It costs about €325,000 in construction and capital costs alone nowadays to provide an additional hospital bed. That’s according to a confidential submission drawn up by the Department of Health for the new Oireachtas committee looking at the future of the health service. It says that “based on current tender returns and space standards, the construction costs of a replacement hospital bed is in the region of €325,000, not including equipping costs”. As a rule of thumb, it adds, annual ongoing revenue costs of operating an additional hospital bed run to €78,000 per year.