Oireachtas Joint and Select Committees

Thursday, 22 October 2015

Public Accounts Committee

Health Service Executive Financial Statements 2014
2014 Annual Report and Appropriation Accounts of the Comptroller and Auditor General
Vote 39: Health Service Executive
Chapter 19: Compliance with Prompt Payment Legislation in the Health Sector
Chapter 20: Management of Private Patient Income in the Health Sector
Chapter 21: Control over the Supply of High-Tech Drugs and Medicines

10:00 am

Mr. Stephen Mulvany:

Within what the Comptroller has set out, there is definitely variation. We can see that on all four parts: the administration piece and the consultant piece and, importantly, the two pieces on the other side of the line when it is with the insurer. On our piece, there was a significant unacceptable part on the hospitals on our side which is largely around the consultants. We need to tackle that one, which is about focus. The question will be raised about whether we have taken disciplinary action. That is obviously an issue but it is not a place we want to go because these are the clinical leaders of our service in many respects. However, this is an issue that is hurting hospitals, particularly in the context of next year with the new fiscal rules. It is very much an issue that will have a significant impact on the overall viability of hospitals next year.

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