An agreement document states the hospital's clinical services will be free of any religious considerations, while other safeguards include a 'golden share' being held by the State to ensure the hospital's independence.
A lien, or legal charge on the hospital, would also mean it cannot be sold. But not everyone is convinced these measures will guarantee that clinical decisions are not in some way subject to religious interference.
Couldn't this all be solved if the State just bought the land?
It could, but it wouldn't be simple. There is no guarantee that the St Vincent's Hospital Group would agree to sell.
The proposed location of the new hospital is right in the centre of the St Vincent's campus, adjacent to the main ward block of the existing public hospital.
A sale would be a much likelier proposition if the new hospital was to be located on the periphery of the campus.
Could the State seize the land?
In theory it could, but this would be a very expensive option, especially when you consider the State is being offered the use of the land for free. The land would have to be bought by way of a compulsory purchase order, an instrument used to allow public infrastructure projects to go ahead for the common good. Under CPO rules the hospital group would have to be paid the value of the land, which would be considerable given its Dublin 4 location.
A premium would also need to be paid for any potential diminution of value of the remaining lands in the campus, plus other costs arising from disturbance or loss of profits.
Could a CPO be subject to legal challenge?