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Results 601-620 of 1,128,958 for in 'Dáil debates' OR in 'Committee meetings' (speaker:Áine Brady OR speaker:Mary Lou McDonald OR speaker:Darragh O'Brien OR speaker:Aengus Ó Snodaigh OR speaker:Aindrias Moynihan OR speaker:Leo Varadkar OR speaker:Aengus Ó Snodaigh22 OR speaker:Pádraig O'Sullivan OR speaker:Niamh Smyth OR speaker:Chris Andrews OR speaker:Danny Healy-Rae OR speaker:Jim O'Callaghan OR speaker:Cormac Devlin OR speaker:Michael Collins OR speaker:Imelda Munster OR speaker:Pádraig Mac Lochlainn OR speaker:Alan Kelly OR speaker:Aengus Ó Snodaigh29 OR speaker:Seán Canney OR speaker:Hildegarde Naughton OR speaker:Aengus Ó Snodaigh30 OR speaker:Mick Barry OR speaker:Áine Brady06 OR speaker:Aengus Ó Snodaigh28 OR speaker:Patrick O'Donovan OR speaker:Aengus Ó Snodaigh09 OR speaker:Mark Ward OR speaker:Aengus Ó Snodaigh16 OR speaker:Heather Humphreys OR speaker:Aengus Ó Snodaigh27 OR speaker:Seán Ó Fearghaíl OR speaker:Aengus Ó Snodaigh20 OR speaker:Aengus Ó Snodaigh12 OR speaker:Áine Brady4 OR speaker:Jackie Cahill OR speaker:Jennifer Murnane O'Connor OR speaker:Neale Richmond OR speaker:Michael Creed OR speaker:Seán Crowe OR speaker:Ossian Smyth OR speaker:Maurice Quinlivan OR speaker:Robert Troy)

Ceisteanna ar Sonraíodh Uain Dóibh - Priority Questions: Defence Forces (17 Oct 2024)

Micheál Martin: The military authorities have advised me that as of 31 August 2024, the latest date for which such information is available, the strength of the Permanent Defence Force stood at 7,426. A table containing the requested induction and discharges figures for each year from 2020 to 2024 will be provided to the Deputy. I have acknowledged in the past the recruitment and retention challenges in...

Ceisteanna ar Sonraíodh Uain Dóibh - Priority Questions: Defence Forces (17 Oct 2024)

Matt Carthy: It is hard to ask a supplementary question when I do not have the substantive response to the question I asked. I take the Tánaiste's commitment to provide the precise figures. Here is what we do know from the Tánaiste's response. There are currently fewer than 7,500 members of our Defence Forces, 2,000 below the establishment figure and a whopping 4,000 below the two-figure...

Committee on Drugs Use: A Health-Led Approach: Discussion (Resumed) (17 Oct 2024)

Mark Ward: I thank all the witnesses for coming in. I do not know if Dr. Kelly remembers me but I was in his class in 2012 in UCD. I tried to see if he was outside and I did not recognise him but I did when he came in to speak. It is good to see him again after the council on intervention skills in UCD back in 2012. That is neither here or there. My first question is to Mr. McBrien. He mentioned...

Committee on Drugs Use: A Health-Led Approach: Discussion (Resumed) (17 Oct 2024)

Mark Ward: That makes no sense to me. The thing about common sense is that it is not very common but that is something we absolutely need to challenge. Has Mr. McBrien had any conversations with other nurse practitioners who are able to prescribe and do they share the same view as him? Do they see any challenges in prescribing opioid substitution therapy?

Committee on Drugs Use: A Health-Led Approach: Discussion (Resumed) (17 Oct 2024)

Mark Ward: If somebody in the situation Mr. McBrien described came into his service and they were already on a methadone prescriber programme but they had to get out and get their daily doses, whatever it might be, is there any co-operation between his department and the methadone dispensers? Does that work in tandem at all?

