Michael Moynihan (Cork North-West, Fianna Fail)

I thank Deputies Doherty and Mac Lochlainn for raising this issue. I understand the apology made by our colleague, Deputy Pat the Cope Gallagher. I recognise the Deputies' dedication to the people of Donegal and to the issue.

I will first address the issue of locations for the surgical hubs. The programme for Government commits to establishing six new hubs, in south Dublin, north Dublin, Galway, Cork, Limerick and Waterford, and exploring the provision of an additional surgical hub for the north west. The programme for Government also committed to developing new elective treatment centres in Cork, Galway and Dublin, significantly increasing our capacity to deliver elective care and driving down waiting times for everyone. Developments at the named surgical hub sites are well under way. Building on the success of the Reeves day surgery unit in Tallaght, the Minister for Health opened a new surgical unit in Mount Carmel in south Dublin in February and we expect the rest to become operational over the next 18 months.

The Minister is clear that no matter where these new facilities are located, everyone should have access to sufficient and appropriate elective surgical capacity. The hubs, along with the new elective treatment centres, will form a national network of elective care. This will enable the delivery of care for all patients, not just those living in a particular location or catchment area. No decision has yet been made on the location of the north-west surgical hub and the Minister is taking time to consider and understand the situation in Donegal. This includes engagement with local representatives, doctors and consultants. I know she was due to meet some of them last night. She remains committed to positively engaging with everyone who is interested in delivering the best healthcare for the people of Donegal.

Turning to Letterkenny University Hospital in particular, the Government is committed to the ongoing development of the hospital and has allocated significant resources to meet the needs of patients there. This has included an increase in the hospital's budget by 57% over the last five years. In that time we have also seen staffing grow by 25% and 28 new beds have been opened. Recent capital projects completed at Letterkenny University Hospital include an extension to the laboratory and works in the acute mental health unit. Several capital projects are under way, including the expansion of the renal department, a pharmacy aseptic unit, a new heating centre and a range of projects to increase capacity. Construction is also under way of a 110-bed community hospital in Letterkenny, representing an investment of €52 million for the enhancement of services for older people.

Letterkenny University Hospital has also expressed plans for four key infrastructural projects, which form part of a development control plan within the HSE west and north-west health region. These projects include bed expansion, emergency and urgent care capacity, critical care capacity and an ambulatory care block. We understand these plans are being developed by the hospital and will need to be further considered by the HSE before a decision can be made on their inclusion in the capital programme. I hope the Deputies can see we are committed to the people of Donegal. I look forward to continued engagement on these issues.

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