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Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (8 May 2024)

Róisín Shortall: But not in line with the additional funding. Is that not the finding?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (8 May 2024)

Róisín Shortall: I appreciate the complexity.

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (8 May 2024)

Róisín Shortall: I appreciate it is very complex.

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (8 May 2024)

Róisín Shortall: It is the case that the NTPF will pay a certain amount for, say, a hip operation, whatever the going rate is when it tenders. That was not disclosed to us last week when we talked about it. How does that figure compare with the cost of a hip operation in public hospital X? Does the Department have that level of detail?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (8 May 2024)

Róisín Shortall: Are those figures publicly available?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (8 May 2024)

Róisín Shortall: My final question is on productivity and the new consultant contract. There should be a 25% increase in the productivity and capacity of those consultants who transferred over from the original contract. How is that being measured?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (8 May 2024)

Róisín Shortall: Who is measuring that productivity increase?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (8 May 2024)

Róisín Shortall: Who is measuring the capacity overall? It may be greater on a Saturday, but it might be different on a Tuesday.

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (8 May 2024)

Róisín Shortall: Are those figures publicly available?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (8 May 2024)

Róisín Shortall: I am interested in the overall figure, not just Saturday figures.

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (8 May 2024)

Róisín Shortall: It would be good to see them.

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (8 May 2024)

Róisín Shortall: All of that is very positive and it is just important that we measure it. We need systems in place to do that. I want to go back to points that were made about children's mental health services. A comment was made or an indication was given that they are standardised across the country. There has, understandably, been a lot of political focus on child and adolescent mental health...

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (8 May 2024)

Róisín Shortall: In Cork specifically, what is the issue?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (8 May 2024)

Róisín Shortall: Mr. McCallion would accept that a waiting list of over 4,000 is not on.

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (8 May 2024)

Róisín Shortall: Nearly 1,000 people are waiting for appointments with CAMHS. I will raise a couple of issues about UHL. When the term "clinical advice" is used, it often shuts down any debate. I would always give way to clinical advice but it is clear that there was a problem with the reconfiguration of the hospital groups. The mid-west's is the only hospital group that does not have a model 3 hospital....

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (8 May 2024)

Róisín Shortall: I earlier raised the issue of value for money and I am not sure there are robust systems in place. Is any consideration being given to money following the patient as a means of establishing value for money and bringing clarity to spending?

Joint Oireachtas Committee on Health: Implementation of Sláintecare Reforms: Department of Health and HSE (8 May 2024)

Róisín Shortall: Hospitals, for example, would be funded on the basis of the number of procedures they carry out.

Joint Oireachtas Committee on Health: WHO Treaty on Pandemic Preparedness: Department of Health (8 May 2024)

Róisín Shortall: I thank Mr. Watt for the briefing. These points are very important to stress. This agreement will not interfere with national competencies and the principle underpinning this, that no country is safe until all countries are safe, is very important. That was brought home to everybody during Covid. I am curious to know who is leading on this for Ireland. Who is negotiating it? What will...

Joint Oireachtas Committee on Health: WHO Treaty on Pandemic Preparedness: Department of Health (8 May 2024)

Róisín Shortall: Is there a wider group at national level feeding into that from the Department of Health and other relevant agencies?

Joint Oireachtas Committee on Health: WHO Treaty on Pandemic Preparedness: Department of Health (8 May 2024)

Róisín Shortall: What about outside of the health perspective of it? One of the issues raised about how we handled Covid was that there were other areas of expertise that should feed into that such as education or children.

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