Oireachtas Joint and Select Committees

Wednesday, 16 January 2019

Joint Oireachtas Committee on Health

National Children’s Hospital: National Paediatric Hospital Development Board

Mr. John Pollock:

To add to that, none of the €320 million increase in costs that we are reporting here today is associated with being on the St. James's campus. These are costs that would have occurred on any site. For example, statutory issues arose around sprinklers and the Grenfell Tower fire and we had to comply with those changing regulations.

Regarding omissions in the bill of quantities, the scale and complexity of this job is that it has an area of 158,000 sq. m, which is the size of Dundrum Shopping Centre, and within those 158,000 sq. m, there is a great deal of complexity with the 6,000 rooms and the level of services involved. Mr. Costello has spoken about the digital hospital. This is the first public digital hospital in Ireland and that comes with cost impacts. People might ask what is meant by a digital hospital. It means that we no longer rely on paper records. Everything is digitised. We have electronic healthcare records so clinicians will use their iPads and tablets to connect with records. Every piece of equipment requires an interface with the electronic healthcare records so everything is stored centrally. That has an enormous impact for the design of the building to ensure there is resilience built into the hospital. If the IT systems crashed the entire system would go down, whereas in the old days one might have lost a piece of paper. In all the 6,000 rooms there are multiple data points for pieces of equipment and for staff to connect to, but each of those data points is replicated in case something goes down. There is an A and a B. They must go to a separate computer room rather than to the same computer room in case a computer room fails. They also each need a separate power supply and back-up generator. There is a huge amount of resilience and duplication in a digital hospital.

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