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Results 21-40 of 1,139,575 for in 'Dáil debates' OR (speaker:Ciarán Cuffe OR speaker:Maurice Quinlivan OR speaker:Marian Harkin OR speaker:Catherine Murphy OR speaker:Holly Cairns OR speaker:Martin Browne OR speaker:Ruairi Ó Murchú OR speaker:Joan Collins OR speaker:Robert Troy OR speaker:Simon Harris OR speaker:Paschal Donohoe OR speaker:Mark Ward OR speaker:Marc Ó Cathasaigh OR speaker:Joe McHugh OR speaker:Anne Rabbitte OR speaker:Róisín Shortall OR speaker:Frank Feighan OR speaker:Marc MacSharry OR speaker:Francis Noel Duffy OR speaker:Michael Creed OR speaker:Brendan Smith OR speaker:Neale Richmond OR speaker:Chris Andrews OR speaker:Eamon Ryan OR speaker:Ciarán Cannon OR speaker:Mary Butler OR speaker:Christopher O'Sullivan OR speaker:Pa Daly OR speaker:Malcolm Noonan OR speaker:David Stanton OR speaker:Darragh O'Brien OR speaker:Peter Burke OR speaker:Heather Humphreys OR speaker:Micheál Martin OR speaker:Pearse Doherty OR speaker:Cathal Berry OR speaker:Michael Fitzmaurice OR speaker:Joe Flaherty) in 'Committee meetings'

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

Catherine Murphy: That is general, however.

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

Catherine Murphy: Will Mr. Gloster please do that and revert to us?

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

Catherine Murphy: I will probably not be here for the response but the committee will receive it.

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)

Catherine Murphy: I wish to pick up on the point my colleague Deputy Verona Murphy made on the CDNTs. This comes up repeatedly. I hear from people who had services when they were being looked after by Enable Ireland but who have no services now because they were switched to a CDNT. The vacancy rate in Kildare south is 16.7%. In Kildare north, it is 35.2%. In mid-Kildare it is 15.3%. Some 250,000 people...

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

Catherine Murphy: There is just not a service for most people. It is the one area that is very out of control, from what I am hearing. It is repeatedly raised in the most tragic situations. We are talking about emergency situations, where you go with an emergency and are told to come back in 12 months. It is outrageous. I just wanted to highlight that as the kind of thing that really needs attention. ...

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

Catherine Murphy: We are talking about 8% turnover and possibly 6%.

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

Catherine Murphy: So the figure for the shortfall in staff is about 14%.

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