Written answers
Tuesday, 6 December 2011
Department of Health
Departmental Expenditure
7:00 pm
Peadar Tóibín (Meath West, Sinn Fein)
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Question 388: To ask the Minister for Health the spend [i]per capita[/i] on primary care and acute care for each of the 26 counties [38479/11]
Peadar Tóibín (Meath West, Sinn Fein)
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Question 389: To ask the Minister for Health the spend[i] per capita[/i] on residential care for senior citizens for each of the 26 counties. [38480/11]
James Reilly (Dublin North, Fine Gael)
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I propose to take Questions Nos. 388 and 389 together.
The Health Service Executive does not compile budget and expenditure data by county. The management of the health services falls within four regional directorates, Dublin Mid Leinster, Dublin North East, the South and the West.
I have been advised by the Executive that the total Regional HSE Net Expenditure (Budget) for the years 2009, 2010 and 2011 (as per end of quarter 3) is as follows:
Table 1: HSE Net Expenditure (Budget) by Regional Area 2009 – 2011 (€000s)
2009 | 2010 | 2011 | Decrease | % dec. | |
DML: | 3,025,270 | 2,906,354 | 2,712,641 | 312,629 | 10% |
Hospital | 1,472,173 | 1,449,461 | 1,313,582 | 158,591 | 11% |
Community | 1,553,097 | 1,456,892 | 1,399,059 | 154,038 | 10% |
DNE: | 2,255,236 | 2,027,935 | 1,925,298 | 329,938 | 15% |
Hospital | 1,072,847 | 920,975 | 858,911 | 213,936 | 20% |
Community | 1,182,389 | 1,106,960 | 1,066,387 | 116,002 | 10% |
South: | 2,192,397 | 2,012,009 | 1,898,076 | 294,321 | 13% |
Hospital | 918,449 | 829,489 | 765,086 | 153,363 | 17% |
Community | 1,273,948 | 1,182,520 | 1,132,990 | 140,958 | 11% |
West: | 2,309,785 | 2,094,360 | 1,990,376 | 319,409 | 14% |
Hospital | 959,039 | 861,368 | 804,053 | 154,986 | 16% |
Community | 1,350,746 | 1,232,992 | 1,186,323 | 164,423 | 12% |
Total: | 9,782,688 | 9,040,658 | 8,526,391 | 1,256,297 | 13% |
Table 2: HSE Expenditure (approved allocation) for Older Persons Care Group €000s
2009 | 2010 | 2011 | |
Older Persons | 1,247,370 | 1,039,750 | 952,461 |
Using 2011 Preliminary Census data available from the Central Statistics Office to estimate the per capita current expenditure, the population of the HSE regions are estimated as:
· Dublin Mid Leinster Region 1,319,754
· Dublin North East Region 1,019,658
· South Region 1,160,481
· West Region 1,081,376
· TOTAL 4,581,269
Using this data, the per capita estimates can be derived:
Table 3: HSE Per Capita Net Expenditure (Budget) 2009 - 2011 (€)
2009 | 2010 | 2011 | |
DML: | 2,292 | 2,202 | 2,055 |
Hospital | 1,115 | 1,098 | 995 |
Community | 1,177 | 1,104 | 1,060 |
DNE: | 2,212 | 1,989 | 1,888 |
Hospital | 1,052 | 903 | 842 |
Community | 1,160 | 1,086 | 1,046 |
South: | 1,889 | 1,734 | 1,636 |
Hospital | 791 | 715 | 659 |
Community | 1,098 | 1,019 | 976 |
West: | 2,136 | 1,937 | 1,841 |
Hospital | 887 | 797 | 744 |
Community | 1,249 | 1,140 | 1,097 |
Average | 2,135 | 1,973 | 1,861 |
It is important to note that the per capita allocations set out above provide detail of the geographical location of budgets and do not take account of patients crossing HSE regions in receipt of services. The HSE further advises me that some national services are excluded from the Regional Area Budgets, such as the Primary Care Reimbursement Service, National Services, Corporate Services, Pensions and residential care for senior citizens.
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