Results 281-300 of 1,103,376 for in 'Dáil debates' OR (speaker:Tom Kitt OR speaker:Anne Rabbitte OR speaker:Ciarán Cannon OR speaker:Johnny Mythen OR speaker:Bríd Smith OR speaker:Patrick Costello OR speaker:Pauline Tully OR speaker:Eamon Ryan OR speaker:Róisín Shortall OR speaker:Mary Butler OR speaker:Neasa Hourigan OR speaker:Patrick O'Donovan OR speaker:Kathleen Funchion OR speaker:Matt Shanahan OR speaker:Matt Carthy OR speaker:Colm Brophy OR speaker:Richard Boyd Barrett OR speaker:Heather Humphreys OR speaker:Denise Mitchell OR speaker:Mick Barry OR speaker:Dessie Ellis OR speaker:David Stanton OR speaker:Francis Noel Duffy OR speaker:Alan Dillon OR speaker:Richard O'Donoghue OR speaker:Steven Matthews OR speaker:Niamh Smyth OR speaker:Marc Ó Cathasaigh OR speaker:Roderic O'Gorman OR speaker:Ivana Bacik OR speaker:Danny Healy-Rae OR speaker:Martin Browne) in 'Committee meetings'

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: I would just like to see the figures.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: This is heavily disputed. That is why we need to see the facts of the matter. The other point you made on efficiency and so on was to fully utilise the expensive equipment we have. There are many issues around that. I want to raise specifically the issue of radiation therapists. I have raised this umpteen times by way of parliamentary questions. It is claimed by SIPTU in particular that...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: I am sorry, I did not catch that.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: When will they be appointed? That is next year.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: Has that figure been agreed now?

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: I want to go back to the issue of outsourcing. The latter is currently rampant across the health and social care service. I am concerned that we could reach a tipping point with this. So many services, particularly in social care, are outsourced. We have got all of the private nursing homes, something like 80% of home care staff. We are increasingly outsourcing other diagnostics and...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: That is fine, but the problem is that if we continue in that vein, we create a strong incentive for staff to work in the private sector instead of the public sector. The private sector becomes the place where the jobs are available. Many things need to be looked at with regard to the speed, or lack of speed, in recruitment processes, centralised recruitment in the HSE and all of that kind...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: I am asking about individual, tailored budgets for the operation of each RHA, which is the eventual aim. When will that begin?

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: So there is discretion.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: The profile of the RHAs obviously has to be complete to do that fully.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: That is happening.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Mary Butler: I wish to come in on community beds. In next year’s budget, there will be an additional 174 community beds. I asked the HSE, when we were going through the CNUs, that instead of just replacing the beds, we start turning the dial. For example, in Clonmel CNU, 50 beds will be provided, of which 32 are additional. In St. Columba’s in Thomastown, there will be 95 beds, of which...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: The Minister of State indicated that earlier in the year and it is very welcome. I hope other parts of the health service emulate that. Please excuse me as I have to speak in the Chamber. I am sorry.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Mary Butler: Could I come in briefly on two things we have done as regards older people that have made a big difference? Earlier this year we completed the nationwide roll-out of mobile X-rays to people in nursing homes. It makes no difference which nursing home you are in - public, private or voluntary. We started on a pilot project but we have used it across the whole country now over 10,000 times....

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Mary Butler: I will come in there as it is something that overlaps both our briefs. As the Deputy would know, in 2023, I launched the clinical programme for dual diagnosis, which supports service users who present with mental health and a substance use disorder. In the mental health budget, there were 210 new whole-time equivalents. Ten of those posts are specifically for dual diagnosis to start up two...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: To pick up where I left off before I had to leave, regarding the handling of the budget going forward, the whole principle of the RHAs is that the area is to be profiled. There would be an allocation of funding based on established need, population size, socioeconomic profile and so on. I know there is a huge amount of work under way in the Department on that. We have not had a briefing...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: The classic example is when people are ready to be discharged from hospital but they are not discharged because there may not be enough of a home care budget locally. There should be that discretion to spend money where it makes the most sense.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Mary Butler: I am seeing the structures changing. I would have always dealt with the head of older persons, the head of mental health and the head of disabilities across each area. They have changed now already. There is a new integrated healthcare area, IHA. Our area, which was CHO 5 and CHO 6 combined, is now called Dublin and South East. There are now three IHAs there and they have broken up the...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: We had been getting regular briefings in the Department but we have not had any since before the summer.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: It would be important to organise that. I will go back to the issue of nursing numbers. I am thinking specifically about community and public health nurses, who are vital, whether it is for older people, infants or others. There are major shortages there in terms of unfilled posts. Is anything being done to address that issue? Is anything being done to take it out of the rest of nursing...