I propose to take Questions Nos. 403 and 404 together.
As of February 2026, 8,927 specialist disability places are being delivered by approximately 90 service providers . Since 2020, additional funding provided to the HSE has supported the creation of almost a thousand additional residential places for people with disabilities. These placements largely support people moving from their family home to a residential service and are in addition to supporting transitions of people from congregated settings to the community and the movement of people under the age of 65 out of nursing homes and into more appropriate community-based homes with supports.
The Department of Children, Disability and Equality continues to engage with the HSE, to expand and develop residential services for people with disabilities. A number of actions are underway to move towards a more planned approach to providing residential care.
This year, Government has provided €3.9billion in funding to the HSE for the provision of Specialist Community-Based Disability Services, representing a 20% increase on 2025. Residential services make up the largest part of the Disability funding disbursed by the HSE, almost 60% of the total budget.
In respect of disability residential services, €65 million has been allocated in 2026 for new developments. €40 million of this funding will provide 199 new residential responses. This includes 152 new residential placements, comprising 80 new placements to meet urgent need and the development of 72 new planned residential placements, as well as provision for the requirements for new residents entering into existing funded placements that have become vacant and in limited circumstances, placements in nursing homes.
The HSE’s 2026 National Service Plan includes details of a move towards a more planned and responsive system of service provision to include the development of 72 new planned residential placements and progress, reflected in key performance indicators (KPIs) to ensure transparency and accountability in meeting service needs. These planned places will be able to respond to residential needs demonstrated on the HSE’s DSMAT profiling tool. HSE regions are working collaboratively with voluntary service providers in each Integrated Healthcare Area to identify individuals with urgent need to ensure plans are in place before a crisis arises.
The HSE advises that it is important to note that residential placements are based on greatest presenting need and potential associated with risk/safeguarding.
Within the funding for 2026, the HSE has begun work to establish Residential Placement Planning & Review Teams in each Regional Health Area, to improve forward planning and to ensure that individuals are appropriately assessed in relation to support needs prior to placement in residential services and reviewed in a timely manner for the duration of the placement in respect of quality of care and support needs.
The HSE’s Capital Plan 2026 (Building and Infrastructure) has been published and is available on the HSE website at www.about.hse.ie/news/hse-capital-plan-2026-building-and-infrastructure/
Funded from the National Development Plan, it provides significant public investment in health infrastructure to meet current needs, to cater for anticipated population growth and to respond to the changing demographic profile in Ireland.
In respect of Disability Services, €43 million has been allocated to the HSE for capital investment in 2026. This represents a substantial increase of €16 million compared with 2025 and demonstrates the Government’s firm commitment to support and expand disability services. 2026 is the first of a Five-year investment plan supported by €278 million in funding secured by the Department of Children, Disability and Equality through the National Development Plan.
The Capital Plan supports the vision of high quality, safe, accessible and sustainable healthcare, enabled by capital funding. It aligns with the strategic priorities of the Government and the Minister for Health, the Department of Health, the Department of Children, Disability and Equality and the HSE.
In the context of the increased investment in Disability Services in 2026, the HSE is examining a number of other disability projects which may be added to the Capital Plan during the year. In doing so, the HSE will take into account the need for regional balance and to ensure an appropriate blend across service areas. This is in addition to housing provision by the Local Authorities.
Regarding future funding, consideration of Specialist Disability Services and funding requirements occurs annually as part of the Estimates process. Engagement will take place between the Department of Children, Disability and Equality, the Department of Public Expenditure, Infrastructure, Public Service Reform and Digitalisation and the Health Service Executive later this year in respect of funding for 2027.