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• Private and voluntary nursing homes are ‘a home from by at least 59% (12,270 places) between the years 2006 – 2021.
home’ for 22,000 men and women who require the specialist, • The ESRI projects the population aged 65+ with severe
dedicated, continuous care nursing homes provide in Irish
communities. disabilities will increase by 56% to 2021 from 2006 levels
• Minister with responsibility for Older People Kathleen Lynch
• Private and voluntary nursing homes are key employers and
make a very significant contribution to the local economy. informed Seanad Éireann 24th June 2014 there “will be a
There are over 22,000 beds in the private and voluntary deficit in the number of beds [long-term care] that will be
nursing home sector, accounting for more than 80% of the necessary in the future”.
country’s long term care beds. • “Based on population projections, there will be a significant
national deficit of long stay beds by 2016 based on the HSE’s
• Persons aged 65+ account for almost 50% of total bed days in target of 4% of older persons in long stay care,” HSE National
Irish hospitals (Source: ESRI) Operational Plan 2013.
• Due to reduced public provision, the significant demand in
• 243,394 hospital bed days were lost during the year 2013 requirements for long-term residential care will have to be met
because of delayed discharges. Circa 75% of persons delayed by the private and voluntary sector.
discharged are older persons awaiting nursing home care
(Source: HSE) Investment

Employment • NHI members across Ireland have collectively invested
up to €2bn developing necessary capacity, undertaking
• Private and voluntary nursing homes are key employment infrastructural improvements and transforming nursing
providers with over 24,000 staff employed throughout Ireland. home care.

• An equivalent number of jobs – approx. 24,000 – are facilitated • A strategy that supports private and voluntary nursing homes
by the 440+ private and voluntary nursing homes. These to meet the significant growth in demand for nursing home
dedicated healthcare settings are lead employers within Irish care must be a Government priority. This will enable our sector
communities, making a significant contribution to hundreds meet the growing requirements for long-term residential care
of local economies.
Value for Money
• With a clearly defined, departmental coordinated strategy,
developed in partnership with the sector, 900 direct new jobs • Previous Minister for Health Dr James Reilly and HSE have
could be created by the sector per annum with up to 10,000 publicly advised of vast cost discrepancies in the delivery of
additional new jobs created over the next 10 years. nursing home care between the public sector and private and
voluntary sector.
Ageing Population
• The cost to the State to provide care per patient for an
• The private and voluntary nursing home sector is essential for overnight stay in the acute hospital sector is up to €1,100.
the future provision of long term residential care in Ireland. Private and voluntary nursing homes provide specialist care in
community settings for an equivalent average cost per resident
• Over the five year period 2006 – 2011 the number of persons per week.
aged 65+ increased 14%, an increase of 76,467 (467,926 –
535,393) • The reality is the State wishes to purchase care from the private
and voluntary nursing home sector for an average price that is
• The CSO projects the very old population will rise minimum 40% below that provided to public nursing homes.
“dramatically” in years ahead.
• “We have to ask why 50% additional costs pertain in public
• Approximately 22% of persons aged 85+ require the long-term institutions and facilities for the care of the elderly
continuous care of nursing homes. This group is forecast to which do not apply in the private sector,” then Minister for
increase by 46% to 2021 Health James Reilly, November 2011

• The BDO report Health’s Ageing Crisis: Time for Action, • Private and voluntary nursing homes provide excellent value
published February 2014, projected requirement for up to for money to the State.
8,000 nursing home beds by year 2021.
• NHI believes that policymakers need to ensure that the system
• The ESRI has projected from 2007 to 2021 additional strikes a balance between achieving ‘value for money’ and
requirement for 13,324 long-term residential care places - 888 ensuring the sustainability of the private and voluntary sector.
per annum.

• The Centre for Ageing Research and Development in Ireland
(CARDI) confirms ESRI projections and anticipates the
number of persons requiring nursing home care will increase

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