David Cullinane (Waterford, Sinn Fein)
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701. To ask the Minister for Health the status of the elective centre proposals; when he will publish further material in relation to same; and if he will make a statement on the matter. [4533/22]

Stephen Donnelly (Wicklow, Fianna Fail)
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The Cross Party Sláintecare Report in 2017 articulated a new vision for healthcare in Ireland, including the provision of elective only hospitals, providing protected capacity for elective care. The “Elective Hospitals Oversight Group”, under the joint governance of the Health Service Executive, Department of Health and Sláintecare, has been guiding the development of the elective hospital proposals, following the process outlined in the updated Public Spending Code, setting out the value for money requirements for the evaluation, planning, and management of large public investment projects.

In December 2021 the Government agreed, subject to the necessary approvals and requirements under the Public Spending Code being met, a new National Elective Ambulatory Care Strategy. This new strategy aims to change the way in which day case, scheduled procedures, surgeries, scans and outpatient services can be better arranged to ensure greater capacity in the future and help to address waiting lists. The development of additional capacity will be provided through dedicated, standalone Elective Hospitals in Cork, Galway and Dublin.

The elective care scope of service will be developed in two phases commencing with day cases, diagnostics, and outpatients and then by in-patient treatment. On this basis, the Elective Care Centres (ECCs) will be designed to provide sufficient capacity to facilitate future phases, including some elective in patient capacity, thereby providing a sustainable and strategic response to cater for the highly dynamic landscape of healthcare policy and practice.

Individual Preliminary Business Cases for each location are at an advanced stage of development. and will be subject to technical review by the Department of Health and the Department of Public Expenditure and Reform. Pending favourable review(s) under the Public Spending Code, that further memoranda for Government would then be brought forward to progress this proposal for Cork, Galway and Dublin.

The Preliminary Business Cases, if approved, will be published in line with the Public Spending Code.