Results 121-140 of 1,113,062 for in 'Dáil debates' OR in 'Committee meetings' (speaker:Damien English OR speaker:Ruairi Ó Murchú OR speaker:Mick Barry OR speaker:Bríd Smith OR speaker:Cormac Devlin OR speaker:Martin Browne OR speaker:James O'Connor OR speaker:Emer Higgins OR speaker:Michael Collins OR speaker:John Lahart OR speaker:Róisín Shortall OR speaker:Bernard Durkan OR speaker:Pat Buckley OR speaker:Aindrias Moynihan OR speaker:Éamon Ó Cuív OR speaker:Sorca Clarke OR speaker:Eoin Ó Broin OR speaker:Michael McGrath OR speaker:Éamon Ó Cuív1 OR speaker:Mairead Farrell OR speaker:Hildegarde Naughton OR speaker:Richard O'Donoghue OR speaker:Neasa Hourigan OR speaker:David Cullinane OR speaker:Carol Nolan OR speaker:Richard Bruton)
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
David Cullinane: I will come to Ms Broderick now with my second question. I thank the Minister. When we triage patients in the health services generally, we use what is called the Manchester triage categories. My understanding is that there are five categories, 1 to 5, with 1 being the most urgent and 5 the least urgent. My understanding is that categories 1, 2, 3 are the main ones. Patients in...
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
David Cullinane: So triaging by its nature is to separate those who should be there as opposed to those who may be able to be referred elsewhere. Typically, categories 4 and 5 patients could be and are probably referred elsewhere but categories 1, 2 and 3 patients would be seen in emergency departments. Is that----
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
David Cullinane: I have that. Rather than getting into a row on which numbers are correct, whether it is the INMO numbers or those of the HSE, the figure at this point does not really matter to me but we know there was a high volume of patients on trolleys in Limerick again this and last week. Are those people who were on trolleys categories 1, 2 and 3 patients?
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
David Cullinane: That they would be.
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
David Cullinane: That is my point. Yet, here we are with high numbers again in Limerick compared to other regions. I make that point to come to the issue of how we move forward. I recognise the additional capacity mentioned by the Minister earlier. I recognise all the other outpatient work, the people who are treated or are seen and procedures which are carried out which do not get noticed or talked about...
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
David Cullinane: I will add to that because I did my own calculations on this and, as the Minister knows, I published a plan for the mid-west a number of months ago where I set out what I felt was needed, including a review, in advance of the review being put in place. As I said, I welcome the review. Does the Minister know what the population of the mid-west is?
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
David Cullinane: What I am hearing from the Minister is a redeployment of certain posts. This is being covered in the media and I have a responsibility to provide factual information when I am asked, which I want to provide. There are families out there who have suffered because of problems in the hospital. I am not apportioning blame but it is difficult for them to read that there was a small group...
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
David Cullinane: Is he here?
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
David Cullinane: It depends on how you look at it but it is somewhere between 400,000 and 500,000 people. It is a minimum of 400,000 up to 500,000, depending on the catchment area. If the mid-west region had two emergency departments, it would mean the population per emergency department would be 200,000. If we take, for example, the south west, it has four emergency departments with one emergency...
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: Yes, I am in my office in Agriculture House.
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: I welcome the witnesses to the session. I want to stick with the issue of accountability. The apparent lack of accountability across senior levels within the public service and the Civil Service is something that drives the public mad. We see on a regular basis that there are rarely consequences involved when things go wrong for the senior people who may not have been doing their job...
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: Okay-----
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: What the Minister is saying is welcome, but does that also apply to clinical directors? There is somewhat of a grey area around their roles in terms of responsibility.
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: Okay, well-----
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: If that is the Minister's view, I suggest that he might give consideration to reinstating the reporting arrangements for clinical directors because they have essentially been abandoned. In the context of accountability and the management structure, the Minister spoke to us about Ms Broderick, Mr. Carter and Dr. Peters. What exactly is that structure?
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: Just to clarify, they are all reporting directly to Ms Broderick.
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: That is good. I thank Ms Broderick for that. The other two areas of accountability obviously relate to the two areas identified in Mr. Justice Frank Clarke's report, one of which was the completely inadequate capacity within the mid-west region in terms of emergency department, ED, capacity. That has to be a matter of political accountability. One does have to wonder about the original...
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: Okay.
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: The recommendation was that the other three EDs should not close until we had reached a level beyond 600 beds in UHL. That has been the problem, notwithstanding recent improvements as regards the number of beds. That is a fundamental point. Those three emergency departments should not have been closed. It is quite clear that was the original intention. I have been raising the issue for...
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: I am sorry; the action was that the Minister would open a second ED. He would designate one of the other hospitals as a level 3 hospital and have an ED.