A new emergency department (ED) at Altnagelvin hospital remains a priority project but there is currently no funding for it, Northern Ireland's health minister has said. Robbie Butler, who visited the Londonderry hospital on Wednesday, said a new ED would be "incredibly high on the project list if the money becomes available". A new ED is one of two Western Health and Social Care Trust priority capital projects and has an estimated cost of around £73m.
Altnagelvin's emergency department - the oldest one operating around-the-clock in Northern Ireland - was designed to treat about 40,000 patients a year but is now dealing with up to twice that amount. The minister said the ongoing work by the trust had helped mitigate the waiting times at the ED but that these were still "much too long". "People living in this area will know that acutely," he said.
"They're messaging me, they're emailing me, and I hear those messages. "But the senior leadership team of the Western Trust, like me, have an ambition to see that reset and transformed. "If the money became available, I would say the case has been well made." In July 2025, the trust submitted revised proposals for the new emergency department at Altnagelvin to the Department of Health.
At that time, Butler's predecessor Mike Nesbitt told the Stormont Assembly that any progress would depend on the availability of both capital funding and the running costs. Meanwhile, Butler also told BBC News NI the Secretary of State Sir Chris Bryant had fallen short in relation to what is being offered on the budget. The executive has not agreed a budget for this year, blaming the UK's devolution funding formula for leaving it short.
Extra funding of about £1.5bn would be released in three tranches, with £525m available this year. Bryant has accused executive ministers of being financially "irresponsible". Butler said: "I don't agree with the Secretary of State on this because we are not funded at the agreed level of need." Trust 'committed to improving facilities' with £2.5m investment in Altnagelvin ED Family 'horrified' over granddad's four-day hospital bed wait A decade after a critical health service review, has there been any change?
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