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Results 141-160 of 1,134,875 for in 'Dáil debates' OR (speaker:Joe O'Brien OR speaker:Dara Calleary OR speaker:Stephen Donnelly OR speaker:Joe Flaherty OR speaker:Seán Fleming OR speaker:Darragh O'Brien OR speaker:Brendan Smith OR speaker:Imelda Munster OR speaker:Michael Ring OR speaker:Mattie McGrath OR speaker:Carol Nolan OR speaker:John McGuinness OR speaker:Robert Troy OR speaker:Frank Feighan OR speaker:Damien English OR speaker:Eamon Ryan OR speaker:Paschal Donohoe OR speaker:Cathal Crowe OR speaker:Thomas Gould OR speaker:Cian O'Callaghan OR speaker:Mark Ward OR speaker:Helen McEntee OR speaker:Richard Boyd Barrett OR speaker:Seán Canney OR speaker:Christopher O'Sullivan OR speaker:Patrick O'Donovan OR speaker:Pádraig O'Sullivan OR speaker:Aengus Ó Snodaigh) in 'Committee meetings'

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

Cathal Crowe: I will hopefully come back in later, but will ask the Minister a final question. I have long been speaking about Ennis General Hospital and elective surgeries being suspended there for ten weeks. Surgery took place on perhaps four days in ten weeks. The theatre nurses, who are highly skilled, were redeployed to other functions in general medical wards. This is not personal, but the...

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

Stephen Donnelly: I thank the Deputy. I might ask Ms Broderick to speak to that.

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

Cathal Crowe: They are not carrying bedpans or going to the general wards, but they are somewhere.

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

Cathal Crowe: What are those hours?

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

Cathal Crowe: I thank Ms Broderick.

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

Stephen Donnelly: The short answer is that I agree with the Deputy. I agree with the Sláintecare recommendation. I agree with her point when it comes to the health service and the wider public sector. It is something that should be considered in the next programme for Government, whoever may be putting that together. Again, I am not an employment lawyer, but I have learned more about it over the past...

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

Stephen Donnelly: Finally, we have sought to address it within employment law within the new public-only consultant contract, which does contain more provisions around performance management and accountability.

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

Stephen Donnelly: Yes, I could not agree more. The clinical director role does not do what most of us think it was meant to do, which is to performance manage. Obviously, we champion patient safety, but within that we must make sure the clinical teams within the organisations are operating to the best extent possible. There are some clinical directors who do that.

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

Stephen Donnelly: I apologise for interrupting. What I can tell the Deputy is that in the context of the new clinical director role, there is a significant focus on exactly the point she is making.

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

Stephen Donnelly: If it is okay, I will ask Ms Broderick to speak to that.

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

Stephen Donnelly: Can I respond to that, Chair?

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

Stephen Donnelly: I thank the Deputy for that. I am more than happy to take responsibility, obviously, but in the interest of fairness, when I was appointed, there were approximately 400 beds in UHL. We have added 118. There are 16 more that are going to open this year, 96 more in quarter 2 of next year, another 96 after that - they are under construction - and a further 84. I am more than happy to take...

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

Stephen Donnelly: Obviously, I have taken action on it but in fairness, the Deputy's question is why now? It is because we were in the middle of adding the greatest number of-----

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

Stephen Donnelly: Yes, that is right, and I have asked the same group, HIQA, to now come back and do a thorough analysis and if that is the case, report back on where it would go and would it be attached-----

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

Stephen Donnelly: That is exactly the way I was characterising the Deputy's question. It is because two and a half years ago, we were in the middle of a massive expansion of capacity in the mid-west, not just in UHL and the other regional hospitals but in the community. We have opened five primary care centres and a lot more. This time last year, the emergency department situation in UHL was moving in the...

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

Stephen Donnelly: I will have-----

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

Stephen Donnelly: There is definitely a distance and geography issue. I spend as much time as I can in west Clare and I know from my time there and talking to people in Ennis hospital that there is real concern at the distance. Deputy Shortall very fairly referred to HIQA. Its view was that the scale of Ennis hospital meant that it could not safely support an emergency department. That is exactly why I...

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

Stephen Donnelly: I thank the Senator. I am expecting a preliminary briefing on the HIQA report in February and the final report will be in May. I applaud the Deputy's question on consultant contracts and 24-7 on-site rostered consultant presence in our hospitals with emergency departments. The new consultant contract doubles the normal rostered times, which was a really important move. Our view was...

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

Stephen Donnelly: We looked at Barrington's hospital but the operational view of the HSE was that the quickest way to do it was to proceed with the identified site rather than trying to split teams between setting up a temporary solution and the permanent facility that we want. On the elective hospitals, I hear loud and clear the people in Limerick loud and clear when they say there is an elective hospital...

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

Stephen Donnelly: I am not ruling anything in or out. I want to meet Aoife's mum and dad and have this conversation with them. When it comes to the responsibilities, however, all of our responsibilities and the responsibility of the HSE to learn patient safety lessons and implement them, we do not need a statutory inquiry for that piece. I know there are really serious and heartfelt questions Aoife's family...

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