Fair Deal Facts

Fair Deal facts

  • No negotiation for HSE nursing homes that are paid multiples of fees payable to private and voluntary nursing homes.
  • Fees are not commensurate with the realities of costs incurred to provide high-dependency, specialised care on a 24/7 basis.
  • No recourse for independent appeal during the fee ‘negotiation’ process with the NTPF for private and voluntary nursing homes.
  • Private and voluntary nursing homes are closing their doors.


Introduction of an independent appeal process for nursing home providers under the Nursing Home Support Scheme (Fair Deal).


Extract from NHI submission to review of system for setting prices under Fair Deal

“Where the Minister’s Designate and the person carrying on the business of a nursing home fail to reach an agreement of the type referred to of the definition of “approved nursing home”, either party may seek, not earlier than 6 weeks after the date on which negotiations commenced, an independent and binding assessment of the matter to be determined by a member of a panel of arbitrators established by the Chairman of the Chartered Institute of Arbitrators, Irish Branch who shall be requested to make such appointment within a period of ten (10) days of such request. The arbitrator so appointed shall be requested to give his determination of the matter so referred to him within a period of thirty (30) days of his appointment. In such case, any administrative fee to be determined by the Chairman of the Chartered Institute of Arbitrators, Irish Branch shall be discharged jointly and in equal proportions by both parties.”