2026-04-21

119. Deputy David Cullinane asked the Minister for Health to provide an update on the delivery of new outpatient mental health capacity and mental health beds, as previously announced in the HSE capital plan for Waterford and the south east; and if she will make a statement on the matter. [28519/26]

I am looking for an update on the replacement of the existing adult mental health 44-bed unit at University Hospital Waterford with a 50-bed single bed unit. I acknowledge the work of the Minister of State, Deputy Butler, in making sure this was on the current capital plan recently. I was criticised in one local newspaper for doing so.

I heard that, too.

I think the criticism was because there was frustration that developments can be glacial and it takes a long time for these projects to get over the line. There are other projects I want to talk about, which I will later. On this particular project, it is important to have timeframes as to how quickly we can expect this development might be delivered, which I think we all accept would be massive and a game-changer for mental health services in Waterford.

I thank the Deputy. The frustration that many people feel I have felt as well for quite a while. When it was announced initially in 2020 or 2021, we were in the middle of Covid. It was then held up for three years by the clinicians. At the time, I was very frustrated with them but I agree with them now. They did not want the new approved centre, the new department of psychiatry in UHW, to be, as was proposed, on the site adjacent but not connected to it. It is now going to be connected. I have allocated over €40 million for capital projects this year, including for the next stages for the acute mental health unit at Waterford. The project will move to design feasibility this quarter when a design team will be appointed for the new unit. Most importantly, because of delays, we are now moving from a 50-bed unit to a 60-bed unit. There is going to be an extra ten beds for psychiatry of later life. We have an ageing population and it is really important for people who have enduring mental health conditions, as they age, that they would also be able to get those supports if needed. It will be built immediately behind the Dunmore Wing, which the Deputy knows very well. He visited it with me previously. It will come out immediately behind the Dunmore Wing as part of the department of psychiatry that is there at the moment. The current car park will be lost but I spoke to the general manager of the hospital about that and he said it was a small price to pay for this new development. We expect it is going to cost in the region of at least €50 million. I met with HSE estates recently in St. Otteran's campus. I was visiting psychiatry of later life there and we went through it. We can discuss the other pieces shortly. The good news is that the design team will be appointed very shortly, I am hoping in the next few weeks, and we will finally make the progress. The funding has been provided.

I very much hope that the new adult mental health unit will progress as quickly as possible. I agree with the location and I want to see it developed as fast as it can be. There was also a promise for a 96-bed ward block over five storeys at University Hospital Waterford, and a multi-storey car park. The Minister of State issued a press statement a number of years ago where she said there was a proposal for a two-floor vertical extension over the existing outpatients department, to provide an additional 36 consulting rooms, four treatment rooms, four measurement rooms and two virtual consultation rooms. I do not know the status of that plan at the moment. I have been tabling parliamentary questions seeking updates on all of these projects. We need the additional 96 beds, we need the underground car park and we need the two-storey extension to the lab, but we also need the vertical two-storey extension that the Minister of State talked about and all that additional space. The frustration is that these projects are listed in the capital plan, or maybe some of them are not now listed. People do not know if we are going to get them, if they are funded or how quickly they will be delivered. We all want the best for our regional and local hospitals. I raise these projects because they are really important in the context of University Hospital Waterford.

The question the Deputy asked was about the HSE capital plan for Waterford and the south east in relation to mental health and mental health beds. I can speak to that. In relation to the other issues the Deputy mentioned, I do not have the relevant information but I discussed it when I had the meeting with HSE estates. On the two-storey vertical extension, the vertical overhang as it is called, my understanding is that the management at the hospital has made a different decision in relation to that and thinks that it should be a stand-alone building on the hospital grounds. I understand the new consultant-only contract is the reason for that. I was delighted to secure funding for a ten-bed unit in the Wexford area. As the Deputy knows, since St. Loman's closed in 2010 or 2011, we have been getting patients from the Wexford area, which was a long journey for them. We are also looking at putting in a new ten- or 12-bed unit in Wexford.

I raise these issues to illustrate the point that when announcements are made, people expect things to be delivered and then ask how quickly they will get them. If there is an announcement regarding additional health capacity, that is really good news. It is exciting, and people want it. When people hear about the announcement of an additional 60-bed ward block over five storeys at University Hospital Waterford but then do not see it and when I am putting in parliamentary questions and cannot get answers on the timeframe for it to happen, that causes frustration. There was a clear announcement of a proposal for a two-floor vertical extension with all of those consultation and treatment rooms to come with it. We are now being told there is a change to that. We still do not know what that means and when the facility will be built, which also leads to frustration. It is the same with the multi-storey car park. In fact, it is the same with the mental health unit as well. I do not doubt that the Minister of State is pushing these issues; I accept that 100%. All I am saying is that there is frustration that when announcements are made by local Ministers or senior Ministers, they then seem to either fall off a cliff or take far too long to go anywhere. That causes frustration, particularly when we cannot get answers to parliamentary questions when we table them.

It is important acknowledge the surgical hub. Earlier, the Deputy said he is a fan of surgical hubs. Some €90 million in capital investment is being spent on the surgical hub. I was delighted to be there last year, along with the Minister, to turn the sod on it, even though it was well under way at the time and will be open before Christmas, which is really important. Another piece of good news is that a site has been identified in Waterford city for a new ambulance base, which is also really important. I do not have any detail on the 96-bed unit the Deputy mentioned. I guarantee that I have also raised everything he has raised here. It is really important that we see progress. I want to put this on the record of the Dáil. Improving capital infrastructure for mental health services a key priority for me. I was delighted to work with the Minister recently to secure an unprecedented €470 million in capital investment for mental health over the next five years under the National Development Plan 2026-2030. That has never happened before, and I think everybody will welcome it.