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Results 121-140 of 1,173,907 for in 'Dáil debates' OR (speaker:Damien English OR speaker:Ruairi Ó Murchú OR speaker:Catherine Murphy OR speaker:Mary Lou McDonald OR speaker:Mairead Farrell OR speaker:Neale Richmond OR speaker:Duncan Smith OR speaker:Hildegarde Naughton OR speaker:Thomas Pringle OR speaker:John McGuinness OR speaker:Róisín Shortall OR speaker:Eamon Ryan OR speaker:Kieran O'Donnell OR speaker:Mark Ward OR speaker:Darren O'Rourke OR speaker:Robert Troy OR speaker:Brian Leddin OR speaker:Seán Sherlock OR speaker:Matt Carthy OR speaker:Catherine Connolly OR speaker:Éamon Ó Cuív OR speaker:Marc Ó Cathasaigh OR speaker:Francis Noel Duffy OR speaker:Alan Dillon OR speaker:Heather Humphreys OR speaker:Simon Harris OR speaker:David Cullinane) in 'Committee meetings'

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.

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

Róisín Shortall: Why did the Minister not act on the recommendation two and a half years ago?

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

Róisín Shortall: It was a separate point that HIQA made, which was that there was a need for a level 3 hospital and a second ED.

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

Róisín Shortall: It was not a matter of all of the numbers. There was a separate point that HIQA made. I have to ask the Minister-----

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

Róisín Shortall: Can I finish this last point?

Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)

Róisín Shortall: There is a serious issue of geography here. Does the Minister think it is acceptable that someone in need of medical treatment in, for example, Loop Head in County Clare or in Latteragh in County Tipperary, must not only drive past a hospital, but will also have a greater chance of dying if they have a major medical emergency because UHL is so overstretched and overcrowded? There is a...

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