Planned merger of three major children's hospitals: how to reshape children's health services in Dublin?

As 2024 approaches, a yet-to-be-named children’s hospital is being built on the St James’s Hospital campus in Dublin, Ireland, which will serve as a secondary care center for the region and a tertiary care center nationally. According to planning documents, the new children's hospital will combine services currently provided by three tertiary children's hospitals in Dublin - Children's Health Ireland in Clonlin, Children's Health Ireland in Temple Street and the National Children's Hospital in Terra. The new hospital will be the lead center for the Irish Children's Health Network, which is planned to encompass all acute pediatric services in Ireland. There are also plans to operate satellite centers at Terra Hospital and Coney Hospital to provide local emergency and outpatient services.

This merger plan aims to improve children's health services in Ireland and looks forward to providing more efficient and comprehensive care after integration.

Background

As early as 1993, the Pediatric Society of the Royal College of Physicians and Surgeons of Ireland first proposed the merger of Ireland's three tertiary children's hospitals. The plan was not launched at that time, but the three hospitals were developed separately. With the establishment of the Health Service Executive in 2005, the new health service management body began to explore how best to organize tertiary children's health services in Ireland.

Against this backdrop, the Health Service Executive halted plans to renovate Temple Street Children's University Hospital, with executives deciding that it made more sense to build one world-class hospital rather than retaining three separate hospitals.

The history of construction

In 2006, a working group consisting of representatives from the Department of Health, the Health Service Executive and the Office of Public Works selected Matt University Hospital in north Dublin as the site for the future tertiary children's hospital. The decision was criticized by the Nation Children's Hospital and Our Lady's Children's Hospital. Then in 2007, the government formally established the National Children's Hospital Development Committee to oversee the project.

After many budding and backlashes, the project was finally pushed forward, but controversy arose due to location issues.

Changes in construction site selection

Following the refusal of planning permission, St James's Hospital was selected by the government in 2012 as the new site for the new hospital. A design competition was won by British Architectural Design Partners and Ireland's O'Connell Mahon Architects. After the plan was approved in 2016, as construction progressed, the project's budget and construction time continued to increase.

Experts believe the design and location of the new hospital will impact the quality and accessibility of overall children's care in every sense.

Design and future prospects

The hospital is planned to be seven stories high and will have 160,000 square meters of accommodation space and more than 6,000 rooms. In the future, it will be equipped with 380 independent wards, 20 children and adolescent mental health beds and 22 operating rooms to fully meet the needs of all types of patients. In addition, the Ronald McDonald Charitable Foundation provides a 50-bedroom self-contained accommodation facility for families.

As construction of new hospitals progresses, many are questioning whether the promise of improving the quality and convenience of care can truly be met.

With hospital construction continuing and budgets soaring, can the future of pediatric healthcare usher in real change?

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