Results 401-420 of 1,045,230 for in 'Dáil debates' OR in 'Committee meetings' (speaker:Cathal Crowe OR speaker:Marc Ó Cathasaigh OR speaker:James Browne OR speaker:Darragh O'Brien)

Ceisteanna Eile - Other Questions: Disability Services (24 Oct 2024)

Pauline Tully: Will the Minister consider undertaking a stakeholder review of the progressing disability services model in light of the fact that it does not work on many fronts?

Ceisteanna Eile - Other Questions: Disability Services (24 Oct 2024)

Roderic O'Gorman: The implementation of the progressing disability services programme is agreed Government and HSE policy. This policy supports the reconfiguration of children's disability services to provide equitable child- and family-centred services based on need rather than diagnosis. Crucially, this aligns with the UN Convention on the Rights of Persons with Disabilities. The HSE's roadmap for service...

Ceisteanna Eile - Other Questions: Disability Services (24 Oct 2024)

Pauline Tully: The progressing disabilities model is not working on many fronts. There were 91 CDNTs established before the end of 2021. According to the HSE census from a year ago, only one of those teams was fully staffed. A number were close but quite a number had vacancy rates up to 70%. A team cannot function with a vacancy rate of 70% or even 50% or 30%. Many children have no access to their...

Ceisteanna Eile - Other Questions: Disability Services (24 Oct 2024)

Roderic O'Gorman: I cannot disagree with anything the Deputy said in terms of the challenge the significant level of vacancy poses for the CDNTs all over the country and their ability to deliver crucial interventions for children and the subsequent improvements in quality of life for families. The next Government will look at the progressing disabilities model and have an opportunity to make decisions. We...

Ceisteanna Eile - Other Questions: Disability Services (24 Oct 2024)

Pauline Tully: We have been hearing about a recruitment campaign for quite some time. The progressing disability model was drawn up in 2013 or 2014, I think. At that time, workforce planning was not done and we now do not have sufficient therapists. I acknowledge it will take time to educate enough therapists but there is no guarantee they will work in disability services. There are many other areas...

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?

Ceisteanna Eile - Other Questions: Disability Services (24 Oct 2024)

Disability Services