Results 341-360 of 1,149,999 for in 'Dáil debates' OR in 'Committee meetings' (speaker:Michael McDowell OR speaker:Jennifer Murnane O'Connor OR speaker:John Paul Phelan OR speaker:Gary Gannon OR speaker:Michael Moynihan OR speaker:James Browne OR speaker:Norma Foley OR speaker:Noel Grealish OR speaker:Kieran O'Donnell OR speaker:Fergus O'Dowd OR speaker:Robert Troy OR speaker:Ossian Smyth OR speaker:Cian O'Callaghan OR speaker:Johnny Mythen OR speaker:Aengus Ó Snodaigh OR speaker:Stephen Donnelly OR speaker:Damien English OR speaker:Dessie Ellis OR speaker:Leo Varadkar OR speaker:Joe McHugh OR speaker:Catherine Connolly OR speaker:Michael McGrath OR speaker:Aengus Ó Snodaigh16 OR speaker:Alan Farrell OR speaker:Willie O'Dea OR speaker:Colm Burke OR speaker:Aengus Ó Snodaigh26 OR speaker:Aengus Ó Snodaigh21 OR speaker:Róisín Shortall OR speaker:Alan Kelly OR speaker:Aengus Ó Snodaigh31 OR speaker:Heather Humphreys)

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

Colm Burke: The target date is for early to mid-December and the construction work has really progressed. I was down there recently - in the last three weeks - and I have seen the work that has been done. The people involved in it are doing everything possible to make sure we can reach that target date of somewhere in the first two weeks of December.

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

Colm Burke: My understanding is that wastewater can be analysed to see the issue regarding the use of drugs. I am not into the detail of it but it is a mechanism that can be used to identify and to evaluate. Regarding the figures we have, we rely on centres such as all the HSE treatment centres around the country but we do not have a full picture in real terms of the people who are using substances. It...

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)

Colm Burke: On that point, many of the drug treatment centres are helping people to get access to medical services. I visited a number of centres. In one centre, for instance, a GP and nurses are going into the street and getting people into the centre for medical treatment. Many people who have had an adverse event in an accident and emergency department are now afraid of going to an accident and...

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)

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...

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

Stephen Donnelly: The scheme is GP access to diagnostics. I will get the exact figure for the Deputy but I think it is approximately €46 million this year. It is very expensive. It is brand new. We started it in 2021. It is very expensive but has been very popular with GPs. To be honest, it is probably one of the reasons we see such an increase in referrals to the outpatient lists because more...

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

Róisín Shortall: Is the Minister saying that anybody who is referred for diagnostic testing by a GP is entitled to that free of charge?

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)

Róisín Shortall: The point was made to me by somebody that they were going to a private provider because VHI did not reimburse if it was done in a hospital. What is the situation regarding that?

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

Stephen Donnelly: If it is a referral from a GP, private health insurance is not needed. It is free.

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

Róisín Shortall: Is that for any diagnostic test?

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

Stephen Donnelly: Certainly, for the ones I have listed. There may be ones, cardiac CT, for example, that are not covered. I imagine there will be some tests that are not covered but the ones I have listed are.

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

Róisín Shortall: Chair, can I have two minutes to discuss the drugs services? I will be very quick on this. There is a lot of concern across the board about community drugs task forces - local and regional drugs task forces. The allocation to them has more or less stayed static for several years. I think it is €4.2 million this year.