Results 621-640 of 1,115,077 for in 'Dáil debates' OR (speaker:Ciarán Cuffe OR speaker:Maurice Quinlivan OR speaker:Marian Harkin OR speaker:Catherine Murphy OR speaker:Holly Cairns OR speaker:Martin Browne OR speaker:Ruairi Ó Murchú OR speaker:Joan Collins OR speaker:Robert Troy OR speaker:Simon Harris OR speaker:Paschal Donohoe OR speaker:Mark Ward OR speaker:Marc Ó Cathasaigh OR speaker:Joe McHugh OR speaker:Anne Rabbitte OR speaker:Róisín Shortall OR speaker:Frank Feighan OR speaker:Marc MacSharry OR speaker:Francis Noel Duffy OR speaker:Brian Leddin OR speaker:Ciarán Cannon OR speaker:Micheál Martin OR speaker:David Cullinane OR speaker:Brendan Griffin OR speaker:Michael Creed OR speaker:Paul McAuliffe) in 'Committee meetings'

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)

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...

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

Maurice Quinlivan: Will Dr. Kelly briefly explain how he sees independent oversight working? He also referenced that in his opening statement.

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

Maurice Quinlivan: Professor Comiskey addressed stigma and how we deal with it. What are the easy wins on that front?

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

Mark Ward: I will not say what popped into my head. Just taking the piss.

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

Mark Ward: Not once or twice weekly, however. There is no benefit there.

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

Mark Ward: That was my experience. At some stage it was once weekly and if a doctor had concerns it was twice weekly. It was being used punitively.