The HSE Annual report and financial statements describe the performance and operation of the Health Service Executive during 2025. It has been prepared according to legislative requirements. The report is not only an instrument of accountability but also information about the delivery of a nationwide health and social care service.

P.64 Social inclusion - Key Performance Indicator data

• % of new individual homeless service users admitted to Supported Temporary Accommodations (STA), Private Emergency Accommodations (PEA), and/or Temporary Emergency Accommodations (TEA) during the quarter whose health needs have been assessed within two weeks of admission 
• % of substance users (under 18 years) for whom treatment has commenced within one week following assessment

P.20 VI. Public health legislation: Work continued to implement and inform the development of key environmental and public health legislation, including enforcement of newly enacted provisions of the Public Health (Tobacco and Nicotine Inhaling Products) Act 2023, and preparation for the commencement of additional sections.
VII. Statutory programmes: Risk-based control programmes were delivered in relation to food safety, sunbeds, alcohol, port health, cosmetic products, tobacco, e-cigarettes and import/export controls, including 53,831 inspections, 15,671 samples gathered, 9,641 investigations and 75,466 import/ export actions (2% increase), protecting public health by managing, monitoring, and controlling factors that can cause illness, injury or death.

P. 24 V. Substance and alcohol use: The HSE delivers drug and alcohol information through drugs.ie, askaboutalcohol.ie and the Drug and Alcohol Helpline. In 2024 (latest available data), there were 6,488 contacts to the helpline, and the web content on alcohol and drugs attracted over 700,000 site visits. During 2025, opioid agonist treatment was provided to 9,893 people and 4,571 units of naloxone were distributed, with 417 administrations reported (2.6% decrease from 2024)
VI. Safer Nightlife Programme: The HSE Safer Nightlife Programme continued its harm reduction work at music festivals during the summer, providing on-site checking to identify risky batches of drugs with 176 drug samples submitted by festival attendees for testing. In addition, drug harm reduction teams provided hundreds of drug interventions with 28 hours of outreach in terms of support and harm reduction advice.

P.99 The OECD recognises that combatting risk factors for health throughout the lifecycle is key to long-term health gains at low cost. However, obesity rates continue to rise and are greater in Ireland than across the average OECD country. Harmful alcohol use is a concern, with a higher-than-average consumption rate in Ireland. Whilst smoking rates have fallen, 15% of adults still smoke daily, and vaping rates are increasing.

Appendix 1 – Revenue Grants and Capital Grants (funded organisations)