Results 1-20 of 1,131,704 for in 'Dáil debates' OR (speaker:Ciarán Cuffe OR speaker:Michael McNamara OR speaker:David Cullinane OR speaker:Seán Sherlock OR speaker:Éamon Ó Cuív OR speaker:Éamon Ó Cuív57 OR speaker:Cathal Berry OR speaker:Éamon Ó Cuív04 OR speaker:Joe McHugh OR speaker:Denise Mitchell OR speaker:Éamon Ó Cuív42 OR speaker:Aengus Ó Snodaigh OR speaker:Niamh Smyth OR speaker:Jack Chambers OR speaker:Éamon Ó Cuív61 OR speaker:Catherine Connolly OR speaker:Éamon Ó Cuív19 OR speaker:Ossian Smyth OR speaker:Mattie McGrath OR speaker:Aengus Ó Snodaigh22 OR speaker:Micheál Martin OR speaker:Seán Crowe OR speaker:Aengus Ó Snodaigh24 OR speaker:Helen McEntee OR speaker:Noel Grealish OR speaker:Michael Collins OR speaker:Heather Humphreys) 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)

Róisín Shortall: I welcome all the attendees. The Minister of State, Deputy Butler, mentioned there are 400 fewer people in nursing homes under the fair deal scheme. That is a really welcome figure. It is the first time I have heard it. I hope that trend will continue. The Minister referenced in his opening statement the demographic changes, which are very significant in terms of population size and...

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

Róisín Shortall: That did result in a recruitment freeze, however.

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

Róisín Shortall: There is a great deal of inaccurate information being thrown around on all sides. I am not saying it is inaccurate, but confusing information and claims being made from all sides in respect of this. I would not say for a moment that hospitals should be allowed to recruit as many staff; that would be ridiculous. They were allowed to do that in the past and there were serious problems as a...

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

Róisín Shortall: That is fine and it sounds like a plausible explanation. There are claims that you have not recalibrated the numbers for safe staffing based on a reduced working week. I am not expecting the Minister to have that detail today but I would ask him to provide a note on it, specifically on the recalibration.

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

Róisín Shortall: There is a tendency on the Minister's part to talk about how many additional staff have been provided. That is one way of looking at it, but it is also about what the base rate was like and whether that additional staffing brings the numbers up to an acceptable level.