Primary Care Centre Provision

Dáil Éireann Debate, Tuesday - 10 June 2014

Tuesday, 10 June 2014

Ceisteanna (480)

Terence Flanagan

Ceist:

480. Deputy Terence Flanagan asked the Minister for Health if he will provide an update on his proposed primary care centres to include the budget, services to be provided and the date on which they will open; and if he will make a statement on the matter. [24250/14]

Freagraí scríofa

Minister of State at the Department of Health

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. Considerable progress has been achieved to date. 37 primary care centres have been opened since March 2011 and infrastructure development is underway or planned at a further forty three locations.

In addition to the rank of the locations as a result of the 2012 prioritisation exercise, the mechanism and timescale for delivery of primary care infrastructure is dependent on a number of factors including GP participation. Regardless of the delivery mechanism, all potential primary care centres are also subject to suitable locations being offered/provided/available and to successful planning processes. In addition, the operational lease mechanism is subject to market pressures such as the developers' access to sufficient financing.

As regards the PPP project, the National Development Finance Agency (NDFA) published a Prior Indicative Notice (PIN) / Pre-Qualification Questionnaire in the OJEU on 19 December 2013. Four submissions were received by the closing date which was 10 March 2014. Information can be located at the following web address - http://www.ndfa.ie/TenderCompetitions/PrimaryCareCentresPPPProgramme.htm. It is expected that 10-14 sites (indicative number 12 based on affordability) 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 capital projects this programme must be considered within the overall capital envelope available to the health service. There will always be more projects than can be funded by the Exchequer. There is limited funding available for new projects over the period 2014-2018 given the level of commitments and the costs to completion already in place. Nevertheless, where possible, the HSE's capital programme will include provision to progress primary care centres with the highest ranking following the 2012 national prioritisation exercise by direct/own-build in the event that other delivery mechanisms are not feasible.

It is expected that the PPP primary care locations will be delivered by late 2016 / early 2017 and that the locations underway by HSE direct/own-build and the lease initiative will be delivered over the period 2014 to 2016.

As regards budget, the construction costs in relation to the lease initiative PCCs are borne by the developer. For reasons of commercial sensitivity, it would not be appropriate at this stage to provide estimated construction costs for the PPP project or those to be delivered by HSE direct/own-build.

Health care services to be delivered at the PPP locations will include General Practitioner (GP) services and in addition a number of centres will include a wider range of community based services, for example, dental services, community mental health services, child and adolescent mental health services, early intervention teams, and doctor on call services.

The following spreadsheet provides the information on primary care infrastructure available at end April 2014.

- Primary care infrastructure opened since March 2011

- Primary care infrastructure underway

- The PPP project.

Primary Care Centres opened since March 2011	-	-	-	Update at 30 April 2014	-
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	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	DML	Westmeath	Athlone at Clonbrusk	Operational Lease	2014 Q1
10	DML	Dublin	Bride St / Liberties (Old Meath Hospital Campus)	Operational Lease	2014 Q2
11	DNE	Dublin	Blanchardstown	Operational Lease	2013 Q4
12	DNE	Meath	Dunshaughlin	Direct Build	2012
13	DNE	Meath	Ashbourne	Operational Lease	2013 Q1
14	DNE	Meath	Summerhill	Operational Lease	2014
15	DNE	Louth	Carlingford	Direct Build	2012
16	DNE	Louth	Ardee	Direct Build	2012
17	DNE	Cavan	Cootehill	Direct Build	2012
18	DNE	Cavan	Bailieborough	Direct Build	2012 Q4
19	DNE	Cavan	Cavan Town	Operational Lease	2012 Q1
20	DNE	Cavan	Kingscourt	Operational Lease	2012 Q3
21	DNE	Cavan	Cavan Town at Connolly Court	Operational Lease	2013 Q2
22	South	Wexford	Gorey	Operational Lease	2012 Q3
23	South	Kilkenny	Kilkenny at Grange's Road	Operational Lease	2011 Q3
24	South	Kilkenny	Callan	Operational Lease	2011 Q3
25	South	Waterford	Tramore	Operational Lease	2011 Q4
26	South	Cork / South Lee	Cork City at Mahon	Operational Lease	2011 Q4
27	South	Cork / North Lee	Macroom	Operational Lease	2012 Q1
28	South	Cork	Schull	Operational Lease	2013 Q4
29	South	Kerry	Kenmare	Operational Lease	2012 Q3
30	South	Kerry	West Kerry (Dingle)	Direct Build	2013
31	West	Limerick	Limerick City at Abbey St Mary's	Operational Lease	2012 Q1
32	West	Galway	Galway City East	Operational Lease	2011 Q2
33	West	Galway	Athenry	Operational Lease	2013 Q3
34	West	Mayo	Ballina	Operational Lease	2011 Q2
35	West	Roscommon	Castlerea	Operational Lease	2012 Q3
36	West	Roscommon	Monksland South Roscommon	Operational Lease	2012 Q4
37	West	Donegal	Glenties	Direct Build	2012 Q3

