Over the past four years significant resources have been invested in disability services. Core funding has increased from an opening position of €2bn in 2021 to a total allocation of €3.2bn in Budget 2025.
The Existing Level of Service (ELS) funding for 2025 is €209.4m, representing a 7.3% increase the over the opening position of €2.9bn, while the New Development Measure (NDM) funding is €41.4m, representing a further 4.3% increase. The specific quantities of service to be provided through the additional €336m announced in Budget 2025 will be set out in more detail in the HSE’s National Service Plan.
It is important to note that, in a departure from previous years, the ELS allocation includes a provision for demographic growth in 2025, allowing for a certain level of service expansion before NDM funding is even taken into account. The ELS also includes full year funding for new activity undertaken in 2024, including where that activity exceeded the target set out in the NSP.
The ELS and NDM funding made available to Disability Services since 2021 is shown in the table below.
|
Disability Services Annual Expenditure (€’m)
|
|
Year
|
Opening Position
|
ELS
|
NDM
|
REV
|
% Increase from Opening to Rev
|
|
2021
|
€2,029.1
|
€91.1
|
€77.5
|
€2,210.9
|
9.0%
|
|
2022
|
€2,210.9
|
€82.0
|
€54.5
|
€2,347.3
|
6.2%
|
|
2023
|
€2,347.3
|
€173.4
|
€23.3
|
€2,595.3
|
10.6%
|
|
2024
|
€2,595.7
|
€197.8
|
€74.1
|
€2,867.6
|
10.5%
|
|
2025
|
€2,867.6
|
€209.4*
|
€41.4
|
€3,199.4
|
11.6%
|
*ELS in 2025 includes provision for demographic growth.