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Results 401-420 of 1,099,553 for in 'Dáil debates' OR in 'Committee meetings' (speaker:Ciarán Cuffe OR speaker:Michael McNamara OR speaker:David Cullinane OR speaker:Seán Sherlock OR speaker:Éamon Ó Cuív OR speaker:Éamon Ó Cuív57 OR speaker:Cathal Berry OR speaker:Éamon Ó Cuív04 OR speaker:Joe McHugh OR speaker:Denise Mitchell OR speaker:Éamon Ó Cuív42 OR speaker:Aengus Ó Snodaigh OR speaker:Niamh Smyth OR speaker:Éamon Ó Cuív87 OR speaker:Peter Fitzpatrick OR speaker:Aengus Ó Snodaigh6 OR speaker:Aengus Ó Snodaigh18 OR speaker:Martin Kenny OR speaker:Mark Ward OR speaker:Aengus Ó Snodaigh29 OR speaker:Mick Barry)

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

David Cullinane: Yes.

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

David Cullinane: I just wanted to know who it was. Is he here?

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

David Cullinane: Why not?

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

David Cullinane: He may have landed on the ground but we are here as an Oireachtas health committee to look at very serious problems, and of course the progress, in the mid-west region. Ms Kenna, Ms Conroy, and Ms Broderick are here. He should be here. The Minister also said in his opening statement that there was a new regional clinical director, Dr. Catherine Peters. Is she here?

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

David Cullinane: With respect to the Minister, we arranged this meeting to discuss the mid-west region. Therefore, I would have expected the managers who are on the ground managing what is happening to be here to hear what we have to say but also to answer questions we might have. The Minister can answer some questions; I am sure others can as well. I am just making that point. I will move on from it.

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

David Cullinane: I will come to Ms Broderick now with my second question. I thank the Minister. When we triage patients in the health services generally, we use what is called the Manchester triage categories. My understanding is that there are five categories, 1 to 5, with 1 being the most urgent and 5 the least urgent. My understanding is that categories 1, 2, 3 are the main ones. Patients in...

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

David Cullinane: So triaging by its nature is to separate those who should be there as opposed to those who may be able to be referred elsewhere. Typically, categories 4 and 5 patients could be and are probably referred elsewhere but categories 1, 2 and 3 patients would be seen in emergency departments. Is that----

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

David Cullinane: I have that. Rather than getting into a row on which numbers are correct, whether it is the INMO numbers or those of the HSE, the figure at this point does not really matter to me but we know there was a high volume of patients on trolleys in Limerick again this and last week. Are those people who were on trolleys categories 1, 2 and 3 patients?

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

David Cullinane: That they would be.

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

David Cullinane: That is my point. Yet, here we are with high numbers again in Limerick compared to other regions. I make that point to come to the issue of how we move forward. I recognise the additional capacity mentioned by the Minister earlier. I recognise all the other outpatient work, the people who are treated or are seen and procedures which are carried out which do not get noticed or talked about...

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

David Cullinane: I will add to that because I did my own calculations on this and, as the Minister knows, I published a plan for the mid-west a number of months ago where I set out what I felt was needed, including a review, in advance of the review being put in place. As I said, I welcome the review. Does the Minister know what the population of the mid-west is?

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

David Cullinane: What I am hearing from the Minister is a redeployment of certain posts. This is being covered in the media and I have a responsibility to provide factual information when I am asked, which I want to provide. There are families out there who have suffered because of problems in the hospital. I am not apportioning blame but it is difficult for them to read that there was a small group...

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

David Cullinane: Is he here?

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

David Cullinane: It depends on how you look at it but it is somewhere between 400,000 and 500,000 people. It is a minimum of 400,000 up to 500,000, depending on the catchment area. If the mid-west region had two emergency departments, it would mean the population per emergency department would be 200,000. If we take, for example, the south west, it has four emergency departments with one emergency...

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

Róisín Shortall: Yes, I am in my office in Agriculture House.

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

Róisín Shortall: I welcome the witnesses to the session. I want to stick with the issue of accountability. The apparent lack of accountability across senior levels within the public service and the Civil Service is something that drives the public mad. We see on a regular basis that there are rarely consequences involved when things go wrong for the senior people who may not have been doing their job...

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

Róisín Shortall: Okay-----

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

Róisín Shortall: What the Minister is saying is welcome, but does that also apply to clinical directors? There is somewhat of a grey area around their roles in terms of responsibility.

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

Róisín Shortall: Okay, well-----

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

Róisín Shortall: If that is the Minister's view, I suggest that he might give consideration to reinstating the reporting arrangements for clinical directors because they have essentially been abandoned. In the context of accountability and the management structure, the Minister spoke to us about Ms Broderick, Mr. Carter and Dr. Peters. What exactly is that structure?

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