Oireachtas Joint and Select Committees

Wednesday, 24 September 2025

Joint Oireachtas Committee on Health

Update on Key Issues Relating to the Health Service: Discussion

2:00 am

Mr. Robert Watt:

Sláintecare was, to use the dreadful expression, a roadmap that set out the direction of travel. We then had to turn it into an implementation plan and had to drive the change. Take, for example, something like the public-only consultant contract, which Louise was involved in negotiating. That was an extremely complicated negotiation. It took us several years to negotiate it and now we are implementing it, which is also a complicated task. As to how far are we in implementation of the public-only contract and moving the systems for that into public hospitals, with greater priority provided to public patients and private patients treated elsewhere, we are a good way away. It is hard to put a percentage on it. The Chair might think about what exactly the assessment might be. In terms of universal care, we have made a lot of changes, such as reducing the cost of healthcare, providing GP cards and reducing the cost for people, which was a very important priority for the two Governments since Covid. We will think about it and come back to the Chair, but it is very hard to put a precise number on it. It depends on the area because there are so many different dimensions to it. There are about ten or 12 large projects. We would have to say that we are very proud in the Department and the HSE of the progress we have seen in implementation and we are now seeing the results of that. I hope to see more results in the period ahead.

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