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Results 1-20 of 1,131,561 for in 'Dáil debates' OR (speaker:Tom Kitt OR speaker:Simon Coveney OR speaker:Michael Lowry OR speaker:Peter Burke OR speaker:James Browne OR speaker:Marc Ó Cathasaigh OR speaker:Mary Butler OR speaker:Jennifer Carroll MacNeill OR speaker:Paul Murphy OR speaker:Hildegarde Naughton OR speaker:Alan Farrell OR speaker:Michael Collins OR speaker:Michael Fitzmaurice OR speaker:Robert Troy OR speaker:Duncan Smith OR speaker:Pearse Doherty OR speaker:Seán Fleming OR speaker:Chris Andrews OR speaker:Dara Calleary OR speaker:Eoin Ó Broin OR speaker:Pat Buckley OR speaker:Gino Kenny OR speaker:Ruairi Ó Murchú OR speaker:Richard Boyd Barrett OR speaker:Darragh O'Brien OR speaker:Pa Daly OR speaker:Ciarán Cannon OR speaker:Sorca Clarke) in 'Committee meetings'

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)

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...

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