Author Topic: 400% overbudget - Children's Hospital might open next year!  (Read 675 times)

Offline watty

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400% overbudget - Children's Hospital might open next year!
« on: February 13, 2024, 01:00:26 pm »
Cost of National Children's Hospital increased by almost €500m

Quote
The Cabinet has been informed that the cost of the National Children's Hospital has increased by nearly €500m.  The update came from Minister for Health Stephen Donnelly this morning.  While the final cost of the hospital has yet to be established, it brings the overall total to around €2bn. The original estimated cost was €450m in 2017. The extra costs had previously been blamed on inflation, Covid-19 as well as extra cost claims submitted by the builder, BAM.  The new hospital is due to be built by the end of October and open in April 2025 at the earliest.  Last November, the National Paediatric Hospital Development Board submitted the final cost estimate to Government on the project, which the project director said could not be released due to commercial sensitivity.

The NTA says we're supposed to be able to give accurate fare estimates to our passengers.  I wonder how they'd react if we quoted someone €20 to the airport but actually asked for €100 when we got there!
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Offline silverbullet

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Re: 400% overbudget - Children's Hospital might open next year!
« Reply #1 on: February 13, 2024, 01:31:01 pm »
Cost of National Children's Hospital increased by almost €500m

Quote
The Cabinet has been informed that the cost of the National Children's Hospital has increased by nearly €500m.  The update came from Minister for Health Stephen Donnelly this morning.  While the final cost of the hospital has yet to be established, it brings the overall total to around €2bn. The original estimated cost was €450m in 2017. The extra costs had previously been blamed on inflation, Covid-19 as well as extra cost claims submitted by the builder, BAM.  The new hospital is due to be built by the end of October and open in April 2025 at the earliest.  Last November, the National Paediatric Hospital Development Board submitted the final cost estimate to Government on the project, which the project director said could not be released due to commercial sensitivity.

The NTA says we're supposed to be able to give accurate fare estimates to our passengers.  I wonder how they'd react if we quoted someone €20 to the airport but actually asked for €100 when we got there!
In the words of the late FF . Minister Seamus Brennan "Ah sure, the initial figure for the cost of the port tunnel was drawn up on the back of an envelope". And we know what colour the envelope was.

The cost overrun will be met by the taxpayer...so that's OK.

Offline watty

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Re: 400% overbudget - Children's Hospital might open next year!
« Reply #2 on: February 13, 2024, 01:54:46 pm »
There is one positive, I guess.  There's 4,000 (and rising) homeless children in this Republic living in dirty, damp conditions with poor access to food.  When they get sick, they can be proud that they'll be treated in the most expensive hospital (per bed) in the world before they return to their miserable lives!
Getting old is compulsory whilst growing up is voluntary.

Offline silverbullet

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Re: 400% overbudget - Children's Hospital might open next year!
« Reply #3 on: February 13, 2024, 02:04:30 pm »
There is one positive, I guess.  There's 4,000 (and rising) homeless children in this Republic living in dirty, damp conditions with poor access to food.  When they get sick, they can be proud that they'll be treated in the most expensive hospital (per bed) in the world before they return to their miserable lives!
We're going Dutch. At least that's what Stephen Donnelly should say to the owners of BAM Construction.
Bam profile: the contractor behind national children’s hospital
Large international firm has worked on many key infrastructural projects for State

Expand

Bam Construction: Courtesy of deals with the State, or State-backed firms, schools, courthouses, roads, tunnels, medical facilities and even sewerage schemes have supplemented the firm’s steady flow of work. Photograph: Tom Honan
Jack Horgan-Jones
Sat Feb 16 2019 - 03:00

In its 2011 financial accounts, Bam Contractors noted glumly that it had been another "difficult" year, where pricings for contracts in Ireland stayed "very tight and extremely competitive".

By 2013, Bam was altogether cheerier. “Ireland is currently an attractive place to do business . . . with the government PPP [public private partnership] stimulus package beginning to bring construction projects to the market, opportunities are there for activity to increase in the sector.”

