Oireachtas Joint and Select Committees

Wednesday, 11 June 2025

Joint Oireachtas Committee on Health

Mental Health Bill 2024: Discussion

2:00 am

Professor Matthew Sadlier:

Yes. There are two issues with that. One is just simple logistics. Health and social care professionals do not routinely - a very small number do - do on-call rotas. The only people working 24-7 in the mental health service are those involved in nursing and doctors. If we want a psychosocial assessment done by someone in another profession, we would have to start moving into rostering these other professions on a 24-7 basis, which would mean going from two people in whatever specialty we want to talk about to eight or nine in order to cover that roster. To cover that in every area of the country, we would be looking at trying to create an employment cohort that just does not exist. We would be looking at major cost and recruitment and retention implications. Often, people will not want to work in jobs that involve 24-hour on-call work. Sometimes, a person will leave or it will be about childcare or whatever. Those are just the simple logistics involved. It would create a huge difficulty. Professor Kelly wishes to come in.

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