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Results 481-500 of 1,134,706 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:Mairead Farrell OR speaker:Leo Varadkar OR speaker:Louise O'Reilly OR speaker:Emer Higgins OR speaker:Maurice Quinlivan OR speaker:Paschal Donohoe OR speaker:James Lawless OR speaker:Jackie Cahill OR speaker:Norma Foley OR speaker:Darragh O'Brien OR speaker:Paul Donnelly OR speaker:Pippa Hackett OR speaker:James O'Connor OR speaker:Rose Conway-Walsh OR speaker:Noel Grealish OR speaker:Richard Bruton OR speaker:Patrick Costello OR speaker:Heather Humphreys OR speaker:James Browne OR speaker:Thomas Pringle OR speaker:Peadar Tóibín OR speaker:Willie O'Dea OR speaker:Seán Ó Fearghaíl OR speaker:Darren O'Rourke OR speaker:Richard Bruton6 OR speaker:Michael Ring OR speaker:Cathal Berry OR speaker:Seán Haughey OR speaker:Michael McGrath OR speaker:Brendan Griffin OR speaker:Gerald Nash OR speaker:Brendan Howlin OR speaker:Mattie McGrath OR speaker:Paul McAuliffe OR speaker:Helen McEntee OR speaker:Chris Andrews OR speaker:Richard O'Donoghue OR speaker:Pat Buckley OR speaker:Colm Brophy OR speaker:Ossian Smyth OR speaker:Martin Browne)

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?

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

Mairead Farrell: Does Mr. Gloster think it could have an impact on this year?

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

Mairead Farrell: Before quarter 3 of last year. When does Mr. Gloster expect it to be at 2019 levels or does he not see that at all?

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

Mairead Farrell: For some time. I can see from the spend on the management and administration that the HSE has gone from €29 million to €86 million in those areas. One of the frustrations for people - and it is not always a frustration that is based on facts, it can be based on experience and we have heard quite powerfully from an Teachta Cannon his own experience of getting the piece of paper...

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

Mairead Farrell: Mr. Gloster stated that he had a staff of approximately 166,000. There is considerable frustration about agency spend in general, particularly given that there are many people who want to get good jobs in the HSE. This expenditure on agency and management and administration basically represents a trebling of the previous amount. Why has it increased to this level in such a short period?

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