Results 1,241-1,260 of 1,190,919 for in 'Dáil debates' OR in 'Committee meetings' (speaker:Tom Kitt OR speaker:Brendan Griffin OR speaker:James Lawless OR speaker:Claire Kerrane OR speaker:Michael Healy-Rae OR speaker:Micheál Martin OR speaker:Frank Feighan OR speaker:Michael McGrath OR speaker:Mark Ward OR speaker:Alan Dillon OR speaker:Michael Ring OR speaker:Norma Foley OR speaker:Joan Collins OR speaker:Mick Barry OR speaker:Martin Browne OR speaker:Brendan Howlin OR speaker:Steven Matthews OR speaker:Emer Higgins OR speaker:John Brady OR speaker:Mattie McGrath OR speaker:Chris Andrews OR speaker:Darragh O'Brien OR speaker:Eamon Ryan OR speaker:Ruairi Ó Murchú OR speaker:Verona Murphy OR speaker:Roderic O'Gorman OR speaker:Brian Stanley OR speaker:Dara Calleary OR speaker:Noel Grealish OR speaker:Eoin Ó Broin OR speaker:Pearse Doherty OR speaker:Martin Kenny OR speaker:David Cullinane OR speaker:Alan Kelly OR speaker:Colm Burke OR speaker:Willie O'Dea OR speaker:Richard Boyd Barrett OR speaker:Duncan Smith OR speaker:Chris Andrews7 OR speaker:Simon Harris OR speaker:Patrick Costello OR speaker:Pádraig Mac Lochlainn OR speaker:Michael Collins OR speaker:Alan Farrell OR speaker:Paschal Donohoe OR speaker:Martin Heydon)

Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024)

David Cullinane: I welcome our witnesses and thank them for the extensive briefing documents they submitted, as well as the opening statement and the asks they have of this committee. I will start with the national strategy because it is important. The most important point the witnesses made in their presentation is we do not have an overarching national strategy and have not for five years. Just for the...

Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024)

David Cullinane: I thank Professor McAdam. I see many of the critical issues the witnesses identified are issues common to a lot of areas we are hearing about. One is the lack of comprehensive national registries. That seems to be a problem across a whole range of diseases. Do the witnesses think there would be a step-change in that if we moved to electronic medical records and digitising the health...

Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024)

David Cullinane: I thank Professor McAdam. I move to diagnostics, because it is one of those areas in healthcare where the National Treatment Purchase Fund does not publish the diagnostic waiting lists or indeed community waiting lists, which it should. Very often we have to keep digging and asking parliamentary questions to get some sense of how bad they are. We know that in some cases they are not great....

Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024)

David Cullinane: There is a business case that was developed by the national heart programme around cardiac imaging.

Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024)

David Cullinane: I am taking it from Dr. Murphy's response that would be more insourcing and more public availability in the public service, as opposed to outsourcing. However, the fundamental point is more capacity.

Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024)

David Cullinane: I thank Dr. Murphy. Our time is limited and I have one more question to put. An issue that is coming up a lot at this committee when we have witnesses before us is the recruitment embargo that was in place and the still very limited recruitment for 2024. The witnesses' opening statement refers to "... significant workforce issues including an embargo on filling vacant positions since...

Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024)

David Cullinane: Just to let the Chair know, a health motion is being taken in the Dáil and some of us will have to leave to speak on it.

Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024)

Róisín Shortall: I will have to leave shortly to go to the Chamber as well. I find it hard to understand how we get to a point where the cardiac strategy is five years out of date and we are only now talking about a new strategy. When was the Nolan report completed?

Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024)

Róisín Shortall: In that case, it was completed nearly two years ago. What kind of engagement has the Irish Cardiac Society had with the Department of Health, the Minister or anybody at a senior level in the HSE on a new strategy?

Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024)

Róisín Shortall: Is Professor McAdam saying we would be required to have a national strategy under development at European level?

Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024)

Róisín Shortall: The likelihood is, even if there is cognisance taken of European developments, that we are talking about developing a new strategy, which would likely take some time.

Joint Oireachtas Committee on Health: Issues and Challenges relating to Cardiology: Irish Cardiac Society (23 Oct 2024)

Róisín Shortall: That issue will not change quickly, unfortunately. We have been looking for the health strategy to be implemented for a long time. Regarding the recent session in Budapest, given the importance of cardiovascular disease and the fact it is the second biggest contributor to mortality, it strikes me, and it is disappointing, that the senior Minister was not there. That is just a comment. ...

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.