Oireachtas Joint and Select Committees

Wednesday, 25 October 2017

Joint Oireachtas Committee on Health

General Scheme of Children's Health Bill 2017: Discussion

9:00 am

Ms Fionnuala Duffy:

I will start with the issue of safety. I want to reiterate that safety is of paramount concern to all of us on this project. Although the fire safety measures previously proposed already exceeded the standards in health care design, An Bord Pleanála included additional stipulations and these will be absolutely adhered to. We have appropriate governance structures in place for this project and we will make sure that all safety concerns are taken on board as part of our overriding concern for the public.

In response to Deputy Durkan's question, I will clarify the matter of the boards. Two boards are involved here. One we simply call the "building board" or the National Paediatric Development Board, and this is already on a statutory footing. On the service side we currently have the administrative hospital group made up of the three children's hospitals. We are very anxious to put that administrative board on a statutory footing. All of us involved in the project are very clear about the complementary roles of both boards. Our governance structures oversee both the build side and the service integration side of the project and we make sure that both sides work well together, that they do not overlap inappropriately, and that they are clear about their own distinct roles. I am satisfied that our statutory development board and our administrative board are both working well and that the latter will work even better when we put it on a statutory footing.

On the issue of the Minister appointing the board, we had said that the board was to be made of people with experience and expertise. We put a lot of consideration into how it would be appropriate to populate a board with this kind of governance role. Rather than including representatives of various interests, we felt it appropriate to get the right mix of clinical, financial, legal, public sector and significant change management skills, and to bring a group of people together with those skills and competencies. This obviously includes clinical expertise so the voice of the clinical world can indeed be on this group; it is one of the core memberships already envisaged here and it is very important that we have that. On our current board we have clinical representation, not only from our own sector here, but also from the CEO of Great Ormond Street Hospital in London. This brings an international clinical dimension and thinking that will help our learning and improve our services. Also on the board we have a former deputy chief medical officer, CMO, from Northern Ireland who is currently CEO of a trust there. We are trying then to bring together the right mix of voices and skills to represent all of the communities at the core of the function of this hospital. We consider this to be very important.

Ms Hardiman might elaborate on the philanthropy issue as well as on how the car parking situation is envisaged. On the issue of assets, this project is funded by the State; the land that the facility will be on is owned by the State; and the buildings will be owned by the State. Part of the due diligence pre-commencement work under way is to ensure that there are appropriate lease arrangements in place so that the hospital can function and operate appropriately.

With regard costs, we had a significant discussion of this back when the Government approved the construction investment decision in April. As we publicly communicated at the time, the overall capital cost of this project amounts to €983 million. A total of €960 million of that will be funded by the Exchequer. We have in place a governance system; a steering group under the chairmanship of the chief operating officer in the HSE and with all the relevant stakeholders around the table; and a board chaired by our own Secretary General. These will ensure that the project will be delivered within the timescale, scope and funding that we have set out for Government. We have very tight control over all of the parameters involved to ensure the project is delivered within the appropriate budget.

The remaining question was more operational and may be best answered by Ms Hardiman.

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