The company has made good on that promise. Courtesy of deals with the State, or State-backed firms, schools, courthouses, roads, tunnels, medical facilities and even sewerage schemes have supplemented the firm’s steady flow of work from the private sector.

BAM is owned by Royal BAM group, a Dutch construction giant which had worldwide revenues of €6.6 billion in 2017.


Veteran builders say that its product is the best on offer. “They’re cutting edge contractors; if you have them on a project, it’s more likely to come in on time than anyone else,” one said. But they have also developed a reputation for pushing contracts – especially public contracts – to the absolute limit of the rules. “They’re taking full advantage of a poor system. They know the rulebook, they push it to the limit, because they can,” said a source. “If it’s allowed in the contract, they’ll f*cking chase it,” says another veteran builder.


Children's hospital costs
There is also an asymmetry between the company, some insiders say, and the State, which may have reached its zenith at the national children’s hospital site. “This is the first big project the State has done for a long time . . . How many people working in the office of government procurement have the ability to stand up to a big international firm like Bam and say we’re not agreeing to these costs?”


Cost issues
Claims for higher costs are not uncommon, such as last year, when the company said an "arithmetical error" led to a €12 million underestimate on a major project in the port of Cork. The port company took a case in the Commercial Court over that issue. The Irish Times understands a higher price has been agreed after changes to the scope on the works, albeit significantly less than the €12 million originally requested. A second facility in Cork, the €70 million Marymount University Hospital and Hospice, was started in 2008.

Two sources have said cost issues came up early on, and frequently thereafter. It opened in 2011, but it wasn’t until 2013 that one of the organisations involved in the hospital could report “an amicable settlement with Bam contractors for our new facility in Curraheen” had been reached, with the financial assistance of the Health Service Executive.

Construction industry stalwarts such as Tom Parlon, chief executive of the Construction Industry Federation, are bullish on where the blame for the national children's hospital lies. "You price it on the basis of what is presented at the outset," Parlon argues. "But largely the design is not the full shilling. You discover quite a difference that gives you scope to get your own experts to evaluate the cost of the change, and eventually you come to an agreement."

Bam, of course, is not the only large infrastructure player working on the hospital project. Jones Group and Mercury Engineering are also involved.

Ireland is a country where cost overruns, especially on publicly funded works, are not unique to one project or one contractor. One source, who is currently developing a multimillion project with major contractors involved, says that keeping a handle on costs is a dynamic process – a constant game of cat and mouse. “You’re constantly looking,” he says, adding that he employs three engineers to monitor works on his project. “It’s like offence/defence . . . the reality is there’s a general malaise in the contracting sector, and that’s built up over a number of decades.” Bam did not respond to requests for comment.

Jack Horgan-Jones



Offline silverbullet

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Re: 400% overbudget - Children's Hospital might open next year!
« Reply #4 on: February 13, 2024, 02:16:17 pm »
Cost of National Children's Hospital increased by almost €500m

Quote
The Cabinet has been informed that the cost of the National Children's Hospital has increased by nearly €500m.  The update came from Minister for Health Stephen Donnelly this morning.  While the final cost of the hospital has yet to be established, it brings the overall total to around €2bn. The original estimated cost was €450m in 2017. The extra costs had previously been blamed on inflation, Covid-19 as well as extra cost claims submitted by the builder, BAM.  The new hospital is due to be built by the end of October and open in April 2025 at the earliest.  Last November, the National Paediatric Hospital Development Board submitted the final cost estimate to Government on the project, which the project director said could not be released due to commercial sensitivity.

The NTA says we're supposed to be able to give accurate fare estimates to our passengers.  I wonder how they'd react if we quoted someone €20 to the airport but actually asked for €100 when we got there!
For balance:
HSE plan to cut agency staff spending by €250m may hit services
Plans being considered by health officials and Government also include saving €80m by converting agency staff to HSE employees



A Parliamentary Budget Office report published last year showed the costs of hiring staff from agencies increased by 139 per cent over the 2015-2022 period to €619 million. Photograph: iStock
Jack Horgan-Jones Political Reporter
Paul Cullen Health Editor
Tue Feb 13 2024 - 05:00

Key health services may be hit by plans to cut €250 million from spending on outside staffing agencies. The cuts are being considered by health officials and the Government.

