James Reilly (Dublin North, Fine Gael)

The issue of co-location with an adult hospital is a major requirement. The expert group comprising four chief executive officers of some of the biggest paediatric hospitals in the world, three of whom were clinicians themselves, were unanimous on the fact that it needed to be co-located with an adult hospital. The basis for this is our childhood population would not be able to sustain an expert in rare disorders as his or her skills would diminish due to the infrequency with which he or she would treat patients. Therefore, the group felt treating adults and children is the route forward for a country of our size. The CEO of Great Ormond Street Hospital for Children was involved. This is a stand-alone hospital but even she acknowledged co-location is the best way to go.

Great people work in our paediatric services but there are limitations on the buildings in which they work. Our Lady's Children's Hospital in Crumlin has been very successful in fundraising and treats 80% of our tertiary cases, with Temple Street hospital treating 20%. I have visited Temple Street hospital, which is staffed by wonderful people but they point out it is made up of Victorian buildings joined with little attics and steps. It is utterly inappropriate. We need a modern facility to provide the best care for our children. We will expedite this.

The Dolphin group will report later this month, 56 days after its first meeting, and only a few days remain this month. It will be made aware of all of the options available. Rather than giving us the choice of a single place, I have asked it to point out the pros and cons of each option so the Government can make a decision in the interests of the people.

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