Dáil debates

Wednesday, 30 January 2019

Saincheisteanna Tráthúla - Topical Issue Debate

Hospital Services

2:10 pm

Photo of Seán HaugheySeán Haughey (Dublin Bay North, Fianna Fail) | Oireachtas source

The programme for Government contains a commitment to "commence the design of a new ED in Beaumont later this year with a view to funding for the construction being provided as part of the 2017 Capital Plan Review." It committed also that:

The new Government will immediately proceed to the design and planning stage for a dedicated Cystic Fibrosis Unit at Beaumont Hospital Dublin for inclusion in the 2017 Capital Plan review. The HSE Cystic Fibrosis Clinical Programme will make further recommendations in the next few months, following a survey of centres and will complete a CF model of care policy.

I am glad the Minister of State, Deputy Finian McGrath, is here because I know he is probably responsible for including that in the programme for Government and has a big interest in these issues.

Beaumont Hospital is one of the busiest in the country and it opened in 1987. It treats in excess of 45,000 patients a year and yet there has been no major investment over the last 30 years. It is operating at maximum capacity while wards are forced to close to facilitate essential temporary refurbishment. Staff are being forced to work under difficult and stressful conditions with limited space and resources to effectively treat patients. The facilities in the emergency department at Beaumont Hospital are in urgent need of investment and improvement. In short, it is not fit for purpose and the people in the area know that.

As it stands, it seems little progress has been made to meet the commitment outlined in the programme for Government to construct a new modern emergency department that is fit to deal with the needs of the large growing population of north Dublin and beyond. This area of north Dublin has a large elderly population and these are the people who primarily rely on the services provided in the emergency department. However, they are fearful to attend the department given the current pressure it is under. The need for a new emergency department in Beaumont Hospital is a major concern for north Dublin. It seems we are nowhere near turning the sod on this project, let alone opening its doors.

What concerns me are the cost overruns in the national children's hospital. The figure for that project is now €1.73 billion and in that regard, €100 million will be needed this year alone. The Taoiseach spoke in the Dáil recently of "re-profiling" projects. I have not heard that word before and it is a very creative word. The overrun of the national children's hospital must have implications for all the other capital projects in the pipeline. I heard the Minister of State on the news one evening saying the situation in Beaumont Hospital was a bottom line for him and in respect of his commitment to the Government generally.

On the cystic fibrosis unit, this is estimated to cost €11 million. I saw reports recently that a planning application is about to be submitted and I would welcome an update on that. The Minister of State will appreciate this is life and death matter. It is of very serious concern to cystic fibrosis patients. Cystic Fibrosis Ireland said that rooms currently used by people with cystic fibrosis were sometimes required by those waiting for a transplant or end-of-life care. These beds need to be provided at Beaumont Hospital and we need to push this project as it is a huge issue.

In terms of the progression of the CF unit capital project, I was informed by the Minister for Health in July of last year that it has been included in the national planning framework under Project Ireland 2040 as well as being recommended for inclusion in the capital plan by the HSE national capital steering committee.

We need these projects. I know the Minister of State is personally committed to them but he has to accept that there have been delays. I would welcome an update on these issues.

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