Pay costs will also be cut by €80 million through the conversion of agency staff to Health Service Executive (HSE) employees, according to the HSE service plan for 2024.

It is understood that proposals put forward for inclusion in the plan in recent weeks envisage a commitment to cut €250 million in spending on pay with outside staffing agencies.

The attempt to rein in the health budget by making severe cuts to agency spending increases the risk of interruptions to key services, especially next winter.


Tensions over spending in the health service led to sharp divisions within the Coalition last autumn, which have not been resolved. The plan says the cost of running the health service at its current level is likely to exceed the funding allocation for this year, according to one source, though the size of the shortfall is not specified.

The Government was due to consider the HSE’s National Service Plan (NSP), which lays out its annual roadmap for spending and service provision, as soon as Tuesday’s Cabinet meeting.


The plan will outline a range of measures to manage the risk around the expected spending pressures this week, including the agency staffing measure, while also promising improved productivity through a new taskforce being jointly run by the Department of Health and HSE.

A report by the Parliamentary Budget Office published last year showed the costs of hiring staff from agencies increased by 139 per cent over the 2015-2022 period to €619 million.

The plan warns of the impact of demographics on the cost of delivering health services, given a predicted 22 per cent increase in the number of over-65s over the next seven years and a tripling in the number of over-80s in the coming decades.

While there is provision for the appointment of 2,200 additional staff, this is a sharp drop on the almost 7,000 staff added by the HSE in 2023.

It is understood the NSP will also outline that the numbers on trolleys in emergency departments fell 8 per cent last year when compared with 2022, and by 22 per cent in the second half of the year compared with the same period the previous year. It outlines that waiting lists fell in both 2022 and 2023, and will set out measures to bring them down again this year.

Separately, the HSE is planning a major reorganisation of top management in the health service as moves to transfer responsibility for many functions to the regions gather pace.


Key posts in the senior management executive of the HSE are being terminated as part of plans by chief executive Bernard Gloster to halve the number of top managers in the organisation.

While this is not expected to happen immediately, existing posts such as chief operating officer and chief strategy officer will no longer exist at HSE headquarters in Dublin.

Six regional executive officers, each responsible for public health services in their areas, were appointed in late 2023. Reporting directly to Mr Gloster, they will run the promised HSE Health Regions, which are due to start operating this month.

While hoping to “shrink the centre”, Mr Gloster anticipates the regionalisation process will have a “net zero” impact on headcount in senior management.
« Last Edit: February 13, 2024, 02:20:46 pm by silverbullet »

Offline silverbullet

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Re: 400% overbudget - Children's Hospital might open next year!
« Reply #5 on: February 13, 2024, 02:19:14 pm »
There is one positive, I guess.  There's 4,000 (and rising) homeless children in this Republic living in dirty, damp conditions with poor access to food.  When they get sick, they can be proud that they'll be treated in the most expensive hospital (per bed) in the world before they return to their miserable lives!
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Offline Southside

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Re: 400% overbudget - Children's Hospital might open next year!
« Reply #6 on: February 13, 2024, 07:26:37 pm »
Madness. Wouldn't mind there's only the same number of beds that's in crumlin and temple Street now.

Offline silverbullet

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Re: 400% overbudget - Children's Hospital might open next year!
« Reply #7 on: February 13, 2024, 07:40:15 pm »
Madness. Wouldn't mind there's only the same number of beds that's in crumlin and temple Street now.

Think about all the offices the Consultants need for their private practices, plus all the admin staff.
In exchange, the government gets to sell off the sites at Temple Street and Crumlin, two absolute kips.



SO TRUE!

 


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