"I am delighted to open this HSE Surgical Hub in Swords which will make a real difference to people’s lives - these new facilities will enable the delivery of faster, more efficient elective care for patients,” according to Minister for Health, Jennifer Carroll MacNeill, as she officially opened the new HSE Dublin and North East Surgical Hub in Swords in recent weeks.
“We know that demand for health services continues to grow, which is why we are investing now in delivering a network of Surgical Hubs across the country which will help to drive down waiting times for elective care,” she added.
The Hub is a modern, purpose-designed facility specifically for day case surgery and minor procedures, drawing on the proven surgical hub model now being rolled out nationally as part of the elective care programme.
It forms part of a HSE network of public surgical hubs in key locations, increasing capacity for planned care. Designed using a standardised approach, it includes dedicated operating theatres, procedure rooms, recovery areas and support spaces, with patient pathways based on best practice so that, where clinically appropriate, people can have their procedure, recover, and return home on the same day.
Inside the hub there are four dedicated operating theatres, 2 minor procedure rooms along with an 11 bay post-anaesthetic care unit. It also features a 21 bay day ward, with 10 outpatient assessment rooms that support an efficient flow of patients through the service.
The facility is equipped to deliver a wide range of day case specialties, including general surgery, dermatology, gynaecology, ophthalmology, ear nose and throat (ENT), orthopaedics and urology, with other specialties to be agreed locally. The design supports modern multidisciplinary team working, with staff facilities, clinical support areas and digital infrastructure that enable safe, high-volume day surgery focused on procedures that do not require an overnight stay.
By concentrating day surgery in a dedicated public facility, each surgical hub is expected to deliver day case procedures and thousands of additional minor operations and outpatient appointments every year. This additional capacity will directly support national efforts to reduce the time people wait for treatment and to meet Sláintecare waiting time targets for inpatient, day case and outpatient care. For patients, this means faster access to planned care, fewer last-minute cancellations and a clearer pathway from referral to treatment.
Describing the opening of the new facility as a “hugely significant step,” HSE CEO Anne O Connor outlined how “dedicated, high-quality facilities like this will allow us to increase surgical capacity, reduce waiting times and ensure that patients can access treatment in a timely and more predictable way. Critical to this is the separation of elective care from emergency pressures allowing us to make better use of our hospital system overall. It improves patient flow and supports our staff to deliver safe, efficient care. This hub here in Swords is a key part of our national elective care programme and reflects our ongoing commitment to reform and and to strengthening public health services in line with Sláintecare.”
A key objective of the hub is to separate scheduled day surgery from emergency and unscheduled care, so that planned procedures can go ahead even when emergency departments and acute hospitals are under pressure. By moving suitable day case procedures to the hub, hospitals across the Dublin and North East region will be able to use their theatre and bed capacity more effectively for urgent and more complex inpatient cases, improving patient flow and access to beds for those who need to be admitted. This more predictable environment also supports staff, improving utilisation and reducing avoidable cancellations.
Also addressing the gathering at the opening, Sara Long, Regional Executive Officer for HSE Dublin and North East, noted how “treating patients in a state-of-the-art facility designed and operated in line with national clinical guidance for elective care, means we can offer safe, high-quality care while protecting planned surgery from the pressures of emergency demand. This hub will help us make real progress on waiting times and ensure more people receive the right care, in the right place, at the right time.”
Minister for Climate, Energy and the Environment and Minister for Transport Darragh O’ Brien further outlined how the Hub will be “transformational for Swords, North County Dublin and the surrounding counties it will serve. By providing additional healthcare capacity, it will help ease pressure on our existing hospitals and shorten waiting times for patients. The state of the art facility will also bring jobs, investment and improved healthcare services to a rapidly growing region.”