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Results 41-60 of 1,156,640 for in 'Dáil debates' OR (speaker:Eamon Scanlon OR speaker:Joan Burton OR speaker:Marc Ó Cathasaigh OR speaker:Imelda Munster OR speaker:Joan Burton0 OR speaker:Patrick O'Donovan OR speaker:Cathal Crowe OR speaker:James Browne OR speaker:Pat Buckley OR speaker:Michael McGrath OR speaker:Denis Naughten OR speaker:Gerald Nash OR speaker:Seán Haughey OR speaker:Damien English OR speaker:Charlie McConalogue OR speaker:Paul McAuliffe OR speaker:Jim O'Callaghan OR speaker:Pádraig Mac Lochlainn OR speaker:Joe McHugh OR speaker:Jennifer Murnane O'Connor OR speaker:Richard Boyd Barrett OR speaker:Alan Dillon OR speaker:Seán Sherlock OR speaker:Michael Ring OR speaker:Mary Lou McDonald OR speaker:Noel Grealish OR speaker:Martin Heydon OR speaker:Hildegarde Naughton OR speaker:Niamh Smyth OR speaker:Eamon Ryan OR speaker:Norma Foley OR speaker:James O'Connor OR speaker:Kieran O'Donnell OR speaker:Holly Cairns OR speaker:Cian O'Callaghan OR speaker:Seán Canney OR speaker:Richard Bruton OR speaker:Emer Higgins OR speaker:Malcolm Noonan OR speaker:Paschal Donohoe OR speaker:Pauline Tully OR speaker:Martin Browne OR speaker:Chris Andrews OR speaker:Paul Donnelly OR speaker:Joe Flaherty OR speaker:Mairead Farrell) 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: Surely that is the crux of the issue. If the productivity and savings task force is meant to reduce agency spend, does Ms McGirr not believe that it is a bit of a-----

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.

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