Oireachtas Joint and Select Committees
Tuesday, 9 July 2019
Committee on Budgetary Oversight
Budget Management and Control of Health Expenditure in the context of Budget 2020: Discussion
Mr. Colm Desmond:
If I can clarify for the Deputy, I am not saying we expect to break even, I am saying we are not planning for a deficit. We are absolutely planning to mitigate any deficit insofar as we can.
I am also not implying that because the budget oversight group, which involves senior colleagues from the Departments of Public Expenditure and Reform and Health, does not make that kind of specific decision, we simply leave it up to the local managers and therefore, in some way, it is all their faults. We are saying to local managers to look for efficiencies first. They then must live within their overall budgets. If that means they cannot meet all the demand, then that is the reality. We mean it when we say we must support them to make difficult decisions as long as they make and communicate them properly. Not communicating such a decision to families well in advance, as Deputy Breathnach indicated, would not be communicating properly. I do not know the details so I do not know if that is accurate.
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