Finian McGrath (Dublin North Central, Independent)

We should take the tough decisions on the so-called issue of special centres and reflect once again on best practice for all our patients. In regard to the issue of funding for cancer services, I commend the Minister on her efforts during the budget negotiations to secure €35 million for cancer services, despite the downturn in the economy. Beaumont Hospital has been selected as one of these specialist centres, which I welcome. The team at that hospital is looking forward to developing services on the north side of Dublin for people throughout the country. It is a step in the right direction.

The population of the Republic of Ireland has increased by nearly 325,000 in the four year period 2002-06. Having only recently passed the 4 million mark, the population is set to increase to 5 million within the next 15 years and 5.8 million by 2036. With an average age of 35.6 years, Ireland has a relatively youthful age structure. However, this is set to change. Those aged 65 and over will account for 20% of the population, or 1.14 million people, by 2036. The number of people aged 80 or over will treble from the 2001 level of 98,000 to 320,000 by the same year. These changes will have significant implications for public spending and health care expenditure in particular because the elderly typically require two to five times the resources of those aged under 65. The life expectancy of those over the age of 65 has improved significantly in recent years, although it remains low in comparison with our western European neighbours. Diseases which continue to be the principal causes of death include cancer.

I welcome this debate but it is up to every Deputy to progress reform of the health service. I warmly welcome the 64 rehabilitation beds being developed at the Incorporated Orthopaedic Hospital of Ireland, Clontarf, which will open in mid 2009.

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