Written answers

Tuesday, 17 September 2019

Photo of Barry CowenBarry Cowen (Offaly, Fianna Fail)
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334. To ask the Minister for Health the year to date expenditure in the HSE based on the accrual method of accounting; the budgeted year to date expenditure based on the same method; if an up-to-date table 1 from the briefing paper issued to the Oireachtas Select Committee on Budgetary Oversight on 9 July 2019 will be provided; and if he will make a statement on the matter. [37011/19]

Photo of Simon HarrisSimon Harris (Wicklow, Fine Gael)
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The HSE’s latest income and expenditure position at 31 July 2019 shows a revenue deficit of €226m which represents 2.5% of the available budget for the same period, a significant improvement on the same period last year.  The main drivers of the deficit are acute hospitals, disability services, pensions, State Claims, PCRS and overseas treatments.

July YTD Actual Spend vs YTD Budget

DivisionAnnual BudgetYTD SpendYTD BudgetYTD VarianceYTD Variance
Operation Service Areas
Acute Operations5,524.73,238.53,140.498.13.1%
Primary Care Division1,136.2635.9647.8(11.9)-1.8%
Mental Health Division972.0555.7561.4(5.7)-1.0%
Older Persons Services Division876.1521.8510.411.32.2%
Nursing Home Support Scheme976.3566.5561.74.80.8%
Disability Services1,913.81,143.31,101.641.73.8%
Community Services Total 5,892.23,435.93,392.943.01.3%
Other Operations/Service Areas707.5354.6365.3(10.6)-2.9%
Total Operation Service Areas12,124.47,029.06,898.5130.51.9%
Pensions and Demand Led Services
Total Pensions483.5284.6285.2(0.6)-(0.0)
State Claims Agency340.0241.0203.237.80.0
Primary Care Reimbursement Service2,697.81,642.31,596.346.00.0
Local Demand Led Schemes262.4154.2152.61.60.0
Treatment Abroad and Cross Border Healthcare22.925.513.512.10.0
Eu Schemes: EHIC14.26.78.3(1.6)-(0.0)
Total Pensions & Demand Led Services3,820.82,354.32,258.995.34.2%

Any risk of a significant deficit at the end of 2019 is a matter of concern for the Government. However, in general it is important that the service levels set out within the HSE’s National Service Plan are delivered within the allocation notified by the Minister. It is acknowledged that certain issues can arise in-year due to costs associated with decisions outside the HSE – such as increases associated with pay agreements or Labour Court rulings – or policy decisions such as the Governments establishment of an ex-Gratia scheme in respect of Cervical Check. 

The Department is working with the HSE to gain further clarity on the projected year end position and working to mitigate any deficit in so far as is possible, in co-operation with the Department of Public Expenditure and Reform.


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