I thank all three Deputies for raising this really important issue. First, I want to make absolutely clear that neither my Department nor the HSE is closing any beds. In fact, this year, in budget 2026, I have provided over €4 million to open 18 HSE CAMHS beds. I have allocated €2.7 million to open the first phase of the new acute CAMHS wing of the national children's hospital and I have also allocated over €1.3 million to hire the staff to reopen 11 CAMHS beds in the state-of-the-art Linn Dara campus. As a result of this funding, the HSE has made the sensible decision to discontinue the purchase of ten CAMHS beds from a voluntary provider, St. Vincent’s Hospital, Fairview. These are not HSE beds but these are beds within the HSE that the HSE has been buying as additional capacity while the Linn Dara beds have been out of operation due to safe staffing.
In 2025, the HSE child and youth mental health office completed a national review of HSE-funded CAMHS inpatient services focused on referrals, admissions, diagnoses, staffing and bed capacity. The review recommended the development of a national commissioning model and service specification in line with, and complementary to, the new CAMHS operational guidelines to ensure consistent access, service delivery and care standards across all inpatient units.
The report made specific findings, which none of the Deputies referred to, regarding the current inpatient unit at St. Vincent’s Hospital, Fairview: first, the unit's restricted age cohort as it only accepts 15 to 17-year olds for admissions; second, the lack of an appropriate eating disorder pathway and no out-of-hours or weekend admissions; third, concerns raised by the Mental Health Commission regarding governance; fourth, staffing constraints, including reliance on a single full-time consultant dedicated to the unit; and, very importantly, unsuitable physical infrastructure where the current building is no longer fit for purpose. I understand the two floors above the CAMHS unit in St. Vincent’s Hospital, Fairview, are derelict or uninhabited.
As these limitations result in inequitable access and service inconsistency when compared to other CAMHS inpatient units nationally, the HSE decided to discontinue the use of the beds at St. Vincent’s Hospital, Fairview, and to streamline the provision of HSE CAMHS inpatient beds across the Dublin region in line with the recommendations from the review report. Consequently, CAMHS inpatient beds will be provided through an expanded service at Linn Dara in Cherry Orchard and the newly commissioned beds in the Children's Hospital Ireland, CHI, campus to best meet the future needs of the HSE Dublin North East, HSE Dublin Midlands and HSE Dublin South East health regions.
The HSE aims to reopen the 11 beds in Linn Dara by the end of September and has therefore advised St. Vincent’s Hospital, Fairview, it will no longer need the ten beds from the date it was paying for privately. There will be, of course, flexibility on both sides in relation to this timeline to ensure no reductions in overall capacity. Importantly, this approach will place all CAMHS inpatient units under a single, standardised HSE clinical governance framework and address current service limitations.
There will be no staff redundancies arising from this decision. The HSE expects the transition to create opportunities for the experienced and dedicated staff working in St. Vincent’s within the newly commissioned CAMHS inpatient services at Linn Dara and CHI. I want to acknowledge the work done by the Psychiatric Nurses Association working in St. Vincent’s. It is of course a personal decision for staff whether or not they wish to transfer to either the new hospital or to Linn Dara.
I was surprised to find the reconfiguration of beds was the main theme at this year's PNA annual conference. We face many challenges in our public mental health services and I did not expect keeping ten voluntary non-HSE CAMHS beds with the limitations I have described to be the key concern of the body for a profession for which I have the upmost admiration and respect.