Oireachtas Joint and Select Committees

Thursday, 1 February 2024

Public Accounts Committee

Appropriation Accounts 2022
Vote 38 - Health
Report on the Accounts of the Public Services 2022
Chapter 18 - Health Service Executive Funding and Financial Reporting

9:30 am

Mr. Robert Watt:

We do have multi-annual funding in respect of capital, which gives certainty on capital projects. It takes a number of years to deliver, so an annual basis would not work. I think there is a very strong argument for multi-annual budgeting for health. It is something we have discussed in the Department on occasion. We have discussed it with the Department of public expenditure and reform. I think it would make sense. Maybe, at the beginning of a new Dáil, when there are four or five years of perspective, you could set out a budget for two, three years then review it halfway through that Dáil. That is a difficult issue for the Minister for public expenditure and reform, the Minister for Finance and the Government to commit to, but we have demand growing by 2% to 3% a year and we have inflation in normal times, so-----