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

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  • Registered Users Posts: 34,697 ✭✭✭✭Hotblack Desiato


    No co-location with an adult hospital then, unless you move that too, so how are you saving money again?

    Fingal County Council are certainly not competent to be making decisions about the most important piece of infrastructure on the island. They need to stick to badly designed cycle lanes and deciding on whether Mrs Murphy can have her kitchen extension.



  • Registered Users Posts: 11,774 ✭✭✭✭BattleCorp


    Do you not think that we could have built two hospitals for the price the NCH is costing? If we picked a green field site somewhere, had a simpler design (the Eye of Sauron is far more costly to build than square/rectangular buildings) I don't see how we couldn't have gotten two or three hospitals on the one site for the price of this one.

    It'll be an absolute nightmare to get to this new hospital when it's open. It's totally in the wrong location.



  • Registered Users Posts: 34,697 ✭✭✭✭Hotblack Desiato


    Most of the cost is going to be systems, technology and equipment which would be the same no matter what shape the building is 🙄 or where it is.

    "Doesn't suit me" does not equate with "wrong location".

    Fingal County Council are certainly not competent to be making decisions about the most important piece of infrastructure on the island. They need to stick to badly designed cycle lanes and deciding on whether Mrs Murphy can have her kitchen extension.



  • Posts: 0 [Deleted User]


    Tallaght had an easily clearable brownsite, motorway access, Luas/Heuston access, hotels, amenities, and pre-existing children's hospital.


    Blanch was almost as good an option.

    Tell me, again, why either of these would have been worse than James's?

    Every single negative objection, about the build, has come true. Not the operation of the hospital, they'll come too, just the build.


    We've wasted a decade of time and several hospitals worth of build funds on this vanity project.

    Post edited by [Deleted User] on


  • Registered Users Posts: 13,089 ✭✭✭✭Goldengirl


    Where did I suggest anything to do with CT or ABP in my post ?

    But to add now you have brought it up, ABP have had a lot of problems with corruption and steering of certain projects that have recently come to light, so that is not conspiracy theory anymore is it. (Not that I have ever dabbled in CT 😊)

    But a rework/redesign could have worked. The present new hospital is taller than what was originally planned for the CH.

    Have to disagree with you that the Mater site is more ' unsuitable ' than the St James' one.

    Both have massive issues so it was a case of what suited one day in politics.

    As for the Metro, no it won't be going there now of course, which is a big shame for everyone on the Northside, 2 major hospitals, a major university , and the country's biggest busiest airport. All without a proper train link to the city.

    Yeah, don't know why we all thought it was a good idea at the time.



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  • Moderators, Sports Moderators Posts: 26,758 Mod ✭✭✭✭Podge_irl


    You want to know where the scandal is ...who benefitted from that change to St James ' ?

    I am asking, I don't know.

    But all the reasons given for the change of mind to the other site are laughable now .

    You didn't mention ABP, but ABP are the reason for the change of mind to the other site because they rejected the original plan. It is a little bit of a conspiracy theory bent to suggest the change was due to the benefit for someone.

    And yes, ABP are full of problems.



  • Moderators, Sports Moderators Posts: 26,758 Mod ✭✭✭✭Podge_irl


    Tell me, again, why eirher of these would have been worse than James's?

    If only it was all detailed in a report easily available to the public.



  • Registered Users Posts: 23,351 ✭✭✭✭mickdw


    This appears to be a design change or at least some variation within one of the systems in the ceilings in these areas. Its a complex build which went to site with an incomplete design so id imagine there is money being lost left right and centre due to variations that could possibly have been avoided but this so called scandal re a few ceiling areas needing work is a nothing story.



  • Registered Users Posts: 13,089 ✭✭✭✭Goldengirl


    As mentioned before, the colocation while it makes life easier for some doctors and scientists is not necessary to the functioning of any of the great children's hospitals.

    Great Ormond St in London and Alder Hey to name but two, are not colocated and they are iconic.

    Colocation with a general hospital does not equal faster better care for children. The bulk of treating doctors should be and mostly are paediatric specialists. As are nurses and other healthcare.

    All healthservices for children are not transferable from an adult setting as evidenced by the need for a speciallly designed childrens hospital.

    It is mainly to suit those consultants who work across both disciplines and science laboratory staff.

    The cost and delay to services for children is totally unacceptable, wherever the hospital ends up.

    Its going on for 40 years now.



  • Moderators, Sports Moderators Posts: 26,758 Mod ✭✭✭✭Podge_irl


    As mentioned before, the colocation while it makes life easier for some doctors and scientists is not necessary to the functioning of any of the great children's hospitals.

    Great Ormond St in London and Alder Hey to name but two, are not colocated and they are iconic.

