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Dáil
‹ Ceisteanna ar Reachtaíocht a Gealladh - Questions on Promised Legislation

Hospital bed capacity

Summary

Deputy Conway-Walsh said the Government was failing to deliver promised hospital capacity, citing IHCA warnings on beds and ICU space, and asked about Belmullet hospital. The Tánaiste said he would ask the Health Minister to respond and pointed to increased staffing and ongoing hospital building.

The programme for Government promised to increase the capacity within our hospitals, which means additional beds. This week, at a meeting of the Special Committee on Covid-19 Response, the Irish Hospital Consultants Association, IHCA, stated we need to fast-track 7,100 acute community and rehabilitation beds, as well as doubling the capacity in ICU. A total of 25% of acute hospitals' inpatient beds could be lost as a result of physical distancing measures. Given what the IHCA stated and what is promised in the programme for Government, why are we failing to carry this out on the ground?

Belmullet hospital is a case in point. There are five patients within the hospital and there is a full complement of staff. There is no provision to do the slight maintenance work that needs to be done. At a Labour Court hearing on this last year it was recommended that four staff would be employed, but then the Government brought in the moratorium, so that could not happen. There are carers who cannot avail of respite and there are no step-down facilities. All we have is empty promises.

Comment on this
Leo Varadkar The Tánaiste Fine Gael

I cannot answer the Deputy's question specific to Belmullet hospital but I will ask the Minister for Health, Deputy Stephen Donnelly, to correspond with her on that. There is no moratorium. We have 15,000 more health staff now than only a few years ago and we are recruiting all the time. Bed capacity is being increased. Three new hospitals are under construction in the country, one of which, the National Rehabilitation Hospital in Dún Laoghaire, has recently been completed, while new hospital wings have been built or completed all over the country, in Clonmel, Waterford and Limerick, for example. It might not be happening fast enough but it is happening and we will try to speed it up.

It should not all be about beds. I can understand why hospital consultants and people who work in hospitals will always say there should be more hospital beds but there is more to the health service than hospitals. Although when compared with many other countries, we have many fewer beds, it is interesting that when we are compared with countries such as Denmark or Sweden, where primary care is very advanced, we actually have more beds per head than they do, and a similar number to that of the UK National Health Service. It should never be simplified to that level; it is a very hospital-centric view of things.

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