Committee Reports::Report No. 19 - Proposed Dublin Dental Hospital::21 March, 1986::Appendix


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Committee Reports > List of Committees > Dáil > 1986 > Committee on Public Expenditure > Report No. 19 - Proposed Dublin Dental Hospital

Appendix 3

COST COMPARISONS

RUNNING COST COMPARISONS BETWEEN DUBLIN & CORK DENTAL HOSPITALS

DENTAL SCHOOL INCOME FROM THE EXCHEQUER

	£000
	Cork		Dublin
	1985	1986	1985	1986
Direct Department of Education Grant	379	439	1494	1545
Direct Department of Health Grant	267	230	774	695
Indirect HEA Grant via College	495	495
Apportionment of Overheads (Library etc.)	146	86	-	-
Health Board Grants	-	-	6	6
TOTAL EXCHEQUER COST
	1287	1250	2274	2246
a) Per Dental undergraduate		11947		18410
b) per student		11616		15597
c) per graduate		32		62389
Student Numbers
Numbers Graduating		39		36
Undergraduates		10ill		122⁽¹⁾
Post Graduate Students		2		8
Craftsmen/technicians (3 years)		6⁽²⁾		-
Dental Nurses (2 years)		-		14⁽³⁾

CAPITAL COST OF DUBLIN & CORK DENTAL SCHOOLS

	Dublin		Cork*
Building	19.259		1.951
Equipment	4.000		1.104
Fees	1.741		213
Inflation Provision	2.500		-
Budget	17.5	Total	3.267

Total No. of Students

a)	Planned	-	75
b)	Actual	105	116
c)	Dentistry only	160	103

The subsequent tables were submitted to the Committee by the Department of Education. After adjusting the building programme to remove roads and other shared services from the Dublin Project and after adding to the actual cost of the Cork Project, the inflation index provided by the Royal Institute of Chartered Surveyors, they conclude that Dublin has a lower capital cost per student. The data goes on to show a lower cost per patient on the basis of Dublin projections and Cork actuals, though the Dublin figures are based on the number of consultations or treatments and the Cork figure is based on the number of visits.

This data does not take due account of the fact that Cork is built and the actual final cost is as stated with the Exchequer/ taxpayer having the benefit of whatever services were already on site and whatever cost increase it avoided by having it completed in 1980.

1.Neither the data for student numbers nor costs include pre-clinical training. The Dublin course is four years and four months and the Cork course is four years. As a result, there is an overlap of students for part of the year. The average number of students at Dublin Dental Hospital taking this into account is 122.

2.The Dental Craftsmen Course is a 3 year course, one year of which is full time. In subsequent years the training involves short block release courses provided by the Dental Hospital which involves a further two groups of 6 part-time students each year.

3.While the Dental Nursing Course is over two years it has no recognition and the intention is that it will become a one year course with a diploma for those who sucessfully complete a second year. These diplomates will then be be described as hygenists.

7.	Staff Numbers	CORK	DUBLIN
	Consultants	8	16
	College Lecturers	2	-
	Visiting Dental Surgeons	4.5	16
	(full-time equivalents)	4.5	16
	Registrar	3	6
	House Surgeons	1	4
	Matron	-	1
	Nurses	3	4
	Dental Surgery Assistants	14	18
	Trainee Dental Surgery Assistants	-	30
	Radiographers	2	3
	Instructor Technicians	4	7
	Dental Craftsmen	7	15
	Porters, Cleaners, etc.	3	15
	Administrative Staff	10	33
		61.5	168

BUILDING

Comparison between the Cork Dental School/Hospital and Dublin Clinical Sciences Complex (Dental School/Hospital and Shared Facilities.

Building Costs - Cork	IR£	Building Costs - Dublin	IR£
Draft Final Account	1,950,824	Budget at July, 1985 terms	9,258,800
(Date of practical completion 31 July, 1980)
Account adjusted by RICS index to July 1985 terms (100 - 184)	3,589,516	^1/ Adjustment to Budget for comparison purposes	7,726,327

	CORK	DUBLIN
	Adjusted Terms	Adjusted Projection
Cost (£)	3,589,516	7,726,327
Gross Area (m²)	3454	8642^2/
Student Place Nos.	113	285
m²/Student	30.6	30.3
Cost/m² (£)	1039	894
Cost/Student Place (£)	31766	27110
Dental Chairs Nos.	64 (Actual)	128 (Planned)
Patients Visits per year	26500 (Actual)	125,000 (Planned)
Cost/Patient Place (£)	135	62

EQUIPMENT

COST COMPARISON BETWEEN THE CORK DENTAL SCHOOL/HOSPITAL AND DUBLIN CLINICAL SCIENCE COMPLEX (DENTAL SCHOOL/HOSPITAL AND SHARED FACILITIES).

Equipment Costs - Cork.		Equipment Costs - Dublin
	IR£		IR£
Draft Final Account Prices	1,103,777	Budget at July, 1985 terms	4,000,000
Tender dates varied - Account adjusted by Building Unit index on year of tender to July, 1985 terms - (Average 1.65)	1,821,232
Cost per student Place (based on 113 students)	IR£16,117	Cost per Student Place	IR£14,035

* £3.589M RICS index adjusted to 1985 prices

^1/ Main Service roads, shared lecture rooms and Library in the Cork Complex were included in the Cork Regional Hospital Contract whereas all these facilities in the Dublin Complex are included in the Dental School/Hospital Building cost estimate. Therefore, to compare “like” with “like” the cost of these elements needs to be either deducted from Dublin or added to Cork in order to get a meaningful comparison. That information on the Cork Regional Hospital is not available.

Main Service Roads and related developments	IR£587,305
Shared Lecture Rooms and Library	945,168
	IR£1,532,473

^2/ Area adjustment for comparison purposes (10,000m² reduced to 8642m²)