The Department of Health acknowledges that there are variations in the cost of care across public centres as well as across private nursing homes, with public nursing homes generally having a higher cost of care to the exchequer. However, it is important to note that regardless of whether it is a private, voluntary or public nursing home, the resident's financial contribution is the same; the price of care only affects levels of state funding and has no direct impact on the resident.
In December 2021, the Department published the independently-chaired Value For Money review on nursing home costs, which reviewed the variance in costs between public and private nursing homes. The review made 9 recommendations to address this issue, all of which are now being taken forward by the Department.