In 2017, life expectancy at birth was 69.8 years for men and 79.7 years for women, compared to 78.3 and 83.5 years respectively in the European Union (EU). Healthy years of residence for women and men were 52.2 and 50.6 respectively, lower than the EU average of 63.5 and 64.3 years (European Core Health Indicators). In 2018, the most common causes of death among the Latvian population were cardiovascular diseases (818 deaths per 100 000 people, 55% of all) and oncological diseases (315 deaths per 100 000 people, 21% of all), which were the 2nd and 3rd highest indicators respectively in the EU (Central Statistical Bureau). Child health care also needs improvement, as in 2018 the infant mortality rate was 3.2 children under 1 year of age from 1 000 births (Eurostat). Based on statistical indicators, cardiovascular diseases, oncological diseases and infant health are considered priority areas for development in Latvia. In the healthcare sector in Latvia, the problems of unequal access to tertiary healthcare services have not been fully addressed, as a large proportion of patients have to wait in long queues or use paid services (41.8% of all healthcare expenditure in 2017 is covered by private funds). Latvia spent 6.2% of GDP on healthcare in 2018, below the OECD average of 8.8%. 25% of the Latvian population with low incomes have indicated that they do not receive health care services if necessary, while the OECD average is 5.1%. Consequently, a large proportion of the population, especially those at risk of poverty, do not receive treatment because of high costs or are receiving treatment late, which increases the likelihood of suffering from various disease-related symptoms over time or poses a direct risk of death. PSKUS is one of the leading multi-profile hospitals in Latvia with special achievements in the fields of cardiology, ophthalmology, oncology, transplantation, internal medicine and surgery, however, its buildings do not comply with the guidelines of modern practice. The microclimate of the premises and the sanitary technical condition adversely affect the safety of patients and staff. It is possible to ensure with great difficulty the requirements of medical technologies (area of premises, ceiling height, fire safety, power supply, air exchange, etc.) corresponding to regulatory enactments (Cabinet Regulation No 60 of 12.02.2009). The units of PSKUS are located in separate buildings, so it is impossible to ensure a fast, accurate and high-quality flow of patients. Most buildings are cultural monuments, and their substantial reconstruction and adaptation to modern requirements is not allowed. The hospital is located in a densely populated area, however, about 50% of patients come from regions outside Riga. The aim of the project is to improve access to quality health care services, especially for people at risk of social and territorial exclusion and poverty, by developing PSKUS health care infrastructure in priority areas: Cardiovascular, oncology, perinatal and neonatal health care. The target group of the project are medical institutions, in this case PSKUS, which provide both outpatient and inpatient health care services, as well as residents in the territory of its crew (481 452 - Latvian health care infrastructure master plan) and in the entire territory of Latvia (1 839 598 - VM forecast). The basic needs of patients, which the Project will contribute to, are accessible, high-quality medical services in terms of distance, cost and waiting time, which require high-quality infrastructure, medical equipment and the environment. The needs to be solved in the project are modern medical infrastructure, which ensures patient safety, efficient use of financial and personnel resources and provision of high-quality medical services. The goal will be achieved by creating the A2 building, where several surgical disciplines will be consolidated, work in the women's and children's health clinic will be combined, modern intensive care, treatment of neurological patients will be provided, as well as the flow of emergency medical care will be significantly improved. At the same time, the use of premises and equipment will be optimised and human resources consolidated, increasing the efficiency of the hospital. This, according to the possibilities of the State budget and the amount of paid services, will allow to serve about 25 thousand day inpatients and 51 thousand inpatients per year after the completion of the project, to reduce the duration of treatment by 10%, the length of the queue in the day inpatients by 37%. Consolidation of services will contribute to cost-efficiency by addressing the situation in which the cost price of PSKUS services is higher than in other hospitals, as well as by implementing the cost-efficiency improvement provided for in the MoH reform plan. As a result of falling queues, the volume of services will increase in sectors where PSKUS is currently unable to provide demand-driv