Oireachtas Joint and Select Committees

Wednesday, 14 June 2023

Joint Oireachtas Committee on Health

Implementation of Sláintecare Reforms: Department of Health and HSE (Resumed)

Mr. Bernard Gloster:

I will be very brief, because I am conscious of the Deputy's time. He is correct. With regard to public community nursing unit beds, our building programme and investment over the last couple of years has unfortunately - but it is what it is - been focused on regulatory compliance.

It is about building beds to replace beds that completely would not meet the standard - it is important that we meet the standards - and very often in that context beds get lost in that margin. There is no point in trying to deny that.

The focus of the next couple of years of the capital plan is to add to public capacity, because of the very point the Deputy is making. The dependency on care will still be there even if we introduce a statutory home care scheme. The dependency on residential care will still be there. I met the Minister of State, Deputy Butler, two weeks ago. Her specific ask of us and of the Department officials is to go beyond what we did in 2016, which was to look at a 50-bed model and 50-bed units, and to now look at look and see, without getting into institutionalisation, if we can look at going to 70-bed type units, and specifically within that in the public system to provide dedicated units within each unit for dementia-specific care, which is one of our bigger challenges. That is a significant part of what we are doing.