MALAGA HOSPITAL CIVIL

The project concerns the construction and equipment of the new 'Hospital Civil' in Malaga. The new hospital, which will have 800 beds will integrate in one site the medical services currently being provided in different locations. The main investments are planned for the period 2022 - 2027. The project supports the construction of a third hospital building adjacent to the 'Hospital Civil' and the Mother & Child Hospital on the main campus of the Regional Hospital of Malaga. This has been recognised in August 2022 by the Council of the Government of Andalucía as a project of interest (PIA- Proyecto de Interés Autonómico) for the Autonomous Community of Andalucia.

The aim is to address the urgent problems related to the provision medical healthcare to the local population, especially in the Malaga province: deficit of hospital beds and operating rooms, absence of day-hospital facilities, accelerated population ageing, shortage of healthcare staff and other health sector resources, increasing burden of chronic disease and higher costs for the provision of healthcare services.

The Project supports the Health policy objective. Health externalities include, but are not limited to, containment of communicable and non-communicable diseases and their negative effect on individuals as well as the indirect impact on economic productivity from a healthier workforce and population. Public health care services provision and financing ensure that the quantity and quality of investments in the sector are in line with what is socially optimal. The Project aims to provide higher quality and more accessible healthcare services, responding to the demographic trends and requirements of the region.

Finally, EIB's financing provides the client competitive pricing, longer tenor than commercial lenders and flexible loan conditions, such as long grace and disbursement periods, which are therefore better adapted to the implementation of the Project. EIB's financing also supports Andalusia to achieve diversification of funding sources and contributes to the stability of their financing needs.

The project comprises the reconstruction, extension and equipping of medical facilities. Hospitals are not specifically mentioned in the Environmental Impact Assessment (EIA) directive 2014/52/EU amending Directive 2011/92/EU, though the project is covered by Annex II of the Directive in relation to urban development. The EIB's services will verify during appraisal the screening decisions of the competent authority. In line with Directive 2010/31/EU, the new and rehabilitated buildings will have to meet at least the relevant national targets on energy efficiency. The design energy performance of the hospitals and any specific related targets to be met will be verified during appraisal. It is expected that the project will bring wider benefits to the community as healthcare is an element of social cohesion and economic development. The EIB will encourage the promoter to take into account circular economy principles during the development and future operation of the hospital.

The promoter has to ensure that contracts for the implementation of the Project have been and will be tendered in accordance with the relevant applicable EU procurement legislation: Directive 2014/24/EU, as well as Directive 89/665/EEC as interpreted by the Court of Justice of the EU, with publication of tender notices in the EU Official Journal, as and where required.