There was a meeting of the Joint Committee on Health this morning. Members of the hospital group, including Sandra Broderick, and Mr. Mike Ahearne of the HSE are in the Gallery.

I acknowledge the work they have been doing within the hospital sector in Limerick. They will be looking forward to the new hospital and the new wing. Is there a timeline for that?. Will it be a design-build project? Patient safety is a huge thing. One of the cases in UHL, which I have brought up in the House on many occasions, was that of Jessica Sheedy. That case has gone to the High Court. I would not like to see any other family going through something like that. Her case has been brought up on many occasions. The inquiry is ongoing.

When are we getting a new hospital in Limerick? When are we getting the new extension in Limerick? When are we going to have a hospital of excellence that will be located at the side of a motorway and accessible not only for people in Limerick but also those in Tipperary, Clare and all the other areas. We need access, which we do not have to children's hospital at the moment. It is hard to get to. At least there was a small bit of forward thinking about where the new hospital will go in Limerick. I welcome that from the point of view of patient safety for the people in all the counties who will be going to the hospital. I want to make sure that happens. I do not want it delayed for years and find that we are talking about it again in five or ten years' time. I hope the lessons have been learnt from the last hospital and that it will be a design-build project that will be delivered on budget and on time. That is what a design-build does. It means that it is factored in by whatever contractor takes it on that they take the risk. The Government has control of the risk and the contractor takes the risk. Design-build means delivery on budget and on time. Otherwise, we do not have it and the contractor does not make money. I am okay with that, once it is built on time. That means we have patient safety. We can then have the people who have left these shores back home to Ireland. We can tell them they are going to be a part of a good news story for the Munster region because we will have a hospital in which they can excel and provide patient safety across this country. That is the goal here. I want to ensure that we have it. Is there a timeline for this project? When will the diggers be on site? When will the hospital be delivered?

I thank the Deputy for raising what is an important issue for people in the mid-west more generally. I acknowledge that the Deputy has acknowledged some progress in respect of developments in health services in the mid-west. He paid tribute to the chief executive officer and the team there at UHL regarding that progress, which was needed. We need to continue to work to enhance services, particularly the quality of services, and best outcomes, and, in particular, to ensure that patient safety will always be at the centre of everything that is done. The first principle of medicine is not to do any harm. That is something clinicians, and indeed everybody else involved in the administration of a hospital, must always have uppermost in their minds.

The 90-bed block that was built recently was delivered on time and within budget. We need to acknowledge that. A lot of infrastructure is, by the way, but, understandably in the context of accountability, it is the ones that are not that get the headlines. We are confident that the next 90-bed block will also come in on budget and on time. The contract has already been awarded for that. That is crucial and critical.

The Minister will shortly be establishing a project board to deal with health services not just in the context of a new hospital in Limerick but the broader health services for the mid-west. Ennis and Nenagh hospitals will need more services. One has to look at the entirety of the hospital campuses in the mid-west in order to get the optimal outcome. We have seen that in the north east. We have seen that in terms of some of the hospital groups whereby the utilisation of other hospitals, apart from the tertiary centre, has been advantageous to patients, with access to outpatient clinics or endoscopy, or a variety of diagnostic facilities and so on. That complements the work that takes place in the acute hospitals or tertiary hospitals. The objective of the project board that the Minister will establish is to get the complete picture for the entirety of the mid-west. Deputies from Clare and Tipperary are very focused on that aspect, as well as on developing a new hospital. The good news is that a site has been secured. As we all, including the Deputy, know, if you are building anything, a school or anything else, securing a site is key and can help us to accelerate the deliberations in respect of it. The objective is to have the best, state-of-the-art services to cater for a population in the mid-west that is going to continue to grow,

I have already acknowledged the Minister in the context of the work that is being done in Limerick. We went through a very bad spell. The initial hospital of excellence was brought up in 2009. The people involved are no longer in the HSE, but they downsized Nenagh, Ennis and St. John's Hospital. It is great that the Taoiseach has acknowledged that the reverse needs to happen. That was one of the first things I said when I was elected six years ago. We need to ensure investment in health services. The Taoiseach has acknowledged that investment needs to go in there again.

I acknowledge the work that has been done to date. It is refreshing to have the Minister in place. We have that now. We have good people in good places who want to get good things done, so let us get them done. Let us work together and get it done. I do not mind who does the job once it is done. At the moment, it is being done but I need to make sure that we have the timelines, that there is delivery and that we ensure patient safety. I acknowledge that the Taoiseach has said that Nenagh, Ennis and those areas need investment.

I have always been a strong advocate for investment in Nenagh, Ennis and Clonmel-----

Good man.

-----which has benefited from significant investment, but that is in a different area from Nenagh and Ennis, which is part of the mid-west provision of services.

The most recent 90-bed block was delivered on time. Along with the investment, we need constant reform as to how we provide services. There has been a lot of investment in health services in the past five years, which needs to be acknowledged. There has to be a relentless focus on outcomes from that investment and quality of patient care. Things have changed. Clinicians are changing practices all the time and advancing technologies, mechanisms, methodologies and so on to improve efficiency all round. The Deputy can be assured that we are focused, and the Minister is, in particular, on timely delivery of the next commitments, particularly the 90-bed block that we want delivered on time and within budget.