Oireachtas Joint and Select Committees

Wednesday, 18 September 2024

Joint Oireachtas Committee on Health

Productivity and Savings Task Force: Discussion

10:00 am

Mr. Bernard Gloster:

It is sector-wide. That is an important point because I think it is behind some of what the Deputy said. There are many very good nursing home providers. I would be the first to recognise that. They pay attention to the quality of the service they provide. I have addressed with Nursing Homes Ireland my serious concern about some providers which choose to enter the market and may significantly borrow against the business in capital terms and then find they cannot sustain that. They know going into the business the rates and the projected incomes. When they get into trouble, there is an erosion of quality because they cannot fund staffing or maintenance of the premises. It starts to deteriorate. At a particular point, HIQA will only tolerate a certain level, particularly where something is disimproving.

It is in those circumstances that we have to take over, and we have to-----

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