Results 61-80 of 1,090,906 for in 'Dáil debates' OR (speaker:Tom Kitt OR speaker:Róisín Shortall OR speaker:Jennifer Murnane O'Connor OR speaker:Stephen Donnelly OR speaker:Brendan Griffin OR speaker:Verona Murphy OR speaker:Michael Collins OR speaker:Noel Grealish OR speaker:Thomas Byrne OR speaker:Ivana Bacik OR speaker:Damien English OR speaker:Michael Fitzmaurice OR speaker:Hildegarde Naughton OR speaker:Alan Farrell OR speaker:Aodhán Ó Ríordáin OR speaker:Darragh O'Brien OR speaker:Seán Haughey OR speaker:Sorca Clarke OR speaker:Robert Troy OR speaker:Patrick Costello OR speaker:Donnchadh Ó Laoghaire OR speaker:Colm Burke OR speaker:Fergus O'Dowd) in 'Committee meetings'

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)

Colm Burke: The additional funding in budget 2025 is €4.2 million. An additional 34 whole-time-equivalents will be employed. Some €2 million will be allocated to expand community-based drug services. Some €1 million will be allocated for the national roll-out of the community alcohol service, and that includes the employment of 24 whole-time equivalents. There is €500,000...

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

Colm Burke: There is a substantial increase in the overall budget for 2025. It is going to be the biggest budget ever in real terms. I will get the correct figure for the Deputy but the increase in total is the biggest figure. For instance, the total increase in funding is €40.5 million for the coming year. There is a €10.1 million increase for pay awards agreements. Some €5...

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

Colm Burke: As the Deputy knows, we hope to have the supervised injection facility in Merchants Quay opened by the end of the year. I have been there and I have seen the progress being made in the building work. The target is to have it opened by early to mid-December. That is a really important facility that needs to be open. As the Deputy knows, the initial proposal on that was going back to 2019....

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

Colm Burke: The Deputy should remember that 422 different centres around the country provide support for people with alcohol or drug addiction. Last year, 13,000 people received treatment for drug addiction and 8,000 people received treatment for alcohol addiction. Those figures are likely to go up. I have visited many of those centres over the last three to four months and each one of them is doing a...

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

Colm Burke: The target date is for early to mid-December and the construction work has really progressed. I was down there recently - in the last three weeks - and I have seen the work that has been done. The people involved in it are doing everything possible to make sure we can reach that target date of somewhere in the first two weeks of December.

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

Colm Burke: My understanding is that wastewater can be analysed to see the issue regarding the use of drugs. I am not into the detail of it but it is a mechanism that can be used to identify and to evaluate. Regarding the figures we have, we rely on centres such as all the HSE treatment centres around the country but we do not have a full picture in real terms of the people who are using substances. It...

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)

Colm Burke: On that point, many of the drug treatment centres are helping people to get access to medical services. I visited a number of centres. In one centre, for instance, a GP and nurses are going into the street and getting people into the centre for medical treatment. Many people who have had an adverse event in an accident and emergency department are now afraid of going to an accident and...

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.

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...

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

Róisín Shortall: We had been getting regular briefings in the Department but we have not had any since before the summer.

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

Róisín Shortall: It would be important to organise that. I will go back to the issue of nursing numbers. I am thinking specifically about community and public health nurses, who are vital, whether it is for older people, infants or others. There are major shortages there in terms of unfilled posts. Is anything being done to address that issue? Is anything being done to take it out of the rest of nursing...

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

Stephen Donnelly: I am taking it very seriously. We have had several debates in the Dáil on exactly this, which I think the Deputy might have been involved in. I wrote to the Chief Medical Officer recently to ask for a full review. There are certain areas, particularly in more disadvantaged communities, where they simply do not have enough staff. There are other areas where they are well resourced....

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

Róisín Shortall: It is the ultimate early intervention service. It is madness and very wrong if there are widespread vacancies. The presentation referred to facilitated access to hundreds of thousands of diagnostic scans for GP patients. Will the Minister clarify how that system works at the moment? I am hearing mixed views on it. In some cases, people are saying they can no longer go to a hospital for...