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Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Róisín Shortall: Yes, but what is the split?
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Róisín Shortall: I would also add in the commercial determinants of health. We have been doing a lot of work on that and issues related to drinking, smoking, fast food and all of that. There are big commercial pressures brought to bear on government related to that. I think the area of commercial determinants should be included in that because there is those big industries have considerable access to...
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Róisín Shortall: Okay, but at the end of that Professor McAdam is saying only 5% of people have inherited conditions.
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Róisín Shortall: What does the screening entail? Is it very costly or why is it so underdeveloped?
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Róisín Shortall: For child screening, when or how is that done?
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Róisín Shortall: Could it be included in that?
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Róisín Shortall: Okay. I want to pick up on some of the points made about testing diagnostics generally. Are cardiac diagnostic services not included in the new primary care diagnostics initiative, that is, the direct referrals?
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Róisín Shortall: That makes sense. I completely agree with Dr. Murphy's point that we should be developing our own services within each RHA instead of the outsourcing.
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Róisín Shortall: It reaches a tipping point then and the public service is always inadequate. I want to go back for a minute to that question of the prescribing of injectable cholesterol-lowering treatments. What is the position? Presumably, we know high cholesterol is very prevalent. What happens if a person is being prescribed that treatment? Does that mean they can eat and drink whatever they like?...
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Róisín Shortall: They are only allowed after the event, as it were, and not as a prevention measure.
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Róisín Shortall: Okay.
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Róisín Shortall: Are there any generic medicines coming on stream any time soon on that?
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Róisín Shortall: That is an important issue we may pursue as a committee.
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Neasa Hourigan: I will comment on some of the issues around the medicines management programme. For my own clarity, are these injections on cholesterol that we are talking about injections that would be undertaken by a clinician or is it something someone does at home?
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Neasa Hourigan: Okay. That seems to be more prevalent across a number of treatments in healthcare at the moment. Regarding the medicine management programme, I can only imagine there is a huge amount of innovation in this area. If doctors want to move a treatment off the management programme and make it more freely available, how long is that process?
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Neasa Hourigan: My question is on changing the criteria. What is the process and how long does it take?
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Neasa Hourigan: Has the engagement been going on for months or years?
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Neasa Hourigan: That is not great, given that drug innovation happens. We would like there to be a fairly dynamic response from organisations. I want to go back to the registry's issue. This has come up a number of times in other sectors to do with healthcare and anything that is a long-term condition. In a practical sense, what is the hold-up? What is the problem? Is it that there are different...
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Neasa Hourigan: Investment in IT-----
Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024): Neasa Hourigan: There is no structural issue within hospital groups; everyone is perfectly happy to work with that. Is that correct?

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