Results 21-40 of 1,137,073 for in 'Dáil debates' OR in 'Committee meetings' (speaker:Joe O'Brien OR speaker:Dara Calleary OR speaker:Stephen Donnelly OR speaker:Joe Flaherty OR speaker:Seán Fleming OR speaker:Darragh O'Brien OR speaker:Brendan Smith OR speaker:Imelda Munster OR speaker:Michael Ring OR speaker:Mattie McGrath OR speaker:Carol Nolan OR speaker:John McGuinness OR speaker:Robert Troy OR speaker:Frank Feighan OR speaker:Damien English OR speaker:Emer Higgins OR speaker:Niall Collins OR speaker:John Brady OR speaker:Catherine Connolly OR speaker:Colm Brophy OR speaker:David Cullinane)

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

David Cullinane: Let us park that for one second. That is a figure. Is the Minister contending that no posts have been abolished that were vacant on 31 December 2023? Is it his contention that no posts have been abolished or is he simply saying that the figure of 2,000 is something he wants verification on? That is an important distinction.

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

Stephen Donnelly: It is. Something that is very clear - let us just stick with nursing and midwifery for now but it applies across the board - is that the total funded positions in nursing and midwifery today are well higher than they were this day-----

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

David Cullinane: We know that. It is my last question, and the Minister did not answer it, with respect. I accept what he said. That is not in dispute. What is in dispute is that there were vacant posts on 31 December 2023 that were abolished. If the Minister is disputing the figure from the INMO, has he the HSE's figure? I am asking him a very straight question. He is the Minister. Have posts been...

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

Stephen Donnelly: I will answer the Deputy's question. We need to see the INMO or Fórsa figure of 2,000. We will verify it. It is the case that there are teams, be they in the community or in hospitals, which are under a lot of pressure. There are teams that might have had one or two vacant posts in January, where they do not currently have agreement to hire into those posts so I-----

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

David Cullinane: You do not know the number.

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

Stephen Donnelly: -----absolutely accept that.

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

David Cullinane: You do not know the number.

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

Stephen Donnelly: The point is there are thousands more posts now than there were. What can be done? Hospital managers and regional executive officers can redeploy. Ultimately, there are thousands more posts today than there were this time last year. We are talking about an overrun of €1.7 billion. We have to get away from a world where individual hospitals, and it is mainly the hospitals rather...

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

David Cullinane: What we need is a workforce plan that is aligned with recruitment, if we are training healthcare professionals. That is why we have training targets. We are training them to come to work in the public system. Every graduate should be offered a job in the public system. That is not runaway recruitment. It is common sense. If the Minister is able to furnish figures for vacancies that were...

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

Stephen Donnelly: To be clear, for funded vacant posts, the budget has funded an extra 3,500 posts for next year. This year, there are approximately 3,000 funded vacant posts. Between now and the end of next year, there will be approximately 6,500 fully funded vacant posts.

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

Stephen Donnelly: It is very disappointing. I absolutely acknowledge that there are teams. There are community-based teams in primary care, for example, and teams in our hospitals, where they really are under pressure. There were vacancies in their teams through the embargo and they no longer have sanction to immediately hire into those. However, as envisaged under Sláintecare, we are pushing...

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

Stephen Donnelly: There is a lot of data. There is the health service performance assessment, which is an online tool that went up earlier this year. It shows a lot of comparative information in terms of how-----

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

Stephen Donnelly: If the Deputy searches for "HSPA" or "health service performance assessment tool", he will get it. There is a lot of information there. The short version of it is, looking at western Europe, which really is our comparative group, in some areas, we are around average but getting better, we are below average in some areas, and we are doing really well in some areas. In areas like women's...

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

Stephen Donnelly: I might ask Mr. McGlynn to respond to that question. We certainly can get the Deputy a more detailed note. My officials have asked for a minute to confer on the Deputy's question.

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

Stephen Donnelly: I agree with the Deputy that there is probably nothing to be served by going back over this matter. It was a fairly well ventilated budget discussion last year. The settlement this year is significant, with €1.5 billion for ELS this year, €1.2 billion for next year and €900 million for one-off to core. Critically, as well as that, there is now a very clear workforce...

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

Stephen Donnelly: It did, yes.

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

Stephen Donnelly: I will talk to the chief nurse about that. The very clear advice I have from the Department is that the figure of 2,000 additional nurses is what is required for phase 1 and phase 2, that is, all the medical and surgical wards and the emergency departments. I am advised that 1,500 of those are in situ and another 500, which are fully funded, are to be hired. If there are additional issues...

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

Stephen Donnelly: No problem at all. If that does prove to be the case, and if it were the case that 2,000 needs to be 2,150 or whatever that might be, we will do that.

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

Stephen Donnelly: Which is the framework.

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

Stephen Donnelly: I agree. If I could add one point, all of us listening to some of the narrative would be forgiven for thinking that we have a deficit of nurses in the country. In fact, the OECD figures show that we have the second highest level of nurses per head of population of anywhere in Europe. The safe staffing framework is seen around the world now as one of the highest levels of staffing.