Stephen Donnelly (Wicklow, Fianna Fail)
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284. To ask the Minister for Health the breakdown of the €335 million Supplementary Estimate for the budget of his Department announced in budget 2020. [42970/19]

Simon Harris (Wicklow, Fine Gael)
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It is envisaged that a supplementary estimate of €335 million net will be approved by Government. This represents 2.1% of the original net allocation, in comparison to a Supplementary Estimate in 2018 equal to 4.4% of the original net allocation. This significant improvement highlights the enhanced focus on financial performance across the Health system.

Excess expenditure in services  for people with a disability and in Acute hospitals account for €100m of the requirement.  Primary Care Reimbursement Service €157m, Pensions €24m, Overseas Treatment €40m, and the State Claims Agency €40m accounts for a further €261m of the requirement. Decisions taken after the NSP (incl. Nursing Agreement, other IR agreements, and the Cervical Check ex-gratia scheme) account for €56m, and Brexit is a further €10m of the excess expenditure.

In addition, €26m is being provided to support a  Winter Plan to offset the growing concern of the impact of meeting winter service demands. 

Time related saving of €73m are available on a once-off basis within the Vote, as well as additional Appropriations in Aid of €45m, resulting in a net supplementary sought of €335m.