Results 1-20 of 1,148,672 for in 'Dáil debates' OR (speaker:Róisín Shortall OR speaker:Kieran O'Donnell OR speaker:Frank Feighan OR speaker:Aodhán Ó Ríordáin OR speaker:Colm Burke OR speaker:Darragh O'Brien OR speaker:Michael Collins OR speaker:Thomas Gould OR speaker:Paschal Donohoe OR speaker:Seán Crowe OR speaker:Damien English OR speaker:Neale Richmond OR speaker:Bernard Durkan OR speaker:Michael Fitzmaurice OR speaker:Denis Naughten OR speaker:Chris Andrews OR speaker:Micheál Martin OR speaker:Neasa Hourigan OR speaker:James Lawless OR speaker:Martin Browne OR speaker:Pa Daly OR speaker:Pippa Hackett OR speaker:Patrick O'Donovan OR speaker:Noel Grealish OR speaker:Chris Andrews8 OR speaker:Catherine Connolly OR speaker:Brian Leddin OR speaker:Mattie McGrath OR speaker:Robert Troy OR speaker:David Cullinane) 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)

Bernard Durkan: I thank the Minister, the Ministers of State and the officials for attending. There are just a couple of things that come to mind. It would appear that a better picture is emerging in the context of funding for health service that will lead to improvements for consumers right across the country. That is to be welcomed. How did the underspends to which the Minister referred come about?...

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

Bernard Durkan: I thank the Minister. The underspends in question, in terms of their description, are misnamed.

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

Bernard Durkan: There should be an alteration in the description. The Minister has explained that. It should be done in order prevent people being misled and to enable those who may expect the moneys to be sent in their direction to know that this is or is not a possibility. They have to plan as well. In relation to the State Claims Agency and negligence claims, the total allocation of €485...

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

Bernard Durkan: Have these been quantified? Have the areas where positive changes can be made with obvious beneficial results from the point of view of patients and in the context of the risk and cost to the health service been flagged? To what extent has a breakdown of the €485 million referred to, including legal fees, been obtained and what were the extent of the legal fees involved, if known?

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

Bernard Durkan: As a result of action taken.

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

Bernard Durkan: In terms of a reduction in the number of incidents, how will be able to monitor the extent to which potential catastrophic incidents can arise? What evidence exists which shows that the prevention of incidents is well in hand, as needs to be the case? The follow-on from that is the financial liability. How quickly will we see the effect of and be able to judge the preventative measures...

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

Bernard Durkan: All I will say is that this Department specialises in health. Insofar as possible, we need to prevent as many accidents or errors in procedures as possible in every way possible to ensure the money in the health budget is spent on health as opposed to legal fees. I saw something about the OPW. I have had some interaction with the OPW recently. While I cannot find it at the moment, the...

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

Bernard Durkan: Okay. Is the expenditure normal? Has it been tested? The OPW has had a propensity to slightly exaggerate costs.

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)

Bernard Durkan: I thank the Cathaoirleach.

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.