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Results 1-20 of 1,091,256 for in 'Dáil debates' OR in 'Committee meetings' (speaker:Cathal Crowe OR speaker:Marc Ó Cathasaigh OR speaker:Brendan Smith OR speaker:Aengus Ó Snodaigh OR speaker:Aengus Ó Snodaigh26 OR speaker:Mark Ward OR speaker:Martin Heydon OR speaker:Paschal Donohoe OR speaker:Matt Carthy OR speaker:Jackie Cahill OR speaker:John Brady OR speaker:Aengus Ó Snodaigh23 OR speaker:Aengus Ó Snodaigh30 OR speaker:Fergus O'Dowd OR speaker:John Lahart OR speaker:Aengus Ó Snodaigh09 OR speaker:Louise O'Reilly)

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

Marc Ó Cathasaigh: Comhghaideas leis an gCathaoirleach. I do not intend to dwell on this but I have one question about that high earner. Mr. Gloster used the word "abhorrent", with which I think most of us would agree. Are we going to face a similar scenario? He talked about the new consultant contracts and the employment of more consultants, which is the ultimate aim, but are legacy contracts in place such...

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

Marc Ó Cathasaigh: Mr. Gloster is telling the committee he expects it to get better over time. Is that correct?

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

Marc Ó Cathasaigh: In the recent past, my family has been very glad to have access to consultants out of hours. I will touch on that. My father is 80 years of age. He still rides vintage motorcycles around the place, which is great for our collective family blood pressure. He gave us a bit of a scare recently. He came off the bike. We were in hospital with him. This goes back to Deputy Cannon's point...

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

Marc Ó Cathasaigh: I will ask one more quick question and I will then move on to non-compliance. We are lucky with UHW. There are fights to be had about the provision of health services in Waterford. People will know well about the fight for 24-7 and the second cath lab. That has been well documented, but we are very lucky in that ours is one of the model 4 hospitals that does not have people on trolleys....

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

Marc Ó Cathasaigh: I want to deal with non-compliant procurement in the short time remaining. We are talking about a spend of €4.2 billion. The HSE has put the estimate for non-compliant spending at 12%. We have difference there because, apparently, the exercise only covered 38% of the overall spend. Could Mr. Mulvany put a monetary value on it for me because I am making an assumption - it may be...

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

Marc Ó Cathasaigh: I guess what I am trying to get at here is whether it is 12% of the cases or 12% of the procurement-----

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

Marc Ó Cathasaigh: It really is a significant amount. If that maps out to the €4.2 billion, we are talking about close on €500 million that will en up being non-compliant procurement.

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

Marc Ó Cathasaigh: If I map those trends onto the €4.2 billion, we could be talking about a sum of the order of €500 million.

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

Marc Ó Cathasaigh: The number, which is staggering, troubles me. Something that worries me more is that one of the reasons we get back for not having that information, on the one hand, is the manager responsible for the expenditure could not be identified centrally. That would very much worry me. Then the flip side is that the identified managers failed to respond to the exercise. When they were asked about...

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

Marc Ó Cathasaigh: If I can focus the question specifically, if a local or regional manager does not engage with Mr. Mulvany when he asks the question about non-compliant procurement, is there a sanction that follows?

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

Marc Ó Cathasaigh: In the context of those two things - the manager responsible could not be identified which would be on the HSE versus the person did not respond - can Mr. Mulvany provide an indication of where the balance lies?

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

Marc Ó Cathasaigh: Not tolerating something and not pursuing it are quite different from having a series of sanctions that apply.

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

Marc Ó Cathasaigh: Has that happened in any instances?

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

Matt Carthy: Go raibh maith agat, a Chathaoirligh, agus comhghairdeas. I want to follow up on the issue of one individual who earned over €1 million, with €700,000 of that being an addition in their salary, and the instance whereby a significant portion of that was for a single shift where the person was paid at a rate of six hours per patient for each of four patients who were actually...

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

Matt Carthy: What proportion did Mr. Gloster say?

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

Matt Carthy: My question was whether it is possible. I take it from Mr. Gloster's answer that yes, it is possible.

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

Matt Carthy: Is it happening? That is the next question. Is it happening today at all?

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

Matt Carthy: Again, I take it from the answer that it is happening but in a more limited way than previously. Is that fair to say?

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

Matt Carthy: No, that is exactly what I just said.

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

Matt Carthy: Ms McGirr mentioned that the first option in these instances is for rest leave to be provided in lieu. I am not sure of any worker in any scenario who, given a choice of getting six hours pay for 15 minutes, essentially, or an alternative hour off, would not take the former. In this instance, the witnesses indicated that monitoring may be in place now. When a member of staff works these...

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