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New Children's Hospital - A symbol of Ireland's scandalous and shady behavior

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  • Registered Users Posts: 10,185 ✭✭✭✭tom1ie


    No.

    The main blame lies with the project managing firm who decided to go ahead and award the tender without a full scope, design and BOQ.

    Madness.



  • Registered Users Posts: 11,782 ✭✭✭✭Flinty997


    You're trying to argue for services being near AND far away from people.

    You're also arguing non experts are stupid, only experts should decide these things. Well thats how we got to 2+Billion. As a demonstration of experts know best, its not really selling it to anyone.



  • Moderators, Sports Moderators Posts: 25,836 Mod ✭✭✭✭Podge_irl


    I get paid €1000 per post by the HSE. It comes out of the NCH budget.



  • Registered Users Posts: 1,304 ✭✭✭Consonata


    Given the scale of NCH, and given that construction costs have gone up by 50/60% in an environment where we are already struggling with labour, I'm unsurprised that it's cost as much as it does. It's going to be a pretty incredible hospital and if anybody has been inside either CHI Crumlin or Temple St, you'll know its desperately needed. It's replacing two hospital sites.



  • Moderators, Sports Moderators Posts: 25,836 Mod ✭✭✭✭Podge_irl


    I'm arguing that a public poll of where a hospital should be is not the best way of choosing where a hospital should be. Many people seem to think the main criteria for deciding where a hospital should be is how easy it is to park there.

    I'm also not arguing that the project has been well handled. I am agreeing that it is a mess. My sole argument is that the choice of location was perfectly reasonable given the parameters and they have been reasonably open about the reasons for the decision and that those reasons are understandable. It is ridiculous to me that a decision based on providing the best possible clinical care to children is shouted down as being so "obviously" stupid.

    That they have made a mess of things afterwards is a given so there is plenty of blame to go around.



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  • Registered Users Posts: 12,683 ✭✭✭✭Goldengirl


    While I do agree for transfer of information and some procedures colocation is not essential , it is far more difficult in intensive and emergency situations .

    People do need to be on the spot or nearby .

    I always felt that the Mater was just as well placed as James' but as we know both are difficult traffic wise . The Mater has the edge imo as it has a bus corridor from the M50 in which ambulances regularly use to fly in with patients .

    James' is completely snarled up with residential streets surrounding it . Sick people don't travel on public transport never mind parents with sick children .

    And the Mater already has a completely new extra hospital building , built in the last two years up and running on the spot where the Children's Hospital would have been located !

    Obviously there must be some major specification differences ?

    It's all very disappointing after 40 + years in planning .

    Post edited by Boards.ie: Paul on


  • Registered Users Posts: 12,683 ✭✭✭✭Goldengirl




  • Registered Users Posts: 12,683 ✭✭✭✭Goldengirl


    We all hope it will be ..in the end . We badly need it for our children , no sorry, its grandchildren at this stage !

    However it has been dealt with badly from planning to changing design to ensuring the contracted builder would not delay or would pay for delays , no matter costs rising .

    Money has been wasted all along the way , tax payers money , so people have a right to be annoyed .



  • Registered Users Posts: 900 ✭✭✭sameoldname


    While 2bn+ is obviously an insane price for a hospital just to put it in perspective, remedying mica defective blocks will probably end up costing the same and will benefit no one apart from the owners and the builders who will fleece the tax payer as much as possible. The HSE budget is nearly 22bn a year and the hospital has been under construction for 8 years so at say 2.2bn that works out around 275 million a year. Now obviously that's money that could be spent elsewhere in the HSE but in the main, when you look at infrastructure programs in this country over the last 20 years, most come in on budget.



  • Moderators, Sports Moderators Posts: 25,836 Mod ✭✭✭✭Podge_irl


    There is a bus corridor from the M50 to the Mater? Not a loaded question

    There isn't one to James' obviously, but the Chapelizod bypass gets you at least close with a bus lane the whole way.


    I'm wildly ambivalent about whether James' or Mater was a better choice. I have nowhere near the expertise to know. I also have absolutely no time for the reasons ABP gave for rejecting the original plan at the Mater. But it we want to start a mudslinging fight against ABP then I'm happy to get on board.



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  • Registered Users Posts: 11,782 ✭✭✭✭Flinty997


    The Mater site was too small. As is James. While congestion and parking is one thing. You can't fit a pint into a gallon pot.



  • Registered Users Posts: 12,683 ✭✭✭✭Goldengirl


    With all due respect from the beginning it was a lot more than just " parking " with the public .

    Access to services is paramount in an emergency and for many parents with sick children adding to that stress trying to get to an extremely congested inner city space , with a sick child , is not just dangerous and stressful it delays urgent treatment.

    Anybody making decisions like this who do not take note of publicas well as if not need over and above operational factors needs their head examined ..



  • Registered Users Posts: 12,683 ✭✭✭✭Goldengirl


    For the oval shaped plan yes .

    But they were happy to submit a revised plan but that option was taken away and James'decided on regardless of the same issues with space.

    To be honest my personal opinion now is that a Greenfield site with a new less complicated general hospital could have been built more quickly and probably for a similar price seeing as a benefactor was donating land free of charge.

    Two for, always better !



  • Registered Users Posts: 1,304 ✭✭✭Consonata


    Contractor wouldn't have been liable for a large amount of the cost overruns because parameters were changed by the HSE and central government during the project. No sane contractor would've been in agreeance with accepting responsibility for that.

    That leaves us with whether these things that needed to be changed should have been caught earlier. Many probably should have but to catch these things would have likely required a more lengthy consultation process which in and of itself would've inflated construction costs even more.

