Long Stay Charges

About Long Stay Unit

Functions and Responsibilities

  • Overseeing the implementation of the Health (Repayment Scheme) Act, 2006 and related matters.
  • Monitor and liaising with the HSE on the operation of the Long Stay Charges repayment scheme and on emerging issues.
  • Oversight of the Health Repayment Scheme Appeals Office. Liaison and administrative support to the National Oversight Committee.
  • Management of long stay and disability litigation.
  • The development of policy on long stay charges and monitoring of, and liaison with, the HSE on their implementation of regulations on long stay charges.

Key Objectives and Strategies

The Health (Repayment Scheme) Act 2006

The Health (Repayment Scheme) Act 2006 came into effect on 30 June 2006. The Act provides a legal framework to repay recoverable health charges for publicly funded long term care. Recoverable health charges are charges which were imposed on persons with full eligibility under the Health (Charges for In-patient Services) Regulations 1976 as amended in 1987 or charges for in-patient services only, raised under the Institutional Assistance Regulations 1954 as amended in 1965. The Repayment Scheme was launched publicly by the Health Service Executive (HSE) and the Scheme Administrator KPMG/McCann Fitzgerald on 14 August 2006. Closing date for receipt of applications to the Scheme was December 31, 2007.


Principal Officer Chris Costello
Assistant Principal Officers Ciarán Ó Maoileoin
Alison Keogh
Staff Officer Samantha Kenny
  • Telephone: 01 635 4069

Agencies/Working Groups/Service Providers

  • HSE/DoHC Long Stay Charges Working Group
  • The long stay charges/repayment scheme liaison group meets on a regular basis to monitor the progress of repayments made under the health repayment scheme and to address any issues arising from the appeals process established under the scheme. The main function of the group is to ensure that the repayment/appeals process is completed in an efficient and equitable manner. The group also monitors the implementation of the charges for publicly funded long term care.

  • HSE/DoHC Long Stay Legal Liaison Working Group
  • The Long Stay Charges Legal Liaison Working Group meet on a regular basis to facilitate the flow of information and to clarify the information requirements between the Department, HSE and Chief State Solicitors Office with respect to Nursing Home Litigation. The main function is to ensure that the litigation process is managed in an efficient and timely manner.

Section 15

Record Classes:

  • Long Stay Charges
  • Legal Cases
  • Patient Private Property Accounts
  • Special Accounts

Significant Systems:

Standard Departmental Databases

Personal Information Holdings

Personal Information relating to plaintiffs in legal cases. Representations sent in by, or on behalf of, individuals to the Minister may contain personal information


As above.


Legal Adviser, Legal Team, Department and HSE staff as appropriate.

Notes: including information on admin access practice, ebriefs etc:

Administrative access to any records considered on a case by case basis. Legal privilege/confidentiality requirements will be applied.