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Health Expenditure in Ireland 2020

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Current Expenditure on Healthcare in Ireland was €26.5 billion in 2020

In 2020 Ireland spent €26.5bn on current healthcare costs, equivalent to 7.1% of GDP or 12.7% of GNI*. This was an 11.3% increase over the level of spending in 2019, which is explained by the additional costs due to COVID-19.

For comparison, the average increase in previous years was 5.8% per annum (Table 2.1)

The System of Health Accounts measures the current expenditure on health care for residents of Ireland. A number of classifications are used in this publication which are explained in the Background Notes.

Table 2.1: Current Health Expenditure in Ireland, 2016 to 2020
    
Year€ million% of GDP% of GNI*
201620,1077.411.5
201721,2197.111.4
201822,4326.911.3
201923,7926.711.0
202026,4797.112.7

Health Expenditure over time

While the System of Health Accounts focuses on spending on healthcare for consumption purposes Figure 2.1 includes capital expenditure to illustrate the overall health spending in Ireland. (Note there is a break in the series in 2011, see Background Notes)

In 2020 for every €100 spent on healthcare €96 was current expenditure and €4 was capital expenditure. Between 2011 and 2020 current expenditure on healthcare increased by 46.1% while capital spending rose by 70.9%, (see Table 2.2).

Prior to the significant increase in GDP in 2015 current health expenditure in Ireland was higher than the OECD average of 8.7%. As a result of the level of GDP in recent years the ratio of health spending has been below the OECD average (7.1% of GDP compared with OECD average of 9.7% in 2020), (see Figure 2.2).

Thus, using GNI* (which excludes globalisation effects, which disproportionally impact the measurement of the size of the Irish economy), may be a more appropriate indicator for comparison purposes. By this metric current health expenditure in Ireland was 12.7% in 2020.

Total Health Care ExpenditureCapital ExpenditureCurrent Expenditure
20006.921752326866130.5215850325071546.40016729435898
20018.531808868774490.7272654648779897.8045434038965
20029.89629792846740.8216611739973529.07463675447005
200310.95025280189780.74878900851122710.2014637933866
200412.19980448997610.91825819936731111.2815462906088
200513.68085598918150.66528365298477613.0155723361967
200614.43782627948090.53865299183476713.8991732876462
200716.26326085953150.87659973985395815.3866611196776
200817.89795694988560.80717163357750317.0907853163081
200918.5089382275490.67078973173069817.8381484958183
201018.19897394794470.58262892166607617.6163452836763
2011b18.97207693056630.719897654472318.252179276094
201219.16375498638130.510726606318318.653028380063
201319.39276268918110.897678372851118.49508431633
201419.48511404590670.878346384247718.606767661659
201520.29813671841791.068072782801919.230063935616
201621.33381456752561.226595730038620.107218837487
201722.40341770438441.184367312621421.219050391763
201823.84670855847631.415654612739322.431053945737
201924.81625898734481.053875814900623.7623831724442
202027.6791340913731.231264961534926.5

Please note: There is a break in the series in 2011.

Current Expenditure % GDP, IrelandCurrent Expenditure % GNI*, IrelandCurrent Expenditure % GDP, OECD Average (adjusted)
20005.906392851937046.778545716239477.2498656357818
20016.402782279455347.5026372797597.50368637450284
20026.675177463456127.982615019766067.74853027001789
20036.997848671550688.163522129082448.00322882478371
20047.223610728030418.417556773867948.03553801340461
20057.657209954345118.910991453079337.96486111111111
20067.516195004215918.665103917387467.90497222222222
20077.808347518790568.986223460170867.87927777777778
20089.1128012265235310.46844623074128.16136111111111
200910.528205118170312.52459083434678.82905555555555
201010.602228785832912.49412773582158.68128947368421
2011b10.676896911977814.43237582685448.6321052631579
201210.652665702343814.74835166885898.67131578947369
201310.29696017193113.50927598230228.69639473684211
20149.5349012339506212.48318386765628.67855003247239
20157.3160478636353811.82273613581548.68808020693777
20167.4248973767449111.50753132458938.75233940465118
20177.0639772640964411.39489577297828.7129467701078
20186.8601720797981611.28919706654658.73829400209995
20196.6793159501618511.12816648201118.83263016081518
20207.09310776712.704512489.70145454545455

Please note: There is a break in the series in 2011.

Table 2.2: Revised Health Care Expenditure in Ireland, 2011 to 2020
           € million
  2011201220132014201520162017201820192020
Total Health Care Expenditure18,97219,16419,39319,48620,29821,33422,40323,84824,84627,710
Capital Expenditure17205118988781,0681,2271,1841,4161,0541,231
Current Expenditure18,25218,65318,49518,60719,23020,10721,21922,43223,79226,479
 Current Public Expenditure13,12213,38313,05613,21213,84814,62215,48616,62817,75620,872
 Current Private Expenditure5,1305,2705,4395,3955,3835,4855,7345,8046,0375,607
            
Current Expenditure:           
 % GDP, Ireland10.710.710.39.57.37.47.16.96.77.1
  % GNI*, Ireland14.414.713.512.511.811.511.411.311.112.7
  % GDP, OECD Average (adjusted)28.68.78.78.78.78.88.78.78.89.7
1 CSO, National Income & Expenditure 2020
2 OECD average recalculated with revised Irish data and latest GDP estimates