I propose to take Questions Nos. 458 and 459 together.
The National Electronic Health Record programme is a matter for the Minister for Health supported by her Department in the first instance. Accordingly, the procurement strategy, delivery of value for money, governance, and lessons learned from international practice are also matters for the Minister for Health and her officials in the Department of Health and the HSE.
In my role as Minister for Public Expenditure, Infrastructure, Public Service Reform and Digitalisation, my officials and I support all Departments and their agencies in the delivery of their mandates through the functions of my Department including:
• expenditure oversight,
• ongoing enhancement of the central accountability, governance, value for money frameworks,
• expenditure policy,
• procurement policy,
• pay and pension policy,
• oversight of digital and ICT initiatives, and
• setting and facilitating the overall public service reform agenda.
It is the responsibility of each Accounting Officer to manage expenditure in line with their budgetary allocation and the central expenditure, accountability and value for money frameworks.
In relation to the National Electronic Health Record programme, my Department fulfils a role according to its statutory and administrative functions as detailed above.
Specifically, as this is a large-scale transformational project, with a signification ICT/digital dimension, my officials engaged with officials in the Department of Health to agree a specific process for the project which combines the Infrastructure Guidelines and Digital Governance Oversight Unit (DGOU) Circular 14/2021 on the arrangements for oversight of digital and ICT related initiatives in the civil and public service. This was to ensure the appropriate balance of assurance and efficiency of approach.
The National Electronic Health Record programme was considered by the Major Projects Advisory Group in September 2025 and this consideration informed Government’s decision in February 2026 to proceed with the National Electronic Health Record Programme Preliminary Business Case through Approval Gate 1 of the Infrastructure Guidelines. This decision allows the HSE to prepare for procurement.
In the context of Circular 14/2021, and given the scale of the programme, my Department has established a Digital Governance Oversight Peer Review Group for the procurement and investment phase. The purpose of this group is to provide an independent, structured review of the programme at key decision points throughout its lifecycle. The group will provide advice and support to both the Digital Governance Oversight Unit (and ultimately myself) and to the Minister for Health and the HSE Project Team, acting as a critical friend to the project.
Individual Accounting Officers in public sector bodies hold responsibility for ensuring that their organisation’s procurement activities are carried out efficiently and effectively and in full compliance with procurement rules and procedures. While the procurement strategy for the National Electronic Health Record Programme is a matter for the Minister for Health, the Office of Government Procurement, which operates within my Department, supports public sector bodies in meeting their procurement obligations. This support includes the provision of resources such as the eTenders platform, comprehensive guidelines, and standard template documentation. These template documents, developed in collaboration with the Chief State Solicitor’s Office, are designed to promote consistency and legal compliance, while affording individual contracting authorities the flexibility to incorporate additional contract-specific terms and conditions or, where necessary, to amend standard contract clauses. This includes, for example, a provision providing for changes to the prices tendered only on specific dates and only by the percentage by which a relevant price index has increased or decreased.
My officials and I will continue to support the Minister for Health and her Department through the functions of my Department as this key programme is developed as part of the wider health digitalisation strategy.