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Results 61-80 of 1,102,509 for in 'Dáil debates' OR (speaker:Anne Rabbitte OR speaker:Joe Carey OR speaker:Thomas Byrne OR speaker:Seán Ó Fearghaíl OR speaker:Michael Moynihan OR speaker:Josepha Madigan OR speaker:Simon Harris OR speaker:Joe McHugh OR speaker:Bernard Durkan OR speaker:Patrick O'Donovan OR speaker:Mark Ward OR speaker:Emer Higgins OR speaker:John McGuinness OR speaker:Danny Healy-Rae OR speaker:Pearse Doherty OR speaker:Róisín Shortall OR speaker:Stephen Donnelly OR speaker:Seán Ó Fearghaíl4) in 'Committee meetings'

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

Róisín Shortall: So there is discretion.

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)

Róisín Shortall: The profile of the RHAs obviously has to be complete to do that fully.

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)

Róisín Shortall: That is happening.

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

Róisín Shortall: The Minister of State indicated that earlier in the year and it is very welcome. I hope other parts of the health service emulate that. Please excuse me as I have to speak in the Chamber. I am sorry.

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)

Bernard Durkan: On this question of a population increase by 2% or 84,000 every year since 2019, this means there has been cumulative population growth of 422,000 between 2019 and 2024. How much of that is indigenous growth and how much of it is due to inward migration?

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)

Bernard Durkan: We should have them because it gives a slanted impression. For instance, I do not see the number of people over 75 coming into the country as being in any way of the level referred to here but, by comparison, I see a huge number of young people coming in. I would say the ratio is very different from what these figures suggest. As well as that, I heard on a radio programme this morning...

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

Bernard Durkan: Cloncurry drug treatment centre in Enfield, which is on the border of my constituency, is a case in point. I invite the Minister of State to visit if he gets a chance. It would be important to the assessment of the need and threat.

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

Róisín Shortall: To pick up where I left off before I had to leave, regarding the handling of the budget going forward, the whole principle of the RHAs is that the area is to be profiled. There would be an allocation of funding based on established need, population size, socioeconomic profile and so on. I know there is a huge amount of work under way in the Department on that. We have not had a briefing...

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)

Róisín Shortall: The classic example is when people are ready to be discharged from hospital but they are not discharged because there may not be enough of a home care budget locally. There should be that discretion to spend money where it makes the most sense.

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