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Dáil
‹ Ceisteanna—Questions. Oral Answers. - Acute Hospital Services Report.

Acute hospital review and closures

Summary

Allen asks when the acute hospital services review will be available and challenges the Minister over hospital closures, funding and the absence of a strategy. The Minister says he approved the South-Eastern Health Board’s request to close five district hospitals, cites a 1% increase in health-board allocations and a prior €55 million overrun, while Allen disputes the funding figures.

asked the Minister for Health when the report of the Departmental review group on acute hospital services will be made available to him; when he expects to be in a position to give decisions in relation to its recommendations; and if he will make a statement on the matter.

Comment on this

To date I have had only one specific request in relation to hospital closures. The South-Eastern Health Board sought my consent under section 38 (3) of the Health Act, 1970, to the closure of five district hospitals and after considering the matter very carefully I gave my consent under section 38 (4) of that Act.

I will give very careful consideration to any further requests for closures which I might receive since I would remind the Deputy that primarily decisions as to the future of hospitals or other institutions rest with the authorities of such institutions, whether they be health boards, boards of management or religious orders. If decisions are taken which are rational and in accord with a reasonable scheme of priorities then I will not interfere with them except in the most exceptional circumstances. I expect that the officers of my Department undertaking the review will report to me during July.

Comment on this

Will the Minister admit at last that the level of allocation made to health boards and voluntary hospitals has given these organisations no choice but to close? Surely the Minister is putting the cart before the horse by making decisions about the future of hospitals before setting up a strategy review group. Will he at some stage outline for us what he means by the phrase he used in January, "There is a better way"? Will he tell us what his better way is now?

Comment on this

I have pointed out in this House this afternoon that we increased the allocation to the health boards by 1 per cent. Each health board got a larger allocation this year from this Government than they received last year.

Comment on this

It decreased——

Comment on this

The problem that faces the health boards is that they have to effect savings which should have been effected in the past two years because of a £55 million overrun allowed by the previous Government.

Comment on this

In this House two weeks ago, the Fine Gael Party stated in their amendment to a motion from the PDs that the allocation for 1987 was the correct allocation and that the Government should not go outside it.

Comment on this
A Deputy

No, no.

Comment on this

The Minister is misleading the House. Will he agree ——

Comment on this
Seán Treacy An Ceann Comhairle Independent

Deputy Allen please, order. Have I the agreement of the House to deal with the last remaining Priority Question, No. 41?

Comment on this

Have I the right to reply to a misleading statement made by the Minister? The reduction to the health boards was £22.8 million.

Comment on this