Results 1-20 of 1,174,797 for in 'Dáil debates' OR (speaker:Tom Kitt OR speaker:Duncan Smith OR speaker:Cian O'Callaghan OR speaker:Denis Naughten OR speaker:Gary Gannon OR speaker:Dara Calleary OR speaker:Mark Ward OR speaker:Joe Flaherty OR speaker:Carol Nolan OR speaker:Sorca Clarke OR speaker:Roderic O'Gorman OR speaker:Michael Collins OR speaker:Claire Kerrane OR speaker:Ruairi Ó Murchú OR speaker:Thomas Gould OR speaker:Louise O'Reilly OR speaker:Niamh Smyth OR speaker:James O'Connor OR speaker:Norma Foley OR speaker:Brian Stanley OR speaker:Simon Harris OR speaker:Johnny Mythen OR speaker:Richard Boyd Barrett OR speaker:Marc Ó Cathasaigh OR speaker:Jennifer Whitmore OR speaker:James Lawless OR speaker:John Brady OR speaker:Marian Harkin OR speaker:Robert Troy OR speaker:Eoin Ó Broin OR speaker:Seán Fleming OR speaker:Danny Healy-Rae OR speaker:Éamon Ó Cuív OR speaker:Darren O'Rourke OR speaker:Joan Collins OR speaker:Jennifer Murnane O'Connor OR speaker:Heather Humphreys OR speaker:Stephen Donnelly OR speaker:Malcolm Noonan OR speaker:Thomas Pringle OR speaker:Hildegarde Naughton OR speaker:Pat Buckley OR speaker:Mairead Farrell OR speaker:Éamon Ó Cuív56 OR speaker:Éamon Ó Cuív19 OR speaker:Violet-Anne Wynne OR speaker:Maurice Quinlivan OR speaker:Patrick Costello OR speaker:Aengus Ó Snodaigh) in 'Committee meetings'

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

Mairead Farrell: Apologies have been received from Deputy John Brady. As this is my first meeting as Cathaoirleach, I must make the following declaration in attend in accordance with Standing Order 104(3)(a). Dearbhaím go sollúnta go ndéanfaidh mé, go cuí agus go dílis agus a mhéid is eol agus is cumas dom, oifig Chathaoirleach an Choiste um Chuntais Phoiblí a...

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

Mairead Farrell: Inniu is é an príomhchainteoir ná an Teachta Ciarán Cannon. Beidh 15 nóiméad aige. The lead speaker today is Deputy Ciarán Cannon, who has 15 minutes. All other members will have ten minutes, but I will allow them back for a second round of questions. At 11 a.m., we will take a short break.

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

Mairead Farrell: Go raibh míle maith agat as sin. An dara chainteoir ná an Teachta Paul McAuliffe.

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

Mairead Farrell: To follow on, I have a brief question on that. Mr. Mulvany mentioned there that a self-assessment was done. We understand that from the briefing but then he mentioned a random sample was taken. I assume what Mr. Mulvany means is that it was assessed externally. Is that correct?

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

Mairead Farrell: How much of that random sample complied with the self-assessment? I assume a self-assessment was done initially and then had the random sample?

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

Mairead Farrell: So there was 10% issue.

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

Mairead Farrell: Okay. It is just clearly an issue of concern when it is under 40% of what is actually being assessed and then there is also the amount that is not assessed. I will bring in the next speaker.

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

Mairead Farrell: I understand that and I read that. It is more than a limitation. It is quite concerning when significantly less than half can be looked at. However, I will bring in the next speaker, an Teachta Kelly.

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

Mairead Farrell: Go raibh maith agat, an Teachta Kelly. We have heard two personal experiences today and they have been very powerful. We wish the Deputy's father a very speedy recovery. It is very difficult for people watching and listening to hear that, despite their own personal experiences and difficulties within the healthcare system and accessing healthcare, that one consultant would be paid such an...

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?