Results 421-440 of 1,061,943 for in 'Dáil debates' OR (speaker:Ciarán Cuffe OR speaker:Michael McGrath OR speaker:Ivana Bacik OR speaker:Eamon Ryan OR speaker:Mairead Farrell OR speaker:Robert Troy OR speaker:Jack Chambers OR speaker:Duncan Smith OR speaker:Paul McAuliffe) in 'Committee meetings'

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

Paul McAuliffe: Will Mr. Gloster repeat that figure?

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

Paul McAuliffe: I accept that point. The experience just shone a light on the outpatients waiting list for me.

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

Paul McAuliffe: We do not know, but this may be the last or the second last meeting of this committee. It will certainly be the last meeting during this Dáil when Mr. Gloster will be before us anyway.

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

Paul McAuliffe: I am very much cognisant of the volume of money associated with this hearing. We are talking about €23.5 billion. Many Government Departments could be folded into that figure. In 2019, the figure was €16 billion. Essentially, there has been a 46% increase in the funding of the HSE over the past four years, that is, the lifetime of this Government. In 60 seconds, can Mr....

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)

Mairead Farrell: To follow on, I have a brief question on that. Mr. Mulvany mentioned there that a self-assessment was done. We understand that from the briefing but then he mentioned a random sample was taken. I assume what Mr. Mulvany means is that it was assessed externally. Is that correct?

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

Mairead Farrell: How much of that random sample complied with the self-assessment? I assume a self-assessment was done initially and then had the random sample?

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

Mairead Farrell: So there was 10% issue.

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

Mairead Farrell: Okay. It is just clearly an issue of concern when it is under 40% of what is actually being assessed and then there is also the amount that is not assessed. I will bring in the next speaker.

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

Mairead Farrell: I understand that and I read that. It is more than a limitation. It is quite concerning when significantly less than half can be looked at. However, I will bring in the next speaker, an Teachta Kelly.

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

Mairead Farrell: Go raibh maith agat, an Teachta Kelly. We have heard two personal experiences today and they have been very powerful. We wish the Deputy's father a very speedy recovery. It is very difficult for people watching and listening to hear that, despite their own personal experiences and difficulties within the healthcare system and accessing healthcare, that one consultant would be paid such an...

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

Mairead Farrell: Go raibh maith agat. I am conscious of time. I will allow everyone come back in for five minutes. I will take an Teachta Carthy. Then we will take our break and take a second round.

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

Mairead Farrell: Beidh mise mar an chéad cainteoir eile. One issue that has annoyed me for some time, even previously in my role as a city councillor on Galway City Council, is that of agency spend. We have seen that it has gone from a spend of €350 million to €650 million in a four to five year period. If we look at that trend and the figures that we had up until August, it seems that...

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

Mairead Farrell: I understand that is the aim but the reality is, when we look at the figures, they do not correspond to what the aim is.

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

Mairead Farrell: If the HSE wants to reduce it then holding it steady is not equating to the aim.

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

Mairead Farrell: How long does Mr. Gloster think that will take to have an impact?