Written answers

Thursday, 9 November 2023

Department of Health

Departmental Expenditure

Photo of Mary Lou McDonaldMary Lou McDonald (Dublin Central, Sinn Fein)
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307. To ask the Minister for Health the level of additional core expenditure for new developments, excluding funding for carryover and otherwise maintaining existing levels of service, which has been allocated to the Rotunda Hospital for 2024; and if he will make a statement on the matter. [49110/23]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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The Rotunda Hospital is the lead maternity centre for the RCSI Hospital Group.

As Minister for Health, I am committed to the ongoing development of the Rotunda Hospital. The budget for the hospital has increased from €65.8m in 2019 to €76m in 2022, an increase of 15.4%. There has also been significant capital investment in services in the Rotunda Hospital in recent years. Enhancements in services completed include:

- A major works programme completed in 2022 which enabled commissioning of additional and compliant theatre capacity;

- There are now 3 Operating theatres with one dedicated gynaecology theatre.

- Delivery Suites were extensively refurbished to modern standard and there are now 9 permanent delivery suites.

- The Emergency Rooms were refurbished and expanded.

- A new Ambulatory Gynaecology “see-and-treat” unit for women’s healthcare was commissioned and opened in 2021. This included 9 Consulting rooms, Radiology, pathology and minor operating capacity.

The HSE are currently developing plans for redevelopment of the existing hospital, including a new critical care wing and relocation of outpatient services.

Following the announcement of the budget allocation for my Department, I will shortly be issuing a Letter of Determination to the HSE outlining my priorities and funding levels for 2024. This will be the basis on which the HSE will draw up its National Service Plan (NSP) for 2024. It is not until the conclusion of this process that a detailed breakdown of non-core expenditure will be available.

Photo of Mary Lou McDonaldMary Lou McDonald (Dublin Central, Sinn Fein)
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308. To ask the Minister for Health the level of additional core expenditure for new developments, excluding funding for carryover and otherwise maintaining existing levels of service, which has been allocated to the national maternity strategy for 2024; and if he will make a statement on the matter. [49111/23]

Photo of Stephen DonnellyStephen Donnelly (Wicklow, Fianna Fail)
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Progressing women's health continues to be a top priority for this Government. We have overseen unprecedented levels of investment in women's health. We have provided for significant funding for gynaecology, endometriosis services, for screening and menopause supports. We have invested in women's mental health services including perinatal mental health.

Significant investment of €16m in 2021 and 2022 provided renewed momentum to the National Maternity Strategy. This has enabled recruitment of over 146 full-time health professionals across maternity services. This investment is funding recruitment across a broad range of specialties of care. Over 70 midwives and nurses. 23 health and social care professionals. 7 consultants, and a range of supporting staff.

The National Maternity Strategy is moving into its 8th year. A total of €25.65m in new development funding has been invested from 2016-2022. This has enabled the total recruitment of 465 full-time staff across the country.

These staff, and this investment, improve women’s lives every day.

The implementation of the strategy's Model of Care is providing more choice for women. All 19 maternity services now offer the midwife-led supported care pathway. Each maternity service now has a lactation consultant and bereavement team.

Postnatal hubs have been established in Kerry, Cork, Portiuncula, and in Sligo. These hubs are providing postnatal care within the community; a priority identified by women in the National Maternity Experience Survey and in our Sláintecare objectives.

The Maternity and Newborn Clinical Management System, funded through the Strategy, is the only full Electronic Health Record in the public health system. It is currently live in 4 sites, covering 40% of births nationally.

This funding is providing for additional home-from-home birthing suites. It is also enabling upgrades to theatres and wards.

We are establishing a National Perinatal Genomics Service; evaluating, diagnosing, managing and treating anomalies before birth.

Furthermore, through Strategy funding, a maternity network has been set up within each Hospital Group to provide leadership and support. Training and education supports have been strengthened for maternity staff.

All these many new developments are supporting improved choice for women. They provide safe, high quality, nationally consistent, woman-centred maternity care. The significant funding provided in 2021 and 2022 will continue to enhance the experience of all women using our maternity services.

In relation to additional core expenditure for new developments, I will issue a Letter of Determination to the HSE outlining my priorities and funding levels for 2024. The HSE will then draw up its National Service Plan. At that point, a detailed breakdown of new developments expenditure will be available.

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