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Results 541-560 of 1,217,757 for in 'Dáil debates' OR (speaker:Joe O'Brien OR speaker:Neasa Hourigan OR speaker:Simon Harris OR speaker:John McGuinness OR speaker:Paul Donnelly OR speaker:Michael Lowry OR speaker:Bríd Smith OR speaker:Micheál Martin OR speaker:Ossian Smyth OR speaker:James Lawless OR speaker:Hildegarde Naughton OR speaker:Thomas Byrne OR speaker:Danny Healy-Rae OR speaker:Cathal Berry OR speaker:Paul Murphy OR speaker:Cormac Devlin OR speaker:John Lahart OR speaker:Ivana Bacik OR speaker:Louise O'Reilly OR speaker:Michael McGrath OR speaker:Alan Kelly OR speaker:Brian Stanley OR speaker:Michael Collins OR speaker:Emer Higgins OR speaker:Charlie McConalogue OR speaker:Rose Conway-Walsh OR speaker:Pat Buckley OR speaker:Mark Ward OR speaker:Gerald Nash OR speaker:Mairead Farrell OR speaker:Paschal Donohoe OR speaker:Patrick O'Donovan OR speaker:Pa Daly OR speaker:Roderic O'Gorman OR speaker:Thomas Pringle OR speaker:James O'Connor OR speaker:Matt Shanahan OR speaker:Eoin Ó Broin OR speaker:James Browne OR speaker:Matt Carthy OR speaker:Thomas Gould OR speaker:Brendan Smith OR speaker:Brendan Howlin OR speaker:Marian Harkin OR speaker:Brendan Griffin OR speaker:Ruairi Ó Murchú OR speaker:Duncan Smith OR speaker:Joan Collins OR speaker:Michael Ring OR speaker:Mary Butler OR speaker:Willie O'Dea OR speaker:Seán Ó Fearghaíl OR speaker:Patricia Ryan OR speaker:Marc MacSharry OR speaker:Seán Canney OR speaker:Richard Boyd Barrett OR speaker:Anne Rabbitte OR speaker:Mattie McGrath OR speaker:Stephen Donnelly OR speaker:Chris Andrews OR speaker:Claire Kerrane OR speaker:Seán Crowe OR speaker:Chris Andrews7 OR speaker:Martin Kenny OR speaker:Imelda Munster OR speaker:Helen McEntee) in 'Committee meetings'

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?

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

Mairead Farrell: But this is €86 million.

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

Mairead Farrell: Covid was an exceptional time,-----

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

Mairead Farrell: -----but we are discussing a large amount of spending. I understand that the HSE has an aim, but it does not seem that the aim and what the HSE is doing correlate at all. The Minister created a productivity and savings task force, which set a target of reduced spending. Who sits on that task force?

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

Mairead Farrell: For me, the main question is who sits on that task force. At yesterday’s health committee meeting, Fórsa stated that there was also a representative of the consultancy firms sitting on it. Is that correct?

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

Mairead Farrell: Does that not beggar belief? Would the consultancy firm in question – I do not need to know which one it is – have benefited from agency spend in terms of management fees?

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

Mairead Farrell: But this is the particular issue I-----

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

Mairead Farrell: I understand having external assistance.

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

Mairead Farrell: We mentioned an external element while discussing procurement issues, but in most people’s heads, “external” means “independent”, in that there would be an independent external body examining matters. This raises a concern about-----

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

Mairead Farrell: I am not interested in those specifics.

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

Mairead Farrell: I understand that is the concept-----

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

Mairead Farrell: Yes, but we are also seeing an increase in agency spend.

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

Mairead Farrell: The witnesses can appreciate that there would be a query when there is an increase in the spend. I take Mr. Gloster’s point about the 500 he says will change over from being agency staff. What professions are we talking about?

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