Oireachtas Joint and Select Committees

Wednesday, 2 July 2025

Joint Oireachtas Committee on Health

Management of Hospital Waiting Lists and Insourcing and Outsourcing of Treatment: Discussion

2:00 am

Photo of Sorca ClarkeSorca Clarke (Longford-Westmeath, Sinn Fein)

I thank the witnesses. I will launch straight into questions because we have lost four minutes compared with previous commentators. I want to follow up on something Mr. Gloster touched on regarding insourcing and outsourcing for assessment of needs. In response to a query put to it about a tender taking eight months to get a reply, the HSE advised it wanted to look at this and that it needed to be reformed. We now expect 25,000 children to need an assessment of need, to which they are legally entitled, by the end of the calendar year. What is the HSE's plan and what element of insourcing or outsourcing will be used?

The State spends €93 million annually on outsourcing mental health care. What types of services are outsourced? Who are the providers? Are there any large providers that were referenced previously in relation to other levels of care? What metrics is the HSE using to measure the potential impact on this outsourcing for the likes of CAMHS and primary care psychology in particular given that the CAMHS waiting list now has 2,000 more children than it had five years ago?

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