Major changes to small hospital services and a massive reduction in staff numbers are outlined in a series of HSE plans aimed at reducing health spending by €721 million this year.
The cuts include the closure of Mallow General Hospital’s emergency department, with emergency surgery being moved to Cork University Hospital. Also in Co Cork, the casualty unit at Bantry General Hospital will be replaced by a 12-hour urgent care centre operating seven days a week.
The plans confirm the HSE’s intention to shed almost 4,000 posts this year, although some regions warn this target may be difficult to achieve. Some 750 posts are to go in Dublin North-East and more than 1,300 in Dublin Mid-Leinster.
Plans to remove medical cards from 40,000 people are also confirmed; this will be achieved by changing eligibility limits in a way that has yet to be announced.
However, the HSE is providing for an overall increase of 60,000 in the number of medical cards issued because of high unemployment and demographic changes.
Minister for Health James Reilly said it was clear that the cost of services had to be cut in the current economic climate.
“I think you’ll find that the new regional budgets will have a lot of positive news in them for the regions,” he told reporters in Dublin yesterday. “I think the way that the new budget has been done has protected a lot of the services that we need to protect.”
Regional plans
The proposals are outlined in four regional plans, three plans for hospital groups and a national operational plan published by the HSE yesterday. Politicians and other interests in each region were briefed before publication.
According to the national operational plan, the extension of free GP care to people with long-term illnesses, which was promised in the first year of Government, may not now happen until the end of the year. Some €383 million is to be cut from the budget for community schemes such as medical cards.
The document also says “alternative options” will be identified for dealing with low-urgency 999 ambulance calls. Cost savings of €2 million will be sought from the ambulance service through new rosters and the elimination of “cost-ineffective” work practices.
In mental health, 102 acute inpatient beds will be closed, although inpatient services for children and adolescents are being increased.
Capital projects
Among the capital projects due to be completed this year are a 44-bed psychiatric unit at Beaumont Hospital and accommodation for 54 residents at Grangegorman.
Sinn Féin health spokesman Caoimhghín Ó Caoláin TD said “no amount of spin” from the HSE in the regional plans could hide the fact of €721 million in cuts.
In his own area, HSE Dublin North-East, staff numbers were being cut by 750 and nursing home beds by 55, he said.
The regional plans commit the HSE to implementing the small hospitals framework, which is expected to lead to further rationalisation of acute services in smaller hospitals.
