The letter of determination is part of the Department's governance arrangements with the HSE. It sets out the level of approved expenditure for the HSE, and is updated on an ongoing basis during the year as plans for new developments are finalised, submitted for approval, approved and commenced.
The Department does not routinely publish communications between it and the HSE in the performance of their relative functions, as this would be inappropriate, and impact on both organisations ability to function effectively. It is not intended to publish this letter.