    It is absolutely not about making life easier for some doctors. It is about improving care for patients - particularly those who need specialised care and especially adolescents. James' also has significant academic work and is strongly linked to a university.

    Also GOSH is colocated with the national hospital for neurology and neurosurgery and Alder Hay is about 500m from Broadgreen Hospital for what it's worth. Also GOSH is located in the middle of the city, has almost no parking and advises everyone travel there by public transport, which are oft-cited complaints about the new site.

    It is mainly to suit those consultants who work across both disciplines and science laboratory staff.

    You're obviously welcome to believe that those who work in the medical profession care more about their own convenience than properly caring for children in need, but I don't agree.

    The cost and delay to services for children is totally unacceptable, wherever the hospital ends up.

    Obviously this is true and there are many questions about the original Mater proposal which was a bit ham-fisted. But at least it is now nearly built.



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  • Registered Users Posts: 3,603 ✭✭✭Montage of Feck


    Well it should have been build on to Tallaght hospital then.

    🙈🙉🙊



  • Registered Users Posts: 500 ✭✭✭Marcos


    With Blanch there was also enough government owned land to build a national maternity hospital beside it. That would also have had the added bonus of not worrying about which religious order owns it and which procedures can and can't be carried out there due to whatever religious ethos.

    But then again that doesn't address the important issues of which academics have ownership of it, like UCD would have had "ownership" of the Mater site while TCD have "ownership" of St James.

    When most of us say "social justice" we mean equality under the law opposition to prejudice, discrimination and equal opportunities for all. When Social Justice Activists say "social justice" they mean an emphasis on group identity over the rights of the individual, a rejection of social liberalism, and the assumption that unequal outcomes are always evidence of structural inequalities.

    Andrew Doyle, The New Puritans.



  • Registered Users Posts: 34,697 ✭✭✭✭Hotblack Desiato


    It's built up all around Tallaght hospital as far as I'm aware, is there enough space on site?

    Anyway all of this was put through the wringer - years ago - twice.

    Fingal County Council are certainly not competent to be making decisions about the most important piece of infrastructure on the island. They need to stick to badly designed cycle lanes and deciding on whether Mrs Murphy can have her kitchen extension.



  • Registered Users Posts: 4,350 ✭✭✭Tefral


    It would be usual that there would be some scope creep on a project, but downright stupid to Tender only a portion of a Project and deal with the rest later which is what happened here.

    So whilst there is some genuine changes happening, that the Client might be adding in such as slight spec changes etc, A massive portion of the Variations that are in the news are actually the rest of the design being finalised and sent to the contractor to construct. This would not be a normal process.



  • Registered Users Posts: 861 ✭✭✭session savage


    I'm working on the NCH and you wouldn't **** believe how incomplete the design was/is in places.



  • Registered Users Posts: 23,351 ✭✭✭✭mickdw


    By all accounts, a complete **** show, and not of the main contractors making despite the media spin.



  • Posts: 0 [Deleted User]


    Yeah I remember them basically downplaying every issue which has blown up. Construction access, cramped site, surrounded by commercial and residential buildings.


    You talk about GOSH which is apples and oranges. We are building one hospital for the country, they have dozens spread out. Yes GOSH takes the specialist cases but the NCH is going to be taking semi-routine cases from around the country.

    They've, purposefully, built a hospital which is caught in one of the worst traffic time sink areas I ever had the misfortune of working at.

    Tallaght and Blanch have equal Public Transport options (Tallaght being on the very same LUAS line used to big up James's) and better motorway access.

    People act like the train station is the answer. Have people tried to get the train anywhere in this country, never mind with a kid going for treatment.



  • Moderators, Sports Moderators Posts: 26,758 Mod ✭✭✭✭Podge_irl


    NCH is not going to be taking semi-routine cases from around the country. It is the national tertiary hospital and the Leinster secondary hospital.



  • Registered Users Posts: 13,089 ✭✭✭✭Goldengirl


    Its not. Don't be so precious.

    Somebody ie doctors, consultants, or someone else connected with James', politicians etc benefitted from the change over. . Sure didn't someone else imply Bertie was benefitting from the Mater proposal.

    And no, I was asking a question because I don't know, as I said in my post, jeez!

    Post edited by Goldengirl on


  • Registered Users Posts: 9,180 ✭✭✭Cluedo Monopoly


    The fitout hasn't even started and the costs are already above 2 billion. Construction costs will be a huge percentage of final cost.

    What are they doing in the Hyacinth House?



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  • Registered Users Posts: 13,089 ✭✭✭✭Goldengirl


    I don't know if you know but I am a paeds nurse and worked in more than one of those hospitals so know about them.

