Results 1-20 of 1,110,082 for in 'Dáil debates' OR (speaker:Tom Kitt OR speaker:Denis Naughten OR speaker:Jack Chambers OR speaker:Paul Murphy OR speaker:Mary Butler OR speaker:Bernard Durkan OR speaker:Heather Humphreys OR speaker:Duncan Smith OR speaker:Robert Troy OR speaker:Mick Barry OR speaker:Ivana Bacik OR speaker:Joan Collins OR speaker:Pearse Doherty OR speaker:Micheál Martin OR speaker:Colm Brophy OR speaker:Jennifer Whitmore OR speaker:Darragh O'Brien OR speaker:Paul Donnelly OR speaker:Aengus Ó Snodaigh OR speaker:Alan Farrell OR speaker:Seán Canney OR speaker:Michael Ring OR speaker:Peadar Tóibín OR speaker:Pádraig O'Sullivan OR speaker:Catherine Murphy OR speaker:Joe O'Brien OR speaker:Niall Collins OR speaker:Richard O'Donoghue OR speaker:Seán Crowe) 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)

Bernard Durkan: I thank the Cathaoirleach.

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

Mary Butler: The Deputy is right that we have an ageing population, but we are also living longer. We have one of the highest life expectancies in the EU, as deemed by the World Health Organization, with women reaching 84 years of age and men reaching 82.5.

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

Mary Butler: Yes, in the EU 27, as deemed by the World Health Organization. A really interesting statistic is that we have 400 fewer people in nursing homes under the fair deal scheme this year than we had in 2019. This shows that the investment in home care, day care and meals-on-wheels services is working. When Sláintecare was being devised, it was estimated that we would need 30,000 fair deal...

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

Mary Butler: I wish to come in on community beds. In next year’s budget, there will be an additional 174 community beds. I asked the HSE, when we were going through the CNUs, that instead of just replacing the beds, we start turning the dial. For example, in Clonmel CNU, 50 beds will be provided, of which 32 are additional. In St. Columba’s in Thomastown, there will be 95 beds, of which...

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

Seán Crowe: I have a couple questions. I will walk through the Minister’s opening statement. He mentioned an additional €5 million for capital expenditure. Can he give us a flavour of what is involved?

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

Seán Crowe: Yes, he mentioned that later on. He also raised some of the key drivers of the supplementary budget. The Minister said that 60% of the Supplementary Estimate is required for pay costs, excluding pension costs. He mentioned “staffing roles that had previously been provided from temporary Covid funds along with funding for staff hired in excess of funded levels of recruitment”....

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

Seán Crowe: I am trying to get at the nub of why. The Minister also mentioned “higher agency, overtime and staff allowances due to increased level of demand, especially in acute settings”. He is saying that the people who came in from the Covid funds who were working in the system are needed in the health system.

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

Seán Crowe: The impression at one stage was that people were being hired willy-nilly and there was no real need for those staff. The Minister is saying that the Covid staff are needed. There was a recruitment embargo and we all get that you cannot just hire staff. However, I do not think that anyone is saying that these staff are not needed within the health system. Are there any staff that the...