Oireachtas Joint and Select Committees
Thursday, 9 March 2017
Public Accounts Committee
HSE's Patients' Private Property Accounts 2015
HSE Financial Statement 2015: Note 13 re Fair Deal Scheme
Health Repayments Scheme Donations Fund 2015
9:00 am
Mr. Tony O'Brien:
The basic hourly rates are typically the same. Whereas public employees - those in HSE-run facilities - typically receive full pay maternity leave, sick leave and so on, it would be more normal for individuals employed in the private sector to be reliant on the allowances available from the Department of Social Protection. The cost of their employment is lower in these facilities. That is one part of the equation. The other part that adds to the difference is the relative complexity of the needs of patients in public nursing homes, where there tends to be a more dependent blend of high to low acuity. That is not to say some private nursing homes do not also provide for high needs, but typically there is more of that blend in a public nursing home. That influences the blend of staffing provided. Typically, there is a richer blend of nursing staff and so on in high-dependency public nursing homes which drives cost. Mr. Healy might like to add something.
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