Results 21-40 of 1,116,518 for in 'Dáil debates' OR (speaker:Anne Rabbitte OR speaker:Joe Carey OR speaker:Thomas Byrne OR speaker:Seán Ó Fearghaíl OR speaker:Michael Moynihan OR speaker:Josepha Madigan OR speaker:Simon Harris OR speaker:Joe McHugh OR speaker:Bernard Durkan OR speaker:Patrick O'Donovan OR speaker:Mark Ward OR speaker:Emer Higgins OR speaker:John McGuinness OR speaker:Danny Healy-Rae OR speaker:Pearse Doherty OR speaker:Róisín Shortall OR speaker:Paschal Donohoe OR speaker:Alan Kelly OR speaker:Jim O'Callaghan OR speaker:John Brady) in 'Committee meetings'

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)

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)

Bernard Durkan: On this question of a population increase by 2% or 84,000 every year since 2019, this means there has been cumulative population growth of 422,000 between 2019 and 2024. How much of that is indigenous growth and how much of it is due to inward migration?

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

Bernard Durkan: We should have them because it gives a slanted impression. For instance, I do not see the number of people over 75 coming into the country as being in any way of the level referred to here but, by comparison, I see a huge number of young people coming in. I would say the ratio is very different from what these figures suggest. As well as that, I heard on a radio programme this morning...

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

Bernard Durkan: Cloncurry drug treatment centre in Enfield, which is on the border of my constituency, is a case in point. I invite the Minister of State to visit if he gets a chance. It would be important to the assessment of the need and threat.

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)

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)

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)

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)

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)

Róisín Shortall: Is that for any diagnostic test?

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.

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

Róisín Shortall: I am talking about the drugs and alcohol task forces.