Committee on Drugs Use: A Health-Led Approach: Discussion (Resumed) (17 Oct 2024)

Mark Ward: Dr. Kelly mentioned at the start he made on 13 recommendations to the citizens' assembly. Were they all accepted or were any barriers faced in getting some of them accepted?

Committee on Drugs Use: A Health-Led Approach: Discussion (Resumed) (17 Oct 2024)

Mark Ward: Did Dr. Kelly meet any barriers when speaking at the citizens' assembly? What was the feedback on the recommendations he put forward?

Committee on Drugs Use: A Health-Led Approach: Discussion (Resumed) (17 Oct 2024)

Mark Ward: Professor Comiskey said we should enable evidence-informed policy and nurse-led prescribing and she has research to support that. She said she wanted to expand on that research.

Committee on Drugs Use: A Health-Led Approach: Discussion (Resumed) (17 Oct 2024)

Mark Ward: It is anecdotal.

Committee on Drugs Use: A Health-Led Approach: Discussion (Resumed) (17 Oct 2024)

Mark Ward: It is fantastic. I thank the Chair.

Committee on Drugs Use: A Health-Led Approach: Discussion (Resumed) (17 Oct 2024)

Mark Ward: I was not sure what the time was, but I am fine.

Committee on Drugs Use: A Health-Led Approach: Discussion (Resumed) (17 Oct 2024)

Matt Shanahan: I thank the witnesses for attending. It is important to go back - the Cathaoirleach has signalled that this issue will probably be revisited - to try to understand what is the blockage to nurse prescribing. It happens in other areas of medicine, especially with the advanced clinical nurse practitioners. It is an obvious efficiency outcome and as the witnesses said, doctors may not be...

Committee on Drugs Use: A Health-Led Approach: Discussion (Resumed) (17 Oct 2024)

Matt Shanahan: Would any other speaker like to take that on as well?

Committee on Drugs Use: A Health-Led Approach: Discussion (Resumed) (17 Oct 2024)

Matt Shanahan: I want to ask both witnesses about monitoring. Dr. Kelly referenced a high level document he was not allowed to contribute to because the HSE was the lead agency evaluating all of this. What awareness do the witnesses have of the monitoring of their efficiency metrics in the system in order to understand where they are going in getting patients through the system, the waiting times and the...

Committee on Drugs Use: A Health-Led Approach: Discussion (Resumed) (17 Oct 2024)

Maurice Quinlivan: First, I thank those who submitted their contributions. They were very interesting to read. On the nursing issue, the witnesses said there were 1,945 registered nurses. I assume they do not believe that is enough. I hope this committee comes up with a recommendation and I should say I am not a full member of the committee. I am just substituting for Deputy Gould today. However, I am...

Committee on Drugs Use: A Health-Led Approach: Discussion (Resumed) (17 Oct 2024)

Maurice Quinlivan: They are excluded in that context also. I have a close relative who is on methadone for cancer treatment.

Committee on Drugs Use: A Health-Led Approach: Discussion (Resumed) (17 Oct 2024)

Maurice Quinlivan: Can Mr. McBrien give us some examples? I represent Limerick City and we have a huge crisis in our emergency department. I would hate to think, as the witness has just explained to us, and I do not mean to downplay someone who has an addiction problem, that doctors might be taken away from a crisis intervention to prescribe methadone. Does that happen all the time?

Committee on Drugs Use: A Health-Led Approach: Discussion (Resumed) (17 Oct 2024)

Maurice Quinlivan: To be crystal clear, for us to change that and what the nurse can do we need to change the legislation.

Committee on Drugs Use: A Health-Led Approach: Discussion (Resumed) (17 Oct 2024)

Maurice Quinlivan: I thank Mr. McBrien for that. I agree with Dr. Kelly's issue regarding pay tenure, career progression, workload in the profession and other workers in addiction services and some of the remuneration and perks. It is not necessarily the case for nursing but some of the people working in that sector have not had a pay rise for a number of years, ten or 11 years in some cases. As I said, I am...

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