Results 41-60 of 1,089,934 for in 'Dáil debates' OR (speaker:Tom Kitt OR speaker:Réada Cronin OR speaker:Simon Coveney OR speaker:Seán Sherlock OR speaker:Denise Mitchell OR speaker:Duncan Smith OR speaker:Fergus O'Dowd OR speaker:Michael Healy-Rae OR speaker:Jackie Cahill OR speaker:Niall Collins OR speaker:Mattie McGrath OR speaker:Michael Creed OR speaker:Pádraig O'Sullivan OR speaker:Éamon Ó Cuív OR speaker:Mick Barry OR speaker:David Cullinane OR speaker:Dessie Ellis OR speaker:Pauline Tully OR speaker:Paul Donnelly OR speaker:Joe Flaherty OR speaker:Neasa Hourigan OR speaker:Stephen Donnelly OR speaker:Noel Grealish OR speaker:Cathal Berry) in 'Committee meetings'

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

Stephen Donnelly: Sure.

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

Stephen Donnelly: I thank the Deputy. I agree with much of what she said. We do urgently need more radiation therapists. I have funded more roles, including advanced practice roles in the budget and, critically to your point on the training co-ordinators, I have allocated funding for that as well.

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

Stephen Donnelly: I have allocated funding in the budget for exactly the posts the Deputy is are talking about.

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

Stephen Donnelly: The funding is allocated now on the basis that it takes time to hire. They can essentially get on and start recruiting them now. There was an ask in from the university that was completely over the top. Had a reasonable ask been made, it would have been sorted much quicker. The ask was to move from half a whole-time equivalent to six and a half whole-time equivalents for what was about a...

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

Stephen Donnelly: My understanding is that the figure is at three. I think that is where we have come to. I have allocated funding for the specialist trainee roles as well.

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

Stephen Donnelly: In some areas, yes. Some outsourcing, if one could call it that, works very well, such as with GPs, pharmacies and so forth. We are all happy with that. From an ideological perspective, my view is that core services within the HSE should be delivered by it. The Minister of State, Deputy Butler, may speak to it, but neither she nor I are happy with the percentage of private nursing home...

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

Stephen Donnelly: What does the Deputy mean by "separate budgets"?

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

Stephen Donnelly: The way the budget will be reported-----

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

Stephen Donnelly: There is discretion now. At this meeting next year or at the budget meeting, we will start reporting region by region, which will allow for some important comparisons between the different regions. There is discretion within the regions. It is nuanced. We cannot provide full discretion because there are things we all want to roll out. If we fund the national cancer strategy, it is not up...

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

Stephen Donnelly: Yes, before we can do it fully.

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

Stephen Donnelly: The officials will correct me if I am wrong but I think that is the Brexit adjustment for Dublin Airport and the two ports.

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

Stephen Donnelly: In the agreement with the Minister, Deputy Donohoe, earlier this year, we got agreement to permanently fund about 4,000 staff for whom there were no wages allocated by Government. They fall into two groups. The first is the extra 2,000 the HSE hired last year. There was no funding for that. The HSE obviously paid their wages, but it was not funded to pay their wages. Therefore, we have...

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

Stephen Donnelly: Yes.

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

Stephen Donnelly: We could add 10,000 staff to the HSE today who would undoubtedly provide better and faster patient care – another 10,000.

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

Stephen Donnelly: We have to hire within the funded allocation.

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

Stephen Donnelly: I thank the Chair. I agree with everything he said, particularly when we look at the challenges the Government faced coming into office. As he very fairly stated, many of those challenges still exist. What we have been working on every day is to address them and to do a small number of important things, namely make it quicker for people to access a doctor, a nurse or a therapist, make it...

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

Stephen Donnelly: In Tallaght University Hospital, just in the lifetime of this Government, the increase in the nursing workforce has been over 50%. There are an extra 620 nurses working in Tallaght University Hospital today who were not there four years ago. That is a vast increase, and they are doing great work. As a result of this increase, the waiting times at the hospital are falling and the surgical...

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

Stephen Donnelly: We do not have those figures with us.

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

Stephen Donnelly: We are going to see changes next year. The budget for next year will have a subheading for each of the six regions. We are moving to regional reporting, which is only one thing, but it is an important change in the system and in how everybody thinks about it. Work is ongoing on healthcare econometrics and what the demand is region by region. There will be adjustments over time on that....

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

Stephen Donnelly: The regional executive officers have already been given that authority. It marks a substantial shift. I will give one example to illustrate it. The Wicklow town primary care centre urgently needs therapists. During the embargo, one of the major hospitals in the same region hired quite a number of staff. Not only did the hospital have no money and no sanction to hire those staff, it was...