Results 1-20 of 1,136,515 for in 'Dáil debates' OR in 'Committee meetings' (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:Joan Collins OR speaker:Brendan Howlin OR speaker:Seán Fleming OR speaker:Catherine Connolly OR speaker:Seán Canney OR speaker:Catherine Martin OR speaker:Simon Harris OR speaker:Ivana Bacik OR speaker:Michael McGrath OR speaker:Malcolm Noonan OR speaker:Jennifer Murnane O'Connor OR speaker:Ciarán Cannon OR speaker:Stephen Donnelly)

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)

Stephen Donnelly: I thank the Chair and the members of the select committee for the opportunity to bring the Supplementary Estimate for Vote 38 before them. I am seeking an additional total for 2024 of €1.754 billion. It comprises €1.749 billion for the HSE's current expenditure and €5 million for capital expenditure. For clarity, while I am seeking the committee's approval for this...

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)

Stephen Donnelly: Subhead 1 relates to net pensions costs of €83 million. Pensions is an area that is difficult to predict with accuracy as it is demand-led and once people retire they are entitled to claim superannuation benefits. As well as the demand element, the additional €83 million is driven by the public sector pay deal and a reduction in retained superannuation contributions because of...

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)

Stephen Donnelly: I referenced two funds in the speech, the chief clinical officer's area and the services area. Essentially, the money goes into central departments in the HSE and, as new developments are rolled out, it gets transferred. For example, regarding the national cancer strategy, the money is allocated from the Department to the HSE, sits with the chief clinical officer and his unit and, as the...

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)

Stephen Donnelly: I thank the Deputy. The two big areas of underspend which we have shown in the document circulated to the committee are those the Chair and I have just discussed. They relate to the chief clinical officer and national support services. They are not really underspends. That is to the Chair's point. We call them underspends but, in fact, they are lump sums that are transferred across and,...

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

Stephen Donnelly: They probably are.

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

Stephen Donnelly: I thank the Deputy. The core part of this is patient safety. There is a financial cost involved for the State as well, but, first and foremost, this is about reducing and, where possible, eliminating harm to patients. A few different things have happened. In terms of catastrophic birth injuries, there is now a review group. It was set up, I believe, two years ago by an eminent...

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

Stephen Donnelly: I am sure we can get that information for the Deputy. What we are seeing in the profile is that there was a significant escalation, as we see from the figures provided to the committee, from €205 million in 2015 up to €465 million in 2021. It more than doubled. In 2022, it went up €530 million. It has stabilised over the past four years.

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

Stephen Donnelly: There would be various reasons. The payments being made this year will, for example, relate to cases from quite some time ago. We will get the Deputy a more detailed note in terms of legal fees versus payments. We want to achieve a few things. First and foremost, we want to maximise patient safety. Second, where there is a mistake or where there is a catastrophic birth injury or...

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

Stephen Donnelly: They are measured each year. There is an accurate understanding of the number of catastrophic birth injuries and, indeed, other patient safety issues. It is taken very seriously. The patient safety office in my Department is very involved in this. The HSE is also very involved. We can certainly provide some detail in terms of the numbers. For example, the legal fees relating to the...

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

Stephen Donnelly: The OPW was mentioned in the context of the Brexit infrastructure in Dublin Airport and the two ports.

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

Stephen Donnelly: I will ask Ms Louise McGirr to provide the details.

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

Stephen Donnelly: I thank Deputy Cullinane for that. I will answer his second question first. Ms McGirr is on the task force and is well placed to give the Deputy an update on his first question. On the changes to work practices, what we are doing is pursuing what was called for in Sláintecare. For me, there are three pieces to this, namely, structural changes to get better productivity, operational...

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

Stephen Donnelly: The figure of 2,000 is contested. My Department has written to the INMO seeking the figures. It has not provided those to us. We wrote again to the INMO this week seeking those figures. Nobody has cited these 2,000 roles. If and when we get the list of those posts, we will of course take that very seriously.

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

Stephen Donnelly: I am saying that we keep hearing this figure that there are-----

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

Stephen Donnelly: It is. Something that is very clear - let us just stick with nursing and midwifery for now but it applies across the board - is that the total funded positions in nursing and midwifery today are well higher than they were this day-----

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

Stephen Donnelly: I will answer the Deputy's question. We need to see the INMO or Fórsa figure of 2,000. We will verify it. It is the case that there are teams, be they in the community or in hospitals, which are under a lot of pressure. There are teams that might have had one or two vacant posts in January, where they do not currently have agreement to hire into those posts so I-----