    The National Hospital for Nervous Diseases is connected to GOSH by an underground tunnel as a lot of the hospitals in the inner city were and they use the same mortuary. Thats it really. Apart from the surgeons being nearby/around the corner in Queen Sq.

    There are extensive Underground / transit connections as well as near Euston and Kings Cross /St Pancras

    That would have been just as possible with the Mater site attached to the Mater General..

    As it is, consultants walk over the road from Temple St to the Mater Private/General every day.

    Are you saying that the Mater is less prestigious than St James'?

    I would query that.... both have different specialities and are expert in those areas.

    But yes that decision was made by another government for reasons that were not made clear.i temember public and medics very divided over the decision.

    As I said it is not just ABP, but we don't know why the decision was made, to not only waste all the money in planning for the Mater site and not to go back to redesign , but to start again in a different and just as constrained site, a decision which has delayed the hospital by another 10 years at least, put considerable tax payers money into what appears to be an endless construction pit eith very little accountability

    As someone who has worked in the area most of my life I am not happy with anyone who comes back with "its in the best interests of the childten" as an excuse for the way children's health services have been left to limp on for decades, waiting for this hospital to be built.

    Thats a sop.

    Ultimately it will be better than what is there.

    But for the money and the time waiting for it to finally come to fruition, we could have had a hospital faster in a better location.



  • Moderators, Sports Moderators Posts: 26,758 Mod ✭✭✭✭Podge_irl


    Are you saying that the Mater is less prestigious than St James'?

    No? I don't even understand what the basis of this is? The Mater site ran into planning difficulties because it was even more constrained but otherwise I don't see much difference between them. I've never mentioned anything about prestigiousness.

    I do not know much about the original Mater selection decision - notably because it was far less transparent than the James' selection, but once it was rejected by ABP they really had no choice but to go back to the start (I would note also, that ABP did not make their decision on the basis of any medical criteria whatsoever). Personally I find rejecting buildings due to skyline concerns to be ridiculous but I think there was a bit more to it than that. Anyway, I'll happily get on board any "ABP are ****" train that is going around.

    "Better location" is incredibly subjective, but I think their reasoning for why James' is a good location make sense even if other arguments can be made. It is not an obvious con or anything else, the logic stacks up. The underlying issue with the delay is mostly the original choice of the Mater and its subsequent rejection. No one thinks the delay is of benefit, but no one can change the past either.



  • Registered Users Posts: 13,089 ✭✭✭✭Goldengirl


    I never said ABP made their decision on medical criteria ? Why would they ?

    The group that looked at the location of the hospital on behalf of the new government ( post crash) after the planning was refused for the Mater because of " skyline " issues , were meant to do that .

    However the decision was questionable and caused a major divide . The reasons given for St James' did not stand up to scrutiny and basically it came down to personal choice of those in that working group . It caused an immense row at the time and the Minister of Health of the time had to row in and back the decision of the group . Board members resigned in disgust and there was stacking of new members supportive to one area within the group.

    This is the press release about the decision, which shows the Minister who guided it ..

    http://ms-test.ptools.net/en/News-Room/News/Spotlights/government-announces-location-of-new-childrens-hospital.html

    If you don't know that Minister had to resign a few years later in a stink over some other dodgy dealing . So before you talk about nobody benefiting maybe read up about that particular Minister and what he got up to.

    As regards James's ...sorry ....St James's ...you gave the reason of it being an academic centre and linked to a university . I asked you why you think this is not the case with the Mater ?

    Also I would say you need to read up about the whole decision making process and award of the hospital to its present location before accusing others of a) conspiracy theory or b) not knowing what they are talking about .



  • Registered Users Posts: 2,208 ✭✭✭Markus Antonius


    One thing the project has been very successful for is shifting large amounts of money around.

    I guarantee there is the makings of a massive haughey-level scandal going to rear it's ugly head 10 years after it opens (i.e 2057)



  • Moderators, Sports Moderators Posts: 26,758 Mod ✭✭✭✭Podge_irl


    Ok, a few things

    I said that wondering why they "changed their minds" to move to James' was a bit conspiracy theory. The reasons are in the public domain - the Mater site was rejected by ABP. They then restarted the selection process and chose James'. Had the govt of the time had their way the hospital would have been built at the Mater. ABP constantly reject developments, its a massive problem. I regret using the conspiracy theory framing, but ultimately there is no need to assign any ulterior motives to a body that reject positive improvements for the city on an incredibly frequent basis.

    James' academic involvement and teaching hospital status is a benefit over sites like Connolly and Tallaght which don't have this at the same level. The Mater and James' are both flawed in terms of location and space but the Mater a bit moreso. However, I was not denigrating the Mater at all. It has most (all?) of the same benefits as James' but is more restricted and worse connected by public transport.

