Results 41-60 of 1,129,119 for in 'Dáil debates' OR (speaker:Róisín Shortall OR speaker:Kieran O'Donnell OR speaker:Frank Feighan OR speaker:Aodhán Ó Ríordáin OR speaker:Colm Burke OR speaker:Darragh O'Brien OR speaker:Michael Collins OR speaker:Thomas Gould OR speaker:Paschal Donohoe OR speaker:Seán Crowe OR speaker:Damien English OR speaker:Neale Richmond OR speaker:Bernard Durkan OR speaker:Michael Fitzmaurice OR speaker:Denis Naughten OR speaker:Chris Andrews OR speaker:Micheál Martin OR speaker:Neasa Hourigan OR speaker:James Lawless OR speaker:Aengus Ó Snodaigh OR speaker:Pádraig O'Sullivan OR speaker:Aengus Ó Snodaigh16 OR speaker:John Lahart OR speaker:Catherine Murphy OR speaker:Chris Andrews6 OR speaker:Ruairi Ó Murchú) in 'Committee meetings'

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Seán Crowe: I have a couple questions. I will walk through the Minister’s opening statement. He mentioned an additional €5 million for capital expenditure. Can he give us a flavour of what is involved?

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Seán Crowe: Yes, he mentioned that later on. He also raised some of the key drivers of the supplementary budget. The Minister said that 60% of the Supplementary Estimate is required for pay costs, excluding pension costs. He mentioned “staffing roles that had previously been provided from temporary Covid funds along with funding for staff hired in excess of funded levels of recruitment”....

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Seán Crowe: I am trying to get at the nub of why. The Minister also mentioned “higher agency, overtime and staff allowances due to increased level of demand, especially in acute settings”. He is saying that the people who came in from the Covid funds who were working in the system are needed in the health system.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Seán Crowe: The impression at one stage was that people were being hired willy-nilly and there was no real need for those staff. The Minister is saying that the Covid staff are needed. There was a recruitment embargo and we all get that you cannot just hire staff. However, I do not think that anyone is saying that these staff are not needed within the health system. Are there any staff that the...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Seán Crowe: We need to be much more focused on who we hire. Is that what the Minister is saying?

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Seán Crowe: Again, staff are needed. We had witnesses in the committee. We heard about the radiologists. We have machines sitting there, lying idle, that would be able to be used. That is just one example, but we have been given other examples over the years related to staff. People are waiting on waiting lists. Last night disability was talked about, for instance. Some 4,000 children are waiting...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Seán Crowe: Yes.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Seán Crowe: Deputy Gino Kenny is looking to come in online.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Colm Burke: The additional funding in budget 2025 is €4.2 million. An additional 34 whole-time-equivalents will be employed. Some €2 million will be allocated to expand community-based drug services. Some €1 million will be allocated for the national roll-out of the community alcohol service, and that includes the employment of 24 whole-time equivalents. There is €500,000...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Colm Burke: There is a substantial increase in the overall budget for 2025. It is going to be the biggest budget ever in real terms. I will get the correct figure for the Deputy but the increase in total is the biggest figure. For instance, the total increase in funding is €40.5 million for the coming year. There is a €10.1 million increase for pay awards agreements. Some €5...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Colm Burke: As the Deputy knows, we hope to have the supervised injection facility in Merchants Quay opened by the end of the year. I have been there and I have seen the progress being made in the building work. The target is to have it opened by early to mid-December. That is a really important facility that needs to be open. As the Deputy knows, the initial proposal on that was going back to 2019....

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Colm Burke: The Deputy should remember that 422 different centres around the country provide support for people with alcohol or drug addiction. Last year, 13,000 people received treatment for drug addiction and 8,000 people received treatment for alcohol addiction. Those figures are likely to go up. I have visited many of those centres over the last three to four months and each one of them is doing a...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Colm Burke: The target date is for early to mid-December and the construction work has really progressed. I was down there recently - in the last three weeks - and I have seen the work that has been done. The people involved in it are doing everything possible to make sure we can reach that target date of somewhere in the first two weeks of December.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Colm Burke: My understanding is that wastewater can be analysed to see the issue regarding the use of drugs. I am not into the detail of it but it is a mechanism that can be used to identify and to evaluate. Regarding the figures we have, we rely on centres such as all the HSE treatment centres around the country but we do not have a full picture in real terms of the people who are using substances. It...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Bernard Durkan: On this question of a population increase by 2% or 84,000 every year since 2019, this means there has been cumulative population growth of 422,000 between 2019 and 2024. How much of that is indigenous growth and how much of it is due to inward migration?

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Bernard Durkan: We should have them because it gives a slanted impression. For instance, I do not see the number of people over 75 coming into the country as being in any way of the level referred to here but, by comparison, I see a huge number of young people coming in. I would say the ratio is very different from what these figures suggest. As well as that, I heard on a radio programme this morning...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Colm Burke: On that point, many of the drug treatment centres are helping people to get access to medical services. I visited a number of centres. In one centre, for instance, a GP and nurses are going into the street and getting people into the centre for medical treatment. Many people who have had an adverse event in an accident and emergency department are now afraid of going to an accident and...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Bernard Durkan: Cloncurry drug treatment centre in Enfield, which is on the border of my constituency, is a case in point. I invite the Minister of State to visit if he gets a chance. It would be important to the assessment of the need and threat.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Seán Crowe: We will resume. Deputy Róisín Shortall has indicated she wishes to speak.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Róisín Shortall: To pick up where I left off before I had to leave, regarding the handling of the budget going forward, the whole principle of the RHAs is that the area is to be profiled. There would be an allocation of funding based on established need, population size, socioeconomic profile and so on. I know there is a huge amount of work under way in the Department on that. We have not had a briefing...