Results 1-20 of 1,092,363 for in 'Dáil debates' OR (speaker:Violet-Anne Wynne OR speaker:Cathal Crowe OR speaker:Mattie McGrath OR speaker:Jack Chambers OR speaker:Alan Dillon OR speaker:Holly Cairns OR speaker:Sorca Clarke OR speaker:Martin Browne OR speaker:Matt Shanahan OR speaker:Brian Stanley OR speaker:Michael Healy-Rae OR speaker:Seán Crowe OR speaker:Ivana Bacik OR speaker:Aengus Ó Snodaigh OR speaker:Aengus Ó Snodaigh28 OR speaker:Aindrias Moynihan OR speaker:Joan Collins OR speaker:Aengus Ó Snodaigh6 OR speaker:Denis Naughten OR speaker:Aengus Ó Snodaigh25 OR speaker:David Cullinane OR speaker:Micheál Martin) in 'Committee meetings'

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Seán Crowe: The meeting has been convened to consider the 2024 Supplementary Estimate for Vote 38 for the Department of Health, amounting to €1.749 billion for current expenditure and €5 million for capital expenditure. I welcome the Minister for Health, Deputy Stephen Donnelly, and the Minister of State at the Department of Health, Deputy Colm Burke, who is a former member of the...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Seán Crowe: Okay.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Seán Crowe: The Minister spoke of subhead J1. Maybe it is the language he is using but it is not very clear. I am conscious people are probably listening at home as well. Maybe other members understand it. The Minister stated: While there are deficits across a range of core services, most of the supplementary ask, €1.544 billion, relates to acute hospitals. These deficits in core services...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Seán Crowe: It is a bit unclear but I will the discussion open up to members. I think Deputy Durkan is leading us off.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

David Cullinane: I would prefer the Minister to answer that.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

David Cullinane: I welcome the Minister, the Ministers of State and the officials who are here. I wish to make one point or observation, which is important for me to make. The Minister might recall that when we had discussions about Supplementary Estimates last year, which was also after budget 2024, this committee clearly set out our concern that the health service was not properly funded for existing...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

David Cullinane: In fairness, I have given the Minister a lot of my time to respond to that question. I want to get on to a second point as quickly as I can as well. I just want a figure for my first question. How much has been achieved by way of productivity and savings since the task force was established? The breakdown, if there is one, can be provided to us in writing. Second, what scientific...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

David Cullinane: A total of €100 million in the context of the health budget is not a success story.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

David Cullinane: Of course, there is more to do. Some €100 million is nowhere near what can and should be saved. Even in respect of the issues the Minister raised regarding how money can be saved, €100 million does not stack up. We have not even got to agency spend, where I argue a lot more can be saved. If a note can be given on exactly that, it would be important. I am sure we will debate...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

David Cullinane: Is the Minister saying that no roles have been abolished? Is he saying that zero roles have been abolished or is he just disputing the 2,000 figure?

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

David Cullinane: Let us park that for one second. That is a figure. Is the Minister contending that no posts have been abolished that were vacant on 31 December 2023? Is it his contention that no posts have been abolished or is he simply saying that the figure of 2,000 is something he wants verification on? That is an important distinction.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

David Cullinane: We know that. It is my last question, and the Minister did not answer it, with respect. I accept what he said. That is not in dispute. What is in dispute is that there were vacant posts on 31 December 2023 that were abolished. If the Minister is disputing the figure from the INMO, has he the HSE's figure? I am asking him a very straight question. He is the Minister. Have posts been...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

David Cullinane: You do not know the number.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

David Cullinane: You do not know the number.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

David Cullinane: What we need is a workforce plan that is aligned with recruitment, if we are training healthcare professionals. That is why we have training targets. We are training them to come to work in the public system. Every graduate should be offered a job in the public system. That is not runaway recruitment. It is common sense. If the Minister is able to furnish figures for vacancies that were...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Seán Crowe: I have a couple questions. I will walk through the Minister’s opening statement. He mentioned an additional €5 million for capital expenditure. Can he give us a flavour of what is involved?

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Seán Crowe: Yes, he mentioned that later on. He also raised some of the key drivers of the supplementary budget. The Minister said that 60% of the Supplementary Estimate is required for pay costs, excluding pension costs. He mentioned “staffing roles that had previously been provided from temporary Covid funds along with funding for staff hired in excess of funded levels of recruitment”....

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Seán Crowe: I am trying to get at the nub of why. The Minister also mentioned “higher agency, overtime and staff allowances due to increased level of demand, especially in acute settings”. He is saying that the people who came in from the Covid funds who were working in the system are needed in the health system.

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Seán Crowe: The impression at one stage was that people were being hired willy-nilly and there was no real need for those staff. The Minister is saying that the Covid staff are needed. There was a recruitment embargo and we all get that you cannot just hire staff. However, I do not think that anyone is saying that these staff are not needed within the health system. Are there any staff that the...

Select Committee on Health: Estimates for Public Services 2024
Vote 38 - Health (Supplementary) (16 Oct 2024)

Seán Crowe: We need to be much more focused on who we hire. Is that what the Minister is saying?