Oireachtas Joint and Select Committees

Wednesday, 16 July 2025

Select Committee on Health

Health Information Bill 2024: Committee Stage

2:00 am

Photo of Martin DalyMartin Daly (Roscommon-Galway, Fianna Fail)

I welcome the Minister's commitment to review because this will take considerable expenditure and up-front investment for efficiencies down the line. We have to be careful we do not beat ourselves over the head. We look to the NHS but it cannot be set up as a model. The NHS had a £10 billion issue with its national IT programme between 2010 and 2013. It started in 2003. The NHS was already computerised before that. This is a fraught exercise. There is risk in it, but we have no choice but to push forward. Case studies have been done on the NHS issue over the years. One of the lessons from it is that it is about working from the bottom up, taking small steps, not using a top-down approach and carrying out regular reviews of what is happening. It appears people got into silos. They got defensive about the particular pieces of work they were doing on the system, but approximately £10.1 billion, which is maybe £13 billion, was spent and the NHS still does not have full buy-in from all its trusts. I take Deputy Cullinane's point about the Six Counties, but at the end of the day, this is a difficult, complex exercise. I understand and welcome the work on it.

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