Dan Neville (Limerick West, Fine Gael)

I welcome the opportunity to raise the issue of the palliative care and hospice support unit at St. Ita's Hospital, Newcastlewest, County Limerick. I recognise the work of the Friends of St. Ita's in promoting this necessary service in west Limerick. This group has been fund-raising for the provision of a palliative care and hospice unit for west Limerick for six years, since May 2003. As a result of that fund-raising, the group has contributed €1.225 million towards the capital cost of building, furnishing and equipping the unit, which has been put at around €3 million. In addition, Friends of St. Ita's has agreed to contribute a further €120,000 towards the final cost, which will bring the overall voluntary contribution to €1.345 million, or 44% - almost half - the capital cost of the unit. This could not have been done without the overwhelming support and generosity of the entire community of west Limerick and beyond. We also recognise that included in that is generous funding of €0.75 million from the McManus Pro-Am, which enabled the unit to be upgraded from a four-bed to an eight-bed unit.

This was a very much a community project from the outset, as the facility was seen as being much needed for the region and was expected to augment the service already being provided by Milford Care Centre, which is up to a 50 miles distance from the homes of some people in the catchment area. This, together with the cause itself, were factors that motivated the community considerably in the drive to have the unit built.

As one might expect, with that enormous commitment, good will and generosity on the part of the community, and the effort put in by Friends of St. Ita's over time, came an understanding and expectation that the hospice unit would be opened once ready for use. The unit has been completed, as has the final stage of furnishing and fitting, and a temporary nurse manager has been appointed internally, while the permanent post, which had been sanctioned by the Minister for Health and Children, Deputy Mary Harney, has not been filled, nor has it been advertised. The purpose of this appointment is to prepare policies and procedures for staffing and the running of the unit.

The purpose of my raising this is to impress on the Minister the requirement, because of the response of the community, that the unit be opened. There is great disappointment and annoyance that this has not been done. There is an unwillingness on the part of all concerned in this project to accept the delay in opening the unit beyond mid-2009. The contract for the unit went to tender in 2007, with a commitment that it would open in 2008. Now we are told it will not open in 2009.

As I said, Friends of St. Ita's has raised close to €2 million to date which, in addition to funding for the hospice unit, has also facilitated other projects in St. Ita's Hospital, including a day room and a patient minibus service. There has been wonderful generosity and support from all sections of the community. The least that community can expect is that its hard work and generosity will be reciprocated by the Health Service Executive. It must honour its commitment to staff and patients by opening the hospice unit, which is ready for use, without further delay.

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