The cost and breakdown of providing See note Assumptions as per 2 the cost of the subsidy for 25 medical – medical secretaries to work with 25 GPs, secretaries would range between and €516,000 €602,000 including cost of their training and pay depending on the experience of the secretary. There is no for work for that period provision under the terms of the current GMS contract to pay a subsidy for the training of medical secretaries, or to pay for locum nurses to cover any period of training. The cost of increasing the number of on mid-point of April 2017 payscales €5.244m midwives by 100. The cost of increasing the number of Based on mid-point of April 2017 payscales €5.116m nurses by 100. The cost of increasing the number of on mid-point of April 2017 payscales €8.001m obstetricians/gynaecologists employed by 47. The cost of providing 500 additional Running costs: Not applicable Few beds can be added to existing infrastructure at this point, capital hospital beds investment takes time to deliver, therefore 2017 costings are not €153m applicable 10 The capital costs of providing 500 Running costs: (€1m €500m additional hospital beds per bed) €153m 11 The cost of increasing the number of Annual cost per bed: Daily costs per This figure represents all costs to the hospital, including clinical staff, hospital beds in use in the system by = bed: theatres, laboratories, non-clinical staffing, cleaning, maintenance €306,000 €153m €839 500, including the capital cost and for 500 beds and ancillary running costs. please identify the number of beds that could be brought on stream before incurring a capital cost. 12 The fully absorbed cost of a hospital Total cost in first It is currently not possible to identify the precise number of beds that Capital cost bed, the fully absorbed cost of a hospital year of provision is could be brought on stream before incurring a capital cost. However, €500m, bed including staff, ancillary services = annual it is vital to note that the existing built infrastructure in our hospital €500m+€153m and running costs, the cost per bed per running cost system could not accommodate an additional 500 beds €653m day and what the total is per year. €153m
The cost and breakdown of providing medical secretaries to work with 25 GPs, including cost of their training and pay for work for that period See note Assumptions as per 2 – the cost of the subsidy for 25 medical secretaries would range between €516,000 and €602,000 depending on the experience of the secretary. There is no provision under the terms of the current GMS contract to pay a subsidy for the training of medical secretaries, or to pay for locum nurses to cover any period of training. The cost of increasing the number of midwives by 100. €5.244m on mid-point of April 2017 payscales The cost of increasing the number of nurses by 100. €5.116m Based on mid-point of April 2017 payscales The cost of increasing the number of obstetricians/gynaecologists employed by 47. €8.001m on mid-point of April 2017 payscales The cost of providing 500 additional hospital beds Running costs: €153m Not applicable Few beds can be added to existing infrastructure at this point, capital investment takes time to deliver, therefore 2017 costings are not applicable 10 The capital costs of providing 500 additional hospital beds Running costs: €153m €500m (€1m per bed) 11 The cost of increasing the number of hospital beds in use in the system by 500, including the capital cost and please identify the number of beds that could be brought on stream before incurring a capital cost. Annual cost per bed: €306,000 = €153m for 500 beds Daily costs per bed: €839 This figure represents all costs to the hospital, including clinical staff, theatres, laboratories, non-clinical staffing, cleaning, maintenance and ancillary running costs. 12 The fully absorbed cost of a hospital bed, the fully absorbed cost of a hospital bed including staff, ancillary services and running costs, the cost per bed per day and what the total is per year. Total cost in first year of provision is €500m+€153m = €653m Capital cost €500m, annual running cost €153m It is currently not possible to identify the precise number of beds that could be brought on stream before incurring a capital cost. However, it is vital to note that the existing built infrastructure in our hospital system could not accommodate an additional 500 beds
2017-Final-Sinn-Fein-Costings-Table-Website.docx