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:

Yes, Chairman. The €334,215 was on-call, which is being available largely for emergency work. That hospital has a 24-7 emergency department. It has to have a surgeon on call and he was the only surgeon on call. Normally, a one in three or four rota would be considered to be onerous, for which there are additional payments. He was effectively, for a period, actually doing a one in one on-call rota which is relatively unheard of in modern times.

The balance of the other payment - the largest part of it - was related to what we would call his planned work - in other words, the endoscopies. Again, we have a strict requirement that urgent colonoscopies, often related to the detection of cancers, must be kept within a four-week time limit. The hospital is satisfied that despite the truly exceptional nature of the scale of the payment, it was essential to ensure the hospital kept as close as possible to its target.

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