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Table 1 Budget policy timeline 2008-2011

From: A framework for assessing health system resilience in an economic crisis: Ireland as a test case

2008 2009 2010 2011
Emergency budget (Oct) Supplementary budget (April) Supplementary budget (November) Budget (Dec) Budget (Dec) New programme for government Budget (Dec)
(i) Without Medical Cards: Increased Charges for IP Beds: Increased ED Charges; Increased Long-Stay Charges; Increased deductibles for drug payment scheme over-70s. Overall Health Budget for 2009 up by €200 million (1% increase) Capital spending reduced by 26% Tax relief on nursing homes and hospitals ended Extra funds made available to cover extra medical cards needed (€230 million) Savings of over €1 billion (€4bn from total budget): Savings of €746 million (€2.2 billion from total budget). Cut of 6.6% to HSE: Commitment to UHI single tier system Savings of €543 million (€2.2 billion from total budget)
(ii) With Medical Cards: removal of entitlement for IP Beds: Increased ED Charges; Increased Long-Stay Charges; Increased deductibles for drug payment scheme over-70s. Overall Health Budget for 2009 up by €200 million (1% increase)    • Wage Reductions (515%) and lower contract fees (€659 million) • Voluntary redundancy and early retirement (€123 million)   • Pay cost containment (reduction in staffing, overtime, agency costs etc.) €145m
    • Introduction of 50c item charge on prescriptions for medical card holders • Cuts in drug spending and fees (€380 million)   • Reduction in procurement costs €50m
    • Cut of €30million in spending on dentistry for those on medical cards • Cuts in non-core pay costs, reduced agency and locum staffing (€200 million)   • Increased generation and collection of private income-€143m
    • Increase drug reimbursement threshold to €120 per month • Administration Cuts (€43 million)   • Demand led Schemes pharmaceutical reductions, DPS increase from €120-132 per month etc. (€124m)
       + making good the hospital deficits (€200m)
  1. Source: Government of Ireland, Budget Statistics.