Results 541-560 of 1,207,421 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:Dessie Ellis OR speaker:Marc Ó Cathasaigh OR speaker:Róisín Shortall OR speaker:Brendan Howlin OR speaker:Ruairi Ó Murchú OR speaker:Pauline Tully OR speaker:Claire Kerrane OR speaker:Michael Moynihan OR speaker:Francis Noel Duffy OR speaker:Leo Varadkar OR speaker:Kieran O'Donnell OR speaker:Martin Browne OR speaker:Colm Burke OR speaker:Rose Conway-Walsh OR speaker:John Lahart OR speaker:Mattie McGrath OR speaker:James Browne OR speaker:Matt Shanahan OR speaker:Joe O'Brien OR speaker:Anne Rabbitte OR speaker:Mary Butler OR speaker:Paschal Donohoe OR speaker:Ossian Smyth OR speaker:Paul McAuliffe OR speaker:Aindrias Moynihan OR speaker:Seán Crowe OR speaker:Marian Harkin OR speaker:Mairead Farrell OR speaker:Peadar Tóibín OR speaker:Michael Healy-Rae OR speaker:Michael McGrath OR speaker:Thomas Byrne OR speaker:Michael Fitzmaurice OR speaker:Brendan Smith OR speaker:Seán Ó Fearghaíl OR speaker:Pearse Doherty OR speaker:Denise Mitchell OR speaker:Martin Heydon OR speaker:Paul Donnelly OR speaker:Alan Farrell OR speaker:Dara Calleary OR speaker:Donnchadh Ó Laoghaire OR speaker:Malcolm Noonan OR speaker:Alan Kelly OR speaker:Noel Grealish OR speaker:Pádraig O'Sullivan OR speaker:Michael Collins OR speaker:Alan Dillon OR speaker:Simon Harris OR speaker:Pa Daly OR speaker:Brian Leddin OR speaker:Imelda Munster OR speaker:Robert Troy)

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

Alan Kelly: Do many other consultants have the same contract?

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

Alan Kelly: Jesus. I thank Mr. Gloster.

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)

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)

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.