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Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: If there are changes to be made or recommendations, they will be taken on board and that will be carried then.

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: At least we will know what is going on.

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: I refer to reports in the newspapers and elsewhere that this is the dearest paediatric hospital ever built globally. Is that true? Is this the dearest hospital ever built in the world? The world is a big place and we are a small dot on the globe.

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: It is not the most expensive hospital ever built.

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: We are coming within the average. Another cost being reported in the newspapers is that per bed. It has been stated that, ultimately, we will only have so many beds, the equivalent of what we have now. A figure of €4 million per bed has been quoted. Ordinary people reading about that cost in the newspapers will not believe it. Will our guests comment on that matter?

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: The point is about a quick daily turnover.

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: It is not fair then to make comparisons about costs per bed.

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: What roles will the two ancillary facilities at Connolly and Tallaght hospitals play? Will they complement the new hospital? Will they be step-down facilities for St. James’s?

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: Will staff be moved from St. James’s?

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: Will there be procedures and operations carried out in these two ancillary centres?

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: Will they all be performed in St. James’s?

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: There is €10 billion earmarked for health capital projects over the next ten years. The Department will take €50 million out of the capital programme for the children’s hospital. What will the figure be next year and the year after as the project rolls out?

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: We only know that €50 million will be taken out this year.

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: How much will St. James's take out of that figure over the next number of years? Does anyone know that? Will it be €50 million next year and another €50 million every year until 2026?

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: It will probably come out of the capital funding. Where else are we going to get it? My concern is, for example, that primary care centres in Kilkenny will not get funding. In June, the Minister promised a MRI facility for St. Luke’s General Hospital in Kilkenny and that it would be in the 2019 plan. The same concerns have been raised about the 24-7 cardiac unit in Waterford. Will...

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: Will our guests accept that projects could, if not pulled altogether, be delayed by up to five years?

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: That is as good an answer as I am going to get from the witnesses today. We will have to see, when the programme is announced and the same next year. I am sure we are going to be disappointed and some of us will be knocking at the Minister's door to find out why various things are being taken out. I am sure that is going to happen down the line. I know that it not the responsibility of...

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: Or throw it in a bucket somewhere.

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: Like a good Deputy, they are always ready.

Public Accounts Committee: National Paediatric Hospital Development Board: Financial Statements 2017 (31 Jan 2019)

Bobby Aylward: I want to ask a few questions. Have I another minute?

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