Results 341-360 of 1,116,994 for in 'Dáil debates' OR in 'Committee meetings' (speaker:Tom Kitt OR speaker:Rose Conway-Walsh OR speaker:Mick Barry OR speaker:Noel Grealish OR speaker:Leo Varadkar OR speaker:Norma Foley OR speaker:Stephen Donnelly OR speaker:Damien English OR speaker:Martin Heydon OR speaker:John Lahart OR speaker:Cathal Berry OR speaker:Jennifer Murnane O'Connor OR speaker:Colm Brophy OR speaker:Bríd Smith OR speaker:Dessie Ellis OR speaker:Matt Carthy OR speaker:Patrick O'Donovan OR speaker:Brendan Howlin OR speaker:Jack Chambers OR speaker:Darragh O'Brien OR speaker:Peadar Tóibín OR speaker:Paul Donnelly OR speaker:Paschal Donohoe OR speaker:Michael Collins OR speaker:Holly Cairns OR speaker:Pádraig Mac Lochlainn OR speaker:Alan Kelly OR speaker:Alan Farrell OR speaker:Peter Burke OR speaker:Steven Matthews OR speaker:Mary Butler OR speaker:Michael Healy-Rae OR speaker:Gerald Nash OR speaker:Róisín Shortall)

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)

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)

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.

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

Stephen Donnelly: The regional executive officers have already been given that authority. It marks a substantial shift. I will give one example to illustrate it. The Wicklow town primary care centre urgently needs therapists. During the embargo, one of the major hospitals in the same region hired quite a number of staff. Not only did the hospital have no money and no sanction to hire those staff, it was...

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...

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

Stephen Donnelly: I am taking it very seriously. We have had several debates in the Dáil on exactly this, which I think the Deputy might have been involved in. I wrote to the Chief Medical Officer recently to ask for a full review. There are certain areas, particularly in more disadvantaged communities, where they simply do not have enough staff. There are other areas where they are well resourced....

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

Róisín Shortall: It is the ultimate early intervention service. It is madness and very wrong if there are widespread vacancies. The presentation referred to facilitated access to hundreds of thousands of diagnostic scans for GP patients. Will the Minister clarify how that system works at the moment? I am hearing mixed views on it. In some cases, people are saying they can no longer go to a hospital for...