Results 1-20 of 1,091,126 for in 'Dáil debates' OR (speaker:Tom Kitt OR speaker:Réada Cronin OR speaker:Simon Coveney OR speaker:Seán Sherlock OR speaker:Denise Mitchell OR speaker:Duncan Smith OR speaker:Fergus O'Dowd OR speaker:Michael Healy-Rae OR speaker:Jackie Cahill OR speaker:Niall Collins OR speaker:Mattie McGrath OR speaker:Michael Creed OR speaker:Pádraig O'Sullivan OR speaker:Éamon Ó Cuív OR speaker:Mick Barry OR speaker:David Cullinane OR speaker:Dessie Ellis OR speaker:Pauline Tully OR speaker:Paul Donnelly OR speaker:Joe Flaherty OR speaker:Neasa Hourigan OR speaker:Stephen Donnelly OR speaker:Christopher O'Sullivan OR speaker:Claire Kerrane) in 'Committee meetings'

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)

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)

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)

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)

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)

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)

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)

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)

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)

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)

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