Primary Care Centres Infrastructure - Underway	-	-	-	Update at 30 April 2014
Count	HSE Region	County / Area	PCT Name / Location	Delivery Method
1	DML	Wicklow	South Wicklow / Carnew	Operational Lease
2	DML	Wicklow	Wicklow Town	Operational Lease
3	DML	Dublin	Kilnamanagh / Tymon	Operational Lease
4	DML	Kildare	Clane	Operational Lease
5	DML	Kildare	Rathangan / Monasterevin	Operational Lease
6	DML	Dublin	Springfield	Operational Lease
7	DML	Longford	Edgeworthstown	Direct-own / build
8	DNE	Dublin	Finglas	Direct-own / build
9	DNE	Dublin	Grangegorman	Direct-own / build
10	DNE	Dublin	Corduff	Direct-own / build
11	DNE	Meath	Laytown / Bettystown	Direct-own / build
12	DNE	Monaghan	Monaghan Town	Direct-own / build
13	South	Carlow	Tullow / Rathvilly / Hacketstown	Direct-own / build
14	South	Cork	Cork City NW at St Mary's Hospital Campus	Direct-own / build
15	South	Cork	Carrigtwohill	Operational Lease
16	South	Cork	Kinsale	Operational Lease
17	West	Limerick	Limerick City - Market / Garryown	Operational Lease
18	West	Limerick	Limerick City - Castletroy	Operational Lease
19	West	Galway	Loughrea	Direct-own / build
20	West	Mayo	Swinford	Operational Lease
21	West	Sligo	Sligo Town at Nazareth House	Direct-own / build
22	West	Leitrim	Manorhamilton	Direct-own / build
23	West	Leitrim	Ballinamore	Direct-own / build
24	West	Leitrim	Carrick-on-Shannon	Operational Lease
25	West	Donegal	Derrybeg / Bunbeg	Operational Lease
26	West	Donegal	Ballyshannon	Direct-own / build
27	West	Donegal	Dungloe	Direct-own / build

Primary Care Centres - PPP Project	-	-	Update at 30 April 2014
Count	HSE Region	County / Area	PCT Name / Location
1	DML	Kildare	Kilcock
2	DML	Dublin	Crumlin / Drimnagh at Curlew Road
3	DML	Dublin	Knocklyon / Rathfarnham
4	DNE	Dublin	Coolock / Darndale
5	DNE	Dublin	Summerhill, north inner city
6	South	Wexford	Wexford Town
7	South	Waterford	Dungarvan
8	South	Waterford	Waterford City
9	South	Tipperary	Carrick-on-Suir
10	West	Limerick	Limerick City
11	West	Galway	Tuam
12	West	Mayo	Claremorris
13	West	Mayo	Ballinrobe
14	West	Mayo	Westport
15	West	Sligo	Ballymote
16	West	Roscommon	Boyle

The Deputy's parliamentary question has been forwarded to the HSE for reply in relation to the health care services to be delivered from the PCC locations under way.