Oireachtas Joint and Select Committees

Wednesday, 26 October 2022

Joint Oireachtas Committee on Health

Sláintecare Implementation: Regional Health Areas Advisory Group

Mr. Leo Kearns:

The advice we have been providing is that they cannot establish the RHAs without a clear control model that clarifies their responsibility, the authority they have, which should be a comprehensive authority, and how they are going to be held to account. That has to be achieved and there can be no dilution of that. They have to come up with a design of how that will happen. If that requires legislative change, then that should follow. Establishing boards does not necessarily solve the problem, because the problem is about accountability and authority. There can be no moving back from that. The advice we give is that this is central to this and if the control model they come up with does not address it, then it will not be fit for purpose. However, we believe the principle of subsidiarity is accepted and I would expect that the design of the model they come with, on which we would then give advice, will address that legal issue.

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