Results 21-40 of 1,186,127 for in 'Dáil debates' OR in 'Committee meetings' (speaker:Tom Kitt OR speaker:Holly Cairns OR speaker:Mary Lou McDonald OR speaker:Michael McNamara OR speaker:Peter Fitzpatrick OR speaker:Ciarán Cannon OR speaker:John Brady OR speaker:Niall Collins OR speaker:Eoin Ó Broin OR speaker:Frank Feighan OR speaker:Dessie Ellis OR speaker:Marc Ó Cathasaigh OR speaker:Róisín Shortall OR speaker:Brendan Howlin OR speaker:Ruairi Ó Murchú OR speaker:Pauline Tully OR speaker:Claire Kerrane OR speaker:Michael Moynihan OR speaker:Francis Noel Duffy OR speaker:Leo Varadkar OR speaker:Kieran O'Donnell OR speaker:Martin Browne OR speaker:Colm Burke OR speaker:Rose Conway-Walsh OR speaker:John Lahart OR speaker:Mattie McGrath OR speaker:James Browne OR speaker:Matt Shanahan OR speaker:Joe O'Brien OR speaker:Anne Rabbitte OR speaker:Mary Butler OR speaker:Paschal Donohoe OR speaker:Ossian Smyth OR speaker:Paul McAuliffe OR speaker:Michael Fitzmaurice OR speaker:Eamon Ryan OR speaker:Darren O'Rourke OR speaker:Cathal Berry OR speaker:Thomas Byrne OR speaker:Catherine Connolly OR speaker:Mark Ward OR speaker:Denise Mitchell OR speaker:Réada Cronin OR speaker:Fergus O'Dowd OR speaker:Jackie Cahill OR speaker:James O'Connor OR speaker:John McGuinness)

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Paul McAuliffe: I would love to explore that point more but I just do not have the time. Turning to the non-compliant procurement, this is the first thing we look at in this committee. The HSE estimated that the total expenditure on goods and services subject to procurement rules was €4.2 billion. Again, this amount is multiples of an entire Government Department in some cases. The idea that...

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Paul McAuliffe: When the HSE did the self-assessed audit, there was a very significant percentage of either non-co-operation or where you could not identify the purchaser. The figure of 12% actually could be higher.

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Paul McAuliffe: Just to return to that point, Mr. Mulvany is saying the figure of 12% does include the 13% of invoices within the scope of the exercise where either the manager responsible could not be identified or where the manager failed to respond to the exercise. He is saying that 13% is deemed non-compliant and is included in the 12%.

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Paul McAuliffe: Will the C and AG confirm that?

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Paul McAuliffe: Can we get a note back on that?

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Marc Ó Cathasaigh: Comhghaideas leis an gCathaoirleach. I do not intend to dwell on this but I have one question about that high earner. Mr. Gloster used the word "abhorrent", with which I think most of us would agree. Are we going to face a similar scenario? He talked about the new consultant contracts and the employment of more consultants, which is the ultimate aim, but are legacy contracts in place such...

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Marc Ó Cathasaigh: Mr. Gloster is telling the committee he expects it to get better over time. Is that correct?

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Marc Ó Cathasaigh: In the recent past, my family has been very glad to have access to consultants out of hours. I will touch on that. My father is 80 years of age. He still rides vintage motorcycles around the place, which is great for our collective family blood pressure. He gave us a bit of a scare recently. He came off the bike. We were in hospital with him. This goes back to Deputy Cannon's point...

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Marc Ó Cathasaigh: I will ask one more quick question and I will then move on to non-compliance. We are lucky with UHW. There are fights to be had about the provision of health services in Waterford. People will know well about the fight for 24-7 and the second cath lab. That has been well documented, but we are very lucky in that ours is one of the model 4 hospitals that does not have people on trolleys....

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Marc Ó Cathasaigh: I want to deal with non-compliant procurement in the short time remaining. We are talking about a spend of €4.2 billion. The HSE has put the estimate for non-compliant spending at 12%. We have difference there because, apparently, the exercise only covered 38% of the overall spend. Could Mr. Mulvany put a monetary value on it for me because I am making an assumption - it may be...

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Marc Ó Cathasaigh: I guess what I am trying to get at here is whether it is 12% of the cases or 12% of the procurement-----

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Marc Ó Cathasaigh: It really is a significant amount. If that maps out to the €4.2 billion, we are talking about close on €500 million that will en up being non-compliant procurement.

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Marc Ó Cathasaigh: If I map those trends onto the €4.2 billion, we could be talking about a sum of the order of €500 million.

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Marc Ó Cathasaigh: The number, which is staggering, troubles me. Something that worries me more is that one of the reasons we get back for not having that information, on the one hand, is the manager responsible for the expenditure could not be identified centrally. That would very much worry me. Then the flip side is that the identified managers failed to respond to the exercise. When they were asked about...

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Marc Ó Cathasaigh: If I can focus the question specifically, if a local or regional manager does not engage with Mr. Mulvany when he asks the question about non-compliant procurement, is there a sanction that follows?

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Marc Ó Cathasaigh: In the context of those two things - the manager responsible could not be identified which would be on the HSE versus the person did not respond - can Mr. Mulvany provide an indication of where the balance lies?

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Marc Ó Cathasaigh: Not tolerating something and not pursuing it are quite different from having a series of sanctions that apply.

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Marc Ó Cathasaigh: Has that happened in any instances?

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

James O'Connor: I thank the witnesses for attending. There are many different areas that we could focus on. One of the things that really jumps out at me is the climb in expenditure from 2019 to 2023. Obviously, that is taking Covid into account but it seems the expenditure has not dropped back. To give context to my comments, we are looking at the figures coming from south of €20 billion, at...

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

James O'Connor: I refer to north Cork since this came up so much during the local elections. People cannot get in the door to see GPs in Mitchelstown and Fermoy. This is replicated in other parts of the country. I am not even going near the SouthDoc issue but it is extraordinarily worrying that even when people require a consultation with a doctor in an emergency or a call-out to a home that the service...