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Select Committee on Education and Skills: Estimates for Public Services 2024
Vote 45 - Further and Higher Education, Research, Innovation and Science (Supplementary) (24 Oct 2024)

Pádraig O'Sullivan: I nominate Deputy Jim O'Callaghan.

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Ciarán Cannon: I congratulate Deputy Farrell on assuming the role of Chair of the Committee of Public Accounts. I think she will be excellent, and I wish her every success. I thank our witnesses for joining us this morning for what I hope will be an enlightening and helpful discussion on how manage the significant resources that we invest in our health service on the part of our taxpayers. I also thank...

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Ciarán Cannon: For those of us who are far from expert on how exactly it is intended to drive this innovation within the system, is there a unit within the HSE that oversees this process?

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Ciarán Cannon: What sort of expertise exists within that unit?

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Ciarán Cannon: Several hundred.

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Ciarán Cannon: How many? Is there a ballpark figure? Is it 200, 300, 500-----

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Ciarán Cannon: Covid gave us an insight into-----

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Ciarán Cannon: -----what exactly is possible.

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Ciarán Cannon: Have the people who are leading that change in that unit of 700 people ever contemplated visiting places such as Denmark - maybe they already have - which is not dissimilar to us in terms of its demographics and population? Estonia is a very small, agile country that has been doing extraordinary things in the use of technology for how a citizen interacts with the state. Have we visited...

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Ciarán Cannon: I know this is a difficult question, but in Mr. Gloster's estimation, how far away are we from having an actual workable EHR for every person in this country?

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Ciarán Cannon: If we get it in seven years, I will be happy.

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Ciarán Cannon: Go raibh maith agat.

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Paul McAuliffe: I acknowledge the Cathaoirleach's new position. I have no doubt but that she will continue the good work of the previous Chair in chairing this committee and doing it in a cross-party way. Our work in this committee is very important, but so is the way we do our work. It is important and different from other committees. I acknowledge this point. I thank Mr. Gloster and all the team for...

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Paul McAuliffe: I saw a figure regarding the outpatient waiting lists having been reduced by 50,000 people. Mr. Gloster is saying this is a real reduction rather than a validation exercise.

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Paul McAuliffe: Will Mr. Gloster repeat that figure?

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Paul McAuliffe: I accept that point. The experience just shone a light on the outpatients waiting list for me.

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Paul McAuliffe: We do not know, but this may be the last or the second last meeting of this committee. It will certainly be the last meeting during this Dáil when Mr. Gloster will be before us anyway.

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Paul McAuliffe: I am very much cognisant of the volume of money associated with this hearing. We are talking about €23.5 billion. Many Government Departments could be folded into that figure. In 2019, the figure was €16 billion. Essentially, there has been a 46% increase in the funding of the HSE over the past four years, that is, the lifetime of this Government. In 60 seconds, can Mr....

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Paul McAuliffe: I would love to explore that point more but I just do not have the time. Turning to the non-compliant procurement, this is the first thing we look at in this committee. The HSE estimated that the total expenditure on goods and services subject to procurement rules was €4.2 billion. Again, this amount is multiples of an entire Government Department in some cases. The idea that...

Public Accounts Committee: Financial Statements 2023: Health Service Executive (24 Oct 2024)

Paul McAuliffe: When the HSE did the self-assessed audit, there was a very significant percentage of either non-co-operation or where you could not identify the purchaser. The figure of 12% actually could be higher.