    There are many criticisms to make of the Dept. and HSE's approach to this. That Donnelly hasn't been meeting the team frequently isn't acceptable. However I don't think its as straightforward as govt forgetting to include something in a contract. Nor do I think it's just brown envelope culture either. Call me naieve but I think we've moved on a fair bit from those years. A certain degree of this cost inflation is down to the inflationary environment that we're in. It's killing many projects around Europe. Look at HS2, and the countless apartment developments that have been put on ice. At best maybe we could've carved off 10/20% of this inflation with a better management strategy, but I think the original costing was a lowball given what has been added since, and inflation has kicked it to 2bn euro.



  • Registered Users Posts: 10,185 ✭✭✭✭tom1ie


    Will there be helicopter landing pads at the NCH?



  • Registered Users Posts: 11,782 ✭✭✭✭Flinty997


    The parameters were tailored so only sites like the Mater and James would be in the running.

    Saying best clinical care is the only consideration is misleading. If the best clinical care cost 100 Billion. Is best outcome still the only consideration?

    That's a bit like arguing that Putin was the only reasonable choice come election time. When hes literally the only choice.



  • Registered Users Posts: 11,782 ✭✭✭✭Flinty997


    No room for the heavy helicopters. So they have land at Royal Hospital Kilmainham. There is/will be a lighter pad at NCH.

    They had a similar issue with the Mater.



  • Moderators, Sports Moderators Posts: 25,836 Mod ✭✭✭✭Podge_irl


    That's fair, its overly flippant. Though the issue of parking comes up a ridiculous amount. Also, access to James' just is not that difficult outside of rush hour - there are large roads off the M50 towards it that get relatively close. And at rush hour the M50 itself can be completely logjammed at times. There is nowhere that is going to be easily accessible by cars all of the time.

    But at the same time, there are more and more people in Dublin especially, but around the country, who do not have cars and will, in fact, be coming on public transport. And most discussions I have read completely ignore those people and scoff at the idea of public transport being in any way relevant.

    The solution they have come to is expensive, and seems to be more expensive than needs be, but the main hospital in the centre and the satellite centres off the M50 (which are included in this cost) seems to be a "best of both worlds" approach, albeit just an expensive one.



  • Registered Users Posts: 10,185 ✭✭✭✭tom1ie


    So if an urgent case, let’s say in Athlone occurs, the helicopter will pick up the patient, fly to royal hospital kilmainham, transfer the critical patient to a lighter helicopter and fly to and land at NCH?



  • Registered Users Posts: 11,782 ✭✭✭✭Flinty997


    For any plan of any shape the site is too small. Even they squeezed it all in, there would be no room for expansion. Same with James.

    Even without NCH there. The Mater (and the general area) its still a nightmare to get to and park at. Even inside the layout is all over the place. If everyone is travelling to the mater on Public transport, why can you never get parking.



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  • Moderators, Sports Moderators Posts: 25,836 Mod ✭✭✭✭Podge_irl


    The Coast Guard helicopters can't land on the roof, others can, and no they'll just get an ambulance.



  • Registered Users Posts: 11,782 ✭✭✭✭Flinty997


    Ground transport between the RHK and James. It not a huge distance. However hard to have any other conclusion than the site itself is the issue with this.

    Better outcomes, at any cost.



  • Registered Users Posts: 1,304 ✭✭✭Consonata


    Helicopter to RHK and blue-light ambulance to James is what is being done at the moment. Probably would be similar for the NCH



  • Registered Users Posts: 1,304 ✭✭✭Consonata


    With the goal of co-location, you can't have that + easy access to green space to build for example, a heavy heli helipad. Criticise the premise of co-location if needed, I think its important for the NCH to be colocated, much like the new NMH will be colocated with SVUH. Non-Colocation has led to severe issues in delivering care which is why it was one of the core criteria of the site.



  • Registered Users Posts: 11,782 ✭✭✭✭Flinty997


    There are long standing issues with Parking at St James, staff almost went on strike over it.

    I'm open to correction but I understand the solution was off site parking was provided where possible. Which suggests the site was too small, yet again.

    I'm not sure if you then decide to stuff even more staff and patients into the same site, what would be the likely outcome. That seems a 1+1=2 kind of problem.

    I get that people will just drive unless you make it harder for them. We should shift to more sustainable transport. But that applies to normal journeys, not going to hospital, or shift workers where public transport isn't always ideal.



  • Registered Users Posts: 10,185 ✭✭✭✭tom1ie


    That’s crazy tbf. Why couldn’t they design the site to have a helicopter pad that takes a coastguard helicopter?

    Bad design again- should’ve been caught by the PSDP.



  • Registered Users Posts: 11,782 ✭✭✭✭Flinty997


    Its not the only hospital that you can use for co-location or teaching.

    Well you've got a €2+Billion (and rising) co-location. And you're back to better outcomes regardless of cost or any other considerations, and Hobson's choice over location.



  • Registered Users Posts: 11,782 ✭✭✭✭Flinty997


    Lack of room I assume. Why else put the helicopter pad on the roof.



  • Registered Users Posts: 27,347 ✭✭✭✭blanch152


    We have increasing numbers of 24 hour bus services.



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  • Registered Users Posts: 1,304 ✭✭✭Consonata


    Which other site? Blanch is too small and already has a CHI site. Tallaght similarly has a CHI site. SVUH is already colocating with the new Mat hospital. Beaumont is too specialised for it to be worthwhile colocating with. St Michaels is a tiny hospital, and the rest are step down centres. Leaving us with Mater and James in terms of what's remaining of the cities national hospitals. James was selected in the end because the site was believed to be better of the two.



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