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Results 121-140 of 1,104,353 for in 'Dáil debates' OR (speaker:Damien English OR speaker:Ivana Bacik OR speaker:Michael McNamara OR speaker:Gary Gannon OR speaker:Dara Calleary OR speaker:Michael Moynihan OR speaker:John Lahart OR speaker:Matt Shanahan OR speaker:James O'Connor OR speaker:Brendan Griffin OR speaker:Michael McGrath OR speaker:John Brady OR speaker:James Browne OR speaker:Gino Kenny OR speaker:Patrick Costello OR speaker:Ciarán Cannon OR speaker:David Stanton OR speaker:Réada Cronin OR speaker:Bríd Smith OR speaker:Pauline Tully OR speaker:Donnchadh Ó Laoghaire OR speaker:Marc Ó Cathasaigh OR speaker:Charlie McConalogue OR speaker:Seán Crowe OR speaker:Maurice Quinlivan OR speaker:Éamon Ó Cuív OR speaker:Mattie McGrath OR speaker:Mark Ward OR speaker:Ruairi Ó Murchú OR speaker:Michael Collins OR speaker:Éamon Ó Cuív57 OR speaker:Brian Leddin) in 'Committee meetings'

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

Seán Crowe: Let us not go down that road.

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

Seán Crowe: Deputy Shortall is next. Is she in the building?

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)

Seán Crowe: That is okay. Deputy Shortall can go ahead.

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)

Seán Crowe: Has Deputy Shortall finished her point? She might let the Minister in.

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)

Seán Crowe: This is the Deputy's final question. She is over time.

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

Róisín Shortall: Can I finish this last point?

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