    James O'Reilly was involved in very odd dealings regarding I think urgent care centres or something similar. I'm not arguing his credentials, but the govt did follow the recommendation of the working group. So often we bemoan political interference, and now we are complaining that they didn't interfere to reject the working group's recommendation?

    I'm aware the decision caused a major divide. I think there are valid arguments to be made for putting the NCH at James', Tallaght of Blanchardstown. I do not think there are good arguments for putting it at a greenfield site. I think the current model with the satellite care centres on the M50is more expensive but they think will provide better care but I can understand a disagreement there. However, what I completely reject is the notion that the decision to build at James' is "obviously" corrupt or wrong or based on some kind of vested interest.



  • Registered Users Posts: 34,697 ✭✭✭✭Hotblack Desiato


    That's the projected total cost not what has already been spent 🙄

    Fingal County Council are certainly not competent to be making decisions about the most important piece of infrastructure on the island. They need to stick to badly designed cycle lanes and deciding on whether Mrs Murphy can have her kitchen extension.



  • Registered Users Posts: 6,142 ✭✭✭screamer


    Source: someone who knows what they are talking about.

    you’re correct too, unfortunately people just don’t understand that the COSTS of the projects, the way these contractors have to apply contracts and claims is a direct RESULT a of the GOVERNMENTS own adversarial form of CONTRACT.



  • Registered Users Posts: 13,089 ✭✭✭✭Goldengirl


    I am presuming this post is addressing me although you did not mention me , but we were discussing this subject ?

    Never said the decision was 'obviously corrupt ' just wasn't transparent as to how how they concluded that to change from one area to another with little more to recommend it . They gave reasons but tbh it was not accepted by many people at the time who would have been working on the project since the 90s .

    It had been proposed to send a revised design for planning for the Mater site as this would have been cheaper and faster . But the government of the time just didn't want it to have any whiff of Bertie off it . Not in the" best interests of the children " even !


    And also the minister in question involved ....


    You can see from this how the Dolphin report were recommending more than one site but the decision was made by cabinet and on the recommendation of Reilly , a subsequently disgraced minister for health who had motion of no confidence against him, and got into hot water over the criteria for selection of primary care centres, two of which he tried to get sited in his own constituency.!

    This debacle was the instigating factor for the junior Minister working with him , Roisín Shortall , resigning and leaving Labour for Soc Dem , because she couldn't stand over any of this and she was effectively gagged by Labour leader of the time who wanted to stay in government. It should have triggered Reilly's resignation / sacking but she was sacrificed instead .

    He was 'shuffled ' from his post as minister of health to children and youth affairs , in 2014 where after an inauspicious term, finally lost his seat in 2016 GE became a senator , and after failing to get reelected in 2019 and 2020 finally retired .

    He was also while Minister for Health named on tax defaulters list and Stubbs Gazette for 1.9million over a nursing home deal . (He had a few of these as well.)

    He blustered about how he was doing this, that and the other , which rarely came to pass, while he lined his pockets , feathered his nest and retired on a very large pension.

    This really should not be overlooked in this discussion, that this was the minister who decided that the National Children's Hospital be located where it is , St James'. Not that St James' is unsuitable but really it is no better than the Mater site apart from the Luas.

    I am sure he will have a plaque to commemorate him there somewhere .



  • Moderators, Sports Moderators Posts: 26,758 Mod ✭✭✭✭Podge_irl


    I'm not used to arguing James; vs. Mater really, its normally James' vs someone outside the M50!

    I think simply not wanting to deal with ABP again after a much supported and rejected development that delayed things for years is valid enough reason for not considering the Mater again, but maybe there was something else to it.



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  • Registered Users Posts: 10,299 ✭✭✭✭Marcusm


    It didn’t go to Connolly/Blanch because that is an RCSI hospital and was in the constituency of the then Min for Helath and subseq Taoiseach, Leo Varadkar. As a pure construction project, it would have been much easier there in what is essentially an out suburb greenfield site. It’s also closer to greater centres of young population than either the Mater/St James’s and, despite the M50 issues, would have been an easier transport link. Kids who are sick do not get transported to hospital via public transport except in the most extreme cases of cash and service poverty. They get brought by car or ambulance.

    The additional costs being racked up at St James’s could have provided for Blanch to have the relevant specialities augmented but in a location which is not the first choice of medics - fact, not opinion. Politics, both national and medical, will deliver an overly expensive project. The very poor project and cost management shown will make it next to impossible to proceed with similar projects (eg Metrolink) in the next 15 years. By then the centre of Dublin may have significantly change and transport needs might be more orbital then via the centre anyway.



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