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Results 41-60 of 1,167,446 for in 'Dáil debates' OR (speaker:Catherine Byrne OR speaker:Josepha Madigan OR speaker:Bernard Durkan OR speaker:Jennifer Carroll MacNeill OR speaker:Peter Burke OR speaker:Darragh O'Brien OR speaker:Patrick Costello OR speaker:Catherine Murphy OR speaker:Violet-Anne Wynne OR speaker:Alan Kelly OR speaker:Seán Sherlock OR speaker:Jackie Cahill OR speaker:Micheál Martin OR speaker:Neale Richmond OR speaker:Dara Calleary OR speaker:Martin Kenny OR speaker:Marian Harkin OR speaker:Verona Murphy OR speaker:Mick Barry OR speaker:Martin Heydon OR speaker:Jack Chambers OR speaker:Fergus O'Dowd OR speaker:Pat Buckley OR speaker:Cormac Devlin OR speaker:Mairead Farrell OR speaker:Catherine Byrne6 OR speaker:Seán Crowe OR speaker:John Lahart OR speaker:John McGuinness OR speaker:Ivana Bacik OR speaker:Joan Collins OR speaker:Malcolm Noonan OR speaker:Colm Brophy OR speaker:Peadar Tóibín OR speaker:Holly Cairns OR speaker:Duncan Smith OR speaker:Colm Burke OR speaker:Danny Healy-Rae OR speaker:Paul Donnelly OR speaker:Aengus Ó Snodaigh OR speaker:Alan Farrell OR speaker:Michael Lowry OR speaker:Stephen Donnelly OR speaker:Catherine Byrne8 OR speaker:Aengus Ó Snodaigh08) in 'Committee meetings'

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: Go raibh maith ag an Teachta. We will now take a short break and the meeting is suspended for ten minutes.

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...

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