Results 321-340 of 1,082,715 for in 'Dáil debates' OR (speaker:Tom Kitt OR speaker:Róisín Shortall OR speaker:Jennifer Murnane O'Connor OR speaker:Stephen Donnelly OR speaker:Brendan Griffin OR speaker:Verona Murphy OR speaker:Michael Collins OR speaker:Noel Grealish OR speaker:Thomas Byrne OR speaker:Ivana Bacik OR speaker:Damien English OR speaker:Michael Fitzmaurice OR speaker:Hildegarde Naughton OR speaker:Alan Farrell OR speaker:Aodhán Ó Ríordáin OR speaker:Darragh O'Brien OR speaker:Seán Haughey OR speaker:Sorca Clarke OR speaker:Jack Chambers OR speaker:James Browne OR speaker:Paul Murphy OR speaker:Rose Conway-Walsh OR speaker:Gary Gannon) in 'Committee meetings'

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

Stephen Donnelly: What does the Deputy mean by "separate budgets"?

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)

Stephen Donnelly: The way the budget will be reported-----

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)

Stephen Donnelly: There is discretion now. At this meeting next year or at the budget meeting, we will start reporting region by region, which will allow for some important comparisons between the different regions. There is discretion within the regions. It is nuanced. We cannot provide full discretion because there are things we all want to roll out. If we fund the national cancer strategy, it is not up...

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)

Stephen Donnelly: Yes, before we can do it 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)

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)

Stephen Donnelly: The officials will correct me if I am wrong but I think that is the Brexit adjustment for Dublin Airport and the two ports.

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

Stephen Donnelly: In the agreement with the Minister, Deputy Donohoe, earlier this year, we got agreement to permanently fund about 4,000 staff for whom there were no wages allocated by Government. They fall into two groups. The first is the extra 2,000 the HSE hired last year. There was no funding for that. The HSE obviously paid their wages, but it was not funded to pay their wages. Therefore, we have...

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

Stephen Donnelly: Yes.

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

Stephen Donnelly: We could add 10,000 staff to the HSE today who would undoubtedly provide better and faster patient care – another 10,000.

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

Stephen Donnelly: We have to hire within the funded allocation.

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

Stephen Donnelly: I thank the Chair. I agree with everything he said, particularly when we look at the challenges the Government faced coming into office. As he very fairly stated, many of those challenges still exist. What we have been working on every day is to address them and to do a small number of important things, namely make it quicker for people to access a doctor, a nurse or a therapist, make it...

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

Stephen Donnelly: In Tallaght University Hospital, just in the lifetime of this Government, the increase in the nursing workforce has been over 50%. There are an extra 620 nurses working in Tallaght University Hospital today who were not there four years ago. That is a vast increase, and they are doing great work. As a result of this increase, the waiting times at the hospital are falling and the surgical...

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

Stephen Donnelly: We do not have those figures with us.

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)

Stephen Donnelly: We are going to see changes next year. The budget for next year will have a subheading for each of the six regions. We are moving to regional reporting, which is only one thing, but it is an important change in the system and in how everybody thinks about it. Work is ongoing on healthcare econometrics and what the demand is region by region. There will be adjustments over time on that....

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.