
Plans for HSE primary care centre delayed over residents' concerns it wlll house methadone clinic
Plans for a new primary care centre in part of the former Baggot Street Hospital in Dublin have been placed on hold following an appeal by both the HSE and objection from local residents who fear the facility may include a methadone clinic.
Several appeals have been lodged with An Bord Pleanála against the recent decision of Dublin City Council to grant planning permission for the proposed new medical centre to be located at the rear of the main hospital building on Baggot Street Upper.
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The HSE is hoping to develop the new primary care centre including a pharmacy in vacant buildings which form part of the former Baggot Street Hospital site at the junction of Haddington Road and Eastmoreland Lane.
The red-bricked building known formally as the Royal City of Dublin Hospital, has been closed as a hospital since 1987.
The new facility to be known as The Haddington Road Primary Care Centre will incorporate an existing three-storey Victorian building and a newly constructed building up to six storeys in height.
The plans also provide for the demolition of some buildings dating from the 1950s which were used by the HSE to provide community health services including a drug treatment clinic up to 2019.
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However, the HSE has separately appealed a condition imposed by Dublin City Council as part of the grant of planning permission to omit one floor of the proposed development because of the local authority's serious concerns about the height of the development.
The HSE claim the requirement to omit one of the six storeys would have minimal impact on the overshadowing of neighbouring properties but would make the development of the primary care centre 'unfeasible".
It is also appealing a requirement to submit a maintenance and works programme for the main hospital building.
In its appeal, the HSE said it believed the conditions were unjustified and would have a severe negative impact on the efficient operation of and delivery of services at the proposed primary care centre.
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The HSE said it had already reduced the ceiling height of each floor which had reduced the building's overall height by 1.85 metres to 23.1 metres.
The council's ruling is also being appealed by several local residents and business owners including the Pembroke Road Association.
Although the residents' group recognised the need for a new primary care centre in the area, it criticised its proposed height which it said would be 'disruptive' and 'entirely excessive".
Together with other individual appellants, the Pembroke Road Association also expressed concern that a methadone clinic is being considered as part of the new facility.
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The group claims the layout of the proposed centre with an entirely separate pharmacy 'would indicate a methadone dispensing service".
However, Dublin City Council said any issue of the medical centre being used for dispensing methadone was under the remit of the HSE's operational governance and healthcare regulations rather than planning control.
Planning files submitted by the HSE make no reference to any type of drug treatment clinic being proposed.
The HSE said it had identified a need to provide a new primary care centre in a modern purpose-built building to serve the healthcare needs of the local community in the Baggot Street and Sandymount areas.
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The new facility will provide a range of services including public health nursing, occupational therapy, physiotherapy, social work, speech and language therapy, dietetics as well as a pharmacy.
Separately council planners expressed concern about the lack of any future plans for development of the former hospital building, which it described as 'a sensitive protected structure' and asked the HSE to re-examine its potential reuse.
However, the HSE said a report into the potential use of the building for use for healthcare purposes, which was carried out in October 2022, had concluded that it would 'present a number of serious challenges in terms of structure, fire safety, access, services, conservation, cost and time".
The HSE claimed the proposed development would not involve any works that would affect the special character of the protected structure or result in the removal of significant original fabric or features of interest.
The HSE's chief executive, Bernard Gloster, informed the Department of Health last year that the former hospital is surplus to its needs as it is no longer deemed suitable for delivering public healthcare services.
Last month, the HSE indicated the building is to be sold on the open market as no State agency wanted to use the premises whose condition has deteriorated over the years.
However, the HSE said the absence of a confirmed use for the buildings should not hinder the development of the proposed primary care centre.
Council planners said a masterplan for the entire site would have been better 'in terms of a meaningfully developed site rather than the current proposal".
'The redevelopment of part of this site without consideration of this structure is worrying and is not considered planning best practice,' they added.
The council said it has included 'robust conditions' to the grant of planning permission as the response of the HSE to a wide range of concerns raised over the plans was 'disappointing.'
'Minimal alterations were made which did not address these concerns,' it observed.
The council acknowledged that they might affect the functionality of the new facility but said it had to ensure the amenity of adjoining structures and the future development potential of adjoining sites was protected.
It also expressed disappointment with the delay by the HSE in disposing of the main hospital as it had a detrimental impact on the fabric of the building that was being protected.
A ruling by An Bord Pleanála on the various appeals is due by early October.
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