcock; Knocklyon/Rathfarnham; Crumlin/Drimnagh; Coolock/Darndale; and Summerhill, north inner city Dublin. In addition, the HSE has progressed Ballinrobe, which was not one of the original 35, as a suitable substitute.

By year end 2013 the HSE had lodged 14 planning applications, details of which will be available on the relevant planning websites. The submission of Limerick City and Ballinrobe planning applications are to follow as soon as possible. It is expected that 10-14 sites (indicative number 12 based on affordability) from the above list will be delivered as part of a single PPP contract with the remaining centres to be delivered by the HSE using other procurement means. As with all other capital projects the further expansion of the primary care infrastructure programme (including locations that have not moved to planning stage) must be considered within the overall capital envelope available to the health service.

Your question has been referred to the HSE for direct reply in relation to following:

- The schedule of suitable primary care infrastructure delivered before March 2011; and

- Locations at planning stage (other than the locations set out above).

Count	HSE Region	County / Area	PCT Name / Location	Delivery Method	Open
1	DML	Dublin	Inchicore	Direct Build	2011 Q4
2	DML	Dublin	Ballyfermot	Direct Build	2012 Q3
3	DML	Dublin	Rathfarnham	Lease	2012 Q4
4	DML	Dublin	Churchtown	Operational Lease	2012 Q4
5	DML	Dublin	Dublin City at James's St /Pimlico /Liberties	Operational Lease	2012 Q4
6	DML	Kildare	Newbridge	Operational Lease	2013 Q2
7	DML	Laois	Portarlington	Operational Lease	2011 Q3
8	DML	Longford	Longford Town	Operational Lease	2013 Q2
9	DNE	Dublin	Blanchardstown	Operational Lease	2013 Q4
10	DNE	Meath	Dunshaughlin	Direct Build	2012
11	DNE	Meath	Ashbourne	Operational Lease	2013 Q1
12	DNE	Louth	Carlingford	Direct Build	2012
13	DNE	Louth	Ardee	Direct Build	2012
14	DNE	Cavan	Cootehill	Direct Build	2012
15	DNE	Cavan	Bailieborough	Direct Build	2012 Q4
16	DNE	Cavan	Cavan Town	Operational Lease	2012 Q1
17	DNE	Cavan	Kingscourt	Operational Lease	2012 Q3
18	DNE	Cavan	Cavan Town 2 (Connolly Court)	Operational Lease	2013 Q2
19	South	Wexford	Gorey	Operational Lease	2012 Q3
20	South	Kilkenny	Kilkenny (at Grange's Road)	Operational Lease	2011 Q3
21	South	Kilkenny	Callan	Operational Lease	2011 Q3
22	South	Waterford	Tramore	Operational Lease	2011 Q4
23	South	Cork / South Lee	Cork City at Mahon	Operational Lease	2011 Q4
24	South	Cork / North Lee	Macroom	Operational Lease	2012 Q1
25	South	Cork	Schull	Operational Lease	2013 Q4
26	South	Kerry	Kenmare	Operational Lease	2012 Q3
27	South	Kerry	West Kerry (Dingle)	Direct Build	2013
28	West	Limerick	Limerick City at Abbey St Mary's	Operational Lease	2012 Q1
29	West	Galway	Galway City East	Operational Lease	2011 Q2
30	West	Galway	Athenry	Operational Lease	2013 Q3
31	West	Mayo	Ballina	Operational Lease	2011 Q2
32	West	Roscommon	Castlerea	Operational Lease	2012 Q3
33	West	Roscommon	Monksland South Roscommon	Operational Lease	2012 Q4
34	West	Donegal	Glenties	Direct Build	2012 Q3