Oireachtas Joint and Select Committees

Thursday, 3 July 2025

Public Accounts Committee

Financial Statements 2023 - Children's Health Ireland
Financial Statements - National Treatment Purchase Fund

2:00 am

Mr. Seamus McCarthy:

It may be helpful to understand that there seem to be two models for insourcing. One is as described in CHI, where individual staff members are paid overtime and if there are other expenses, they are covered as part of the normal expenditure of the hospital, but there is also the situation where there are companies that are contracted to provide services. Some of those were mentioned yesterday, I understand, by the chief executive of the HSE. He specifically mentioned two cases in Limerick where there were consultants who have companies that are paid for.

A second point to bear in mind is that there are two sources of funding for insourcing. One is the NTPF but there is also access to care, which is funding